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0304-180 (SFD)LICENSED CONTRACTOR DECLARATION %J 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 Professionals Code, and my License is in full force and effect. License # Lic. Class, �, tt Exp. Date 760044 Date j ���+ - h'�- Signature of Contractor ' - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 offeredfor sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the -property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). . . () I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ;) 1 have and will maintain workers' compensation insurance, as required by S &tion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier • MX?'2, FUND Policy No. 415413.835 . ' (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 prrovisions[of',Section 3700 of the Labor Code, I shall forthwith comply with those!provlslons pate: I A-.;/, .;Applicant !43k 1, Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on . his application. t' 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 applicaton agrees, to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and empl 2. Any permit issued as a result of this application becomes null and if, work is not commenced within 180 days from date Of issuance o permit, or cessation of work for 180 days will subject permit to cancel I certify that I have read this application and state that the above informa i _ correct. I agree to comply with all City, and State laws relating to the bu Idin 9 construction, and hereby authorize representatives of this City to enter po the above-mentioned prdperty for inspection purposes. S,igriature (Owne_r/Agent)_ PERMIT # BUILDING PERMIT. . . NAN DATE VALUATION�y�� �� LOTS TRACT ADDRESS M+. I.LAOX DAME JOB SITE APN 764-04 ` SU 7 OWNER CONTRACTOR/DESIGNER/EN INEER 1 Fffi;;a :G SIT 3 t i i, ice- EMSTPACMICA. D1,V T..CPW.'N RP. 5R, CITIRU5 AIM S.+'_�:, CA 92373 RMLAW (909>7 98-71 689 CMUO 4911 USE OF PERMIT MIGLL:[rR7V`ArL'S9'JSWI_5.LlhlC1 AYE 7 • ! 4 'f 9J� .•: n11.lC.,Y.. 9/ii.? VMT.LID, PO 01., SPA OR F,K!' fSWA1 : A.PIT, ACH OW'f'ON GCM 3 'FtUCUON sr,,180:(td► v. f 1!.mourl D ir4!'L9 & %.YA°' 7vC�3'1AY.X.CC $L'pJ,.i.A{.i.:/� 2' ?'59PIAM f�Ca??��'E'id`7sC:�I��dT�� 1t�i-Ofipa�l�=•Of7f� �i,119.©� `. CHECK PEE 101 -'000-439-3 2 8 $93231. kyli:1�3'� 5'0ALKSKE... 101-000-421-001A $i:ti3.t;D 'n"umm'A1a M. F'. S173,25 Si'RCr`1 O X110` ib id '11EX • R: E.SJD 101 -NO -"2414010 l.♦`.1�9 L:Y.�t'2:,J�.1�.i"-'.Y.'u�` .•jS�JY',. - b%,p�It'S. �`Y . ., T n1 pusuc rwm - P�.. ' vAv-.of3t14c�=:11CI cowi -Riic'°Y"ox.A r1(�J1"'3A14 x , -x a `i 1.1.5 �c-s y� y� :r-ilElc4�..�'�::r��`�;�tD1V�x`.c'�1:�i+Ct ]NTA] LOFLA DATE { j BY DATE FINALED INSPECTOR PLIM-:11:19HISM.1:1*01. �, OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap / y F.A.U. Framing o Compressor Insulation /2� �? Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath liJ Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground .Plbg. Test Final I I Gas Piping PLUMBING APPROV Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection ,� z ! Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) l Q COMMENTS: IT I `03!15/2005 • 02: 12 7605680324 AVAIL HHUH MGI VILLAGE AT THE H.O.A. Avail. Property Management., P.O. Bog 1032 Palm Desert, CA 92261 760-5"-2717 March 15, 2005 Mr Jerry Williams 56-222 Village Drive La Quinta, CA 92253, RE:- Architectural Variance Request -Lot 95 Dear Mr Williams: The Board of Directors reviewed your request for au additional 675 square {feet to be added to your existing residence and the addition of a guest suite and covered terraces. The Board approved your addition with the following conditions: " The wall in front of your house will remain in the same location as it was originally planned;. Le, continuation from Lot 96, and at the same height. • All necessary permits will be obtained from the City of La Quinta. • The construction process will be followed per the HOA's Guidelines. o' A $5,000.00 refundable deposit must be made payable to The Village 'At The Palms and sent to this office prior to starting construction. When construction .is completed, the deposit will be returned t6 YOU. If you have any questions, please contact this office. Sincerely,. ' Cam Anderson Project Manager Page 1 of 1 Fred Baker ------------------------------ From: -- From: Jerry A. Williams Uw@jwdci.com] „Sent: Thursday, December 23, 2004 10:49 AM r To: Fred Baker Subject: Lot 95 -The Palms.pdf Fred... Per our discussion I am forwarding the previous correspondence in PDF format.for your use in gaining Planning Dept. approval of the deferred improvements (Landscaping and Site Perimeter wall) for Lot 95 at The Palms. The project will take approximately (8) months to complete and will be submitted to the HOA for'their review and approval. Thanks again for you assistance.....Jerry This message has been scanned by F -Secure Anti -Virus for Microsoft Exchange. For more information, connect to http://www.f-secure.com/ 0,,`' i. -Approvedlm °- E3. Planning COMMISSIOf1 .....-.--► Cit -Council s ommunity Dev. Dept.=�=��`I --- , -Initials ...,_.—. Case No. , Exhibit MWith Conditions -.- - -•--- FG4 ;R J� -15 • �- � rte- • � . . lf 12/23/04 C J.W. DE51GN & CON5TFUCTION, INC. P.O. Box 1154 San Luis Obispo, CA 93406 (605)544-31,30 (805) 544-0115 Lic. No. 554910 j 4 December 10, 2004 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253-1504 Attn: Fred Baker RE: Minor Use Permit 2004-484 Dear Mr. Baker, II Thir, letter i5 being written in regards to Lot 95 at The f alms subdivision. In discu55ion5 "-vith Stan Sawa, i he recommended that•I write a request for the deferment of certain improvements to the residence that I normally would,be required prior.to a final inopection'and occupancy. A5 you might remember there was a Uoe Permit that war, granted and Subsequent planr, have been submitted to the 5ui,l4ing Department for the addition to the original house that also included a Car,ita. I am,requesting that an Occupancy Permit be granted prior to completion of the followinc items: The masonry Site wall that runr, parallel to"Village Dr. It is our intention-to redues the length of the wall and have it connect to the west end of the new addition. Obviouoly we would prefer the wall not,be built oo that we do not have to tear it down when we start the addition. V • Landscape Improvements that would be in harms way a5 the construction of the,addition was being completed. A good portion of the perimeter landscaping would be ruined a5 foundation5 and underground utilities were being installed. We are presently preparing to resubmit the corrected plans to the Building Department next week and anticipate proceeding with the construction of the addition ar, soon a5 the residence clo!5co escrow. If . you have any.quer,tions please call me at (805) 544-3130. I have included a reduced,5ite Plan for your use. Thank you for you assistance. Sincerely, ' Jerry Willi ms J.W. 0e5ig & Conotruction,'lnc: -77 i L5, ^• to � , i V 1 4th I ` ��'R :i?1'.:"tiliy Y�:fit� _ - w . � : `; •' ," c• ` •—''7 r, • t t. � I , ` ~ r` i�'�•�;ili•.d� �yv�5;�'� •:�:: � �' i _I•', / ix1:I•'.;1,.1'h Ruti,sit•!.�: I:s:.,•�ti�.i. ti.-:_ -. I�.l",n{�.r �1 s t �L•t t it }s' a , . ��. •i;;� = ." - N `If';•• .�.i r'?'T,'i."�•`.". I,i ._ .fit .. Ile, �_•n .. G. N Eu i _ 1 --- ' --------------- OEM O Ft E - i TLT .I 1 I Mme,:,. .,',•..;..' `..�t:.y a - I ,., r _ ,a. i L l,d."t!, `r,'� R.♦li�,'I rpt,:. `, :,r• 1 � y ll�.i t4• 1a `• E �, . " ' rs �~'• �'j�v._:. s'',�i's� i��lj`•i'�•': .r� '""''=I,�e7 •y; J '�• I 1• -.r w. :.. :;A; `:.ry •[.11S�,Yr-JY�N,-• 4Y1-;' �,1 , '� .0 s�l� ••j�..l ,�}�': y1:°:. .�•4� 7�.�1 is Ay r'd'�i �i�}y\'My"�! 6 r����,3�t .l 6. . I /(�`Y� r;�•ir '•�.F:CT�•rY' ;;.r.y�l,M�•��}�, r�(�i',v�„ers.�:ISAK ,6,J. , O Y. Ell V r,' PIZ- r . 2 - �: �/ �' :� _ � j � ` �; �. �, Y ,. .� t � r' ,e i r . 2 • �„ . �/ a iE _ � j � ` �; �. �, Y ,. .� t � r' ,e i !, e1 .. � , • - Y ' 1 �/ a i. i � ny ., � f �, Y e t � r' ,e i !, e1 fi •. �� t i f: r i E. .. . , .• i � .. i " � .. \. S h .. ,rt � � S. a �: 'a -- j C' i i 1 .., i y .p Y � a �, R ... t � r' i � .. 4 a � � C' " � .� �� ` � ' �.. - .�V • ;i t ,. i i a 4 _ �auQ.c -� Certiricate ®f Occupanc Y c I - Q d TAtifJ' ' jJ,CpapORATED G� OFT9w Building & Safety Department s This Certificate is issued pursuant to the requirements of Section 109 of the California Building x Code, certifying that, at the time of issuance, this structure was in compliance with the E ` t provisions of the Building Code and the various ordinances. of the City regulating building .i construction and/or use. a BUILDING ADDRESS: 56-222 VILLAGE DRIVE >'7 r j Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0304-180 Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: RL 3 r �x � L e € s .r Owner of Building: BIRDIE HOMES Address: 5 E. CITRUS AVE. STE. 205 : C e City, ST, ZIP: REDLANDS, CA 92373 By: STEVE TRAXEL Date: January 14, 2005 Building Official j POST IN A CONSPICUOUS PLACE