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BRES2016-0357:aw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT, is cl�i BUILDING PERMIT Application Number: BRES2016-0357 Property Address: 53659 VIA STRADA APN: 777200007 Application Description: WILLIAMSON / REVISION: TITLE 24 AND HVAC IN GARAGES Property Zoning: Llc. No.: 995557 Application Valuation: $5,000.00 Applicant: RUCKER MUTH CORP P 0 BOX 13017 74125 ACADEMY LN EAST PALM DESERT, CA 92255 VOICE (760) 777-7125 0 777-7011 INSPE -715W Date: /20g a Owner: ® is cl�i DANIEL WILLIAMSON C CNJ Z F— LLJ p g a PALM DESERT, CA 92255 (760)250-4903 U Llc. No.: 995557 0 Z Contractor: Q RUCKER MUTH CORP ® P 0 BOX 13017 v� 74125 ACADEMY LN EAST p PALM DESERT, CA 92255 (760)250-4903 Llc. No.: 995557 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:// License No.: 995557 Date` % Contractor:- OWNER -BUILDER DECLARATION, I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division . 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. . B.&P.C. for this reason Date Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.)., Lender's Name: Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to selVinsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of t e orlfor which this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9148462 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of Labor Code, I shall forthwith comply with those provisions. ft , / . bate:' -5." Applicant: �1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO . ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and statw elating to building this construction, and hereby authorize representatives of city o Pon the above-mentioned property for inspection purposes. _ r, n e y DateQ �k� : Signature (Applicant or Agent): Date: 3/6/2017 Application Number: BRES2016-0357 Owner. Property Address: 53659 VIA STRADA DANIEL WILLIAMSON APN: '777200007 Property Zoning: Application Valuation: $5,000.00 Applicant: Contractor: RUCKER MUTH CORP RUCKER MUTH CORP. P O BOX 13017 P O BOX 13017 74125 ACADEMY LN EAST 74125 ACADEMY LN EAST PALM DESERT, CA 92255 PALM DESERT, CA 92255 (760)250-4903 Llc. No.: 995557 Detail: ADD A/CTO GARAGES, WHILE HOME IS. UNDER CONSTRECTION 1422 SQ FT. per 2013 CMC CODES { DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT. CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 ! 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $50.66 ` - Total Paid for MECHANICAL: $253.32 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Coachella ,VaIIQ.y Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: The Hideawa This Box For District Use Only DEVELOPER FEES PAID AREA: A LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMhVIND. AMOUNT: DATE: RECEIPT: CHECK#: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Owner's Name: Williamson Residence Project Address: 53-659 Via Strada, LaQuinta Project Description: Add A/C to Garages APN: 777-200-007 Tract #: Type of Development: Residential Xx Commercial Total Square Feet of Building Area: 1422 Date: March 3, 2017 Phone No. Lot #'s: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: March 3, 2017 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project 65995 Approval 1422 $3.48 $4948.56 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard, Secretary Signature: �( ,U/uz, NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as.determined by the School District, and up to three (3) such extensions may be granted. 111':u!r}iiar 41ctf ;!c Izificatr t}i ibnti ii:i!tce fnrnl t!ix{:u,d?_'ttt�; 11/2010 COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-701 1 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 53-659 VIA STRADA APN: 777-200-007 DESCRIPTION OF WORK: ADD A/C TO GARAGES SQUARE FOOTAGE: 1422 SQ. FT. TOTAL A/C SPACE IS NOW 10332 SQ FT. OWNER'S NAME: WILLIAMSON For questions regarding this letter, please call: City of La Quinta Permit Center 760 777 7012 Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money oder and hours of operation. OF LA QUINTA Coachella Valley Unified School District rBUILDINGSAFETY DEPT. 83-733 Avenue 55 P V E O Box 847 Thermal, CA 92274 FOR CONS UCTION (760) 398-5909 DATE 12 Lf g , Desert Sands Unified School District 47-950 Dune Palms Road 'La Quinta, CA 92253 (760) 771-8515 Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money oder and hours of operation.