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0006-0096 (GARAGE)49151 Avenida Anselmo LICENSED CONTRACTOR 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 Professionals Code, and my License is in full force and effect. Dense # Lic. Class 378 8 B 7l3If2C UDai Signature of Contractor _ - 7 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 offered for 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. ,(),,I have 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 & policy no. are: Carrier EXEMPT Policy No. (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 bec9fne subject to the workers' compensation laws of California, and agre that4i I should become subject to th worers' compensation p o isions oj S°eCti° 3700 of the Labor Code, I shat . f I tt,, It com I with tho^e6 disio s ff Date: ° Applicant 'YM o, / T Warning: Failu a to secure Worke si Compensation cover9ge 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. 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 employees. ,.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 Stat ws relating to the building construction, and hereby authorize repres n atives of this City to enter✓up n the above-mentioned property fonspec Ion /W,;%- (Sigature (Owner/Agenti_VDate BUILDING PERMIT PERMIT# DATE/ } VALUATION LOTS` TRACT Sf S4,3I2.00 JOB SITE ADDRESS49_151AVPZU)a4 ANSKL..MO-2fTi%.i1I14 APN OWNER CONTRACTOR / DESIGNER / ENGINEER DAN HAYES OWkJ1~12 GUILDER P.0, LOX 174.7 PA). BOX 1747 LA QUINTA CA 92253 LA QUINT. -k "CA 92453 - (760)564.5454 CKAlf 189 USE OF PERMIT QA1iA0E OR CARPORT ADD L'IO'N, CtARAGPJC.AitPOR.T - 220 SQ. FT. GARACIE 220,00 SF e• i1:.4'M11A7ND COST OV CO.NSrrRUC13'ON 4,312.00 7PRTMI 1±)W, IS"v:A MARY PLAN C ACIC M 101.10VO.439-318 $40,80 CONSTRUCTION FEL 101-000-418-000 $72.00 MECHANICAL FEE 101.004-421-000 &F.CTRICAL. FFE 101-000-420.000 $21.73 3TPON 0 MOTION I?F - RESIT? 101-000.241.000 $150 :.Wb -TOTAL COX S i I LTM'1014 ANIJ) PI -W CIE&CX $141.05 LESS PRE -PAID FEB3 $0.00 MS IDUR NOW $141.05 k S,riE:'ti': IIIIIIIIIIIIIIIIIIIIIIIII 73 RECEIPT DATE BY," DAJE I ALED INSPECTOR INSPECTION RECORD A OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Eacks Forms & Footings Underground Ducts Ducts Slab Grade Return Air Steel Combustion Air 'Roof Deck — - Exhaust Fans O.K. to Wrap Framing (�� F.A.U. Compressor Insulation �'p 7w Vents Fireplace P.L. Grills Fireplace T.Q. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath 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 Gas Piping PLUMBING APPROVALS 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 I 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) COMMENTS: ` I IIIIIII VIII III VIII IIII 74 IE 1 LA i Y OF LA QUINTA BUILDING &SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE Bp BY 1`'GVlst OfrtGE C Y ',, l —__ - -- ---- - -- -----._..._._........ - ( --6-X -- o " -1 =P- tkb z.z-- : •' ; 3 ok NA F—PC, (o(, ' ,os'T' Gr} -p r ' +` I a, - l 5 t Adm Sc,µ) --' fr-A SCALE: APPROVED BY: DATE: T.. F f >t DRAWN BY ,_- t f , REVISED -r• DRAWING NUMBER S f D m D r m N C tt 1 A m 0 m I TA a GZ F4- T-4 -r T ., . N ri F 15 711Z:' C,.4,w 6 ,,, /f 6,C.#, 13 A C_ /C 11Y6_ YX I qx --7W --o w 0 ol w /0 tV2 '4x e- 2,ff ft5 Az -4ai T DATE. y 75 IE. 15 711Z:' C,.4,w 6 ,,, /f 6,C.#, 13 A C_ /C 11Y6_ YX I qx --7W --o w 0 ol w /0 tV2 '4x e- 2,ff ft5 Az -4ai T DATE. y OA 0/ D. Paul Fansler *A­" S Gf i O La Quinta Planning Department La Quinta, California Gentlemen-, • r I III II VIII III VIII IIII 76 IE 2305 West Shaw Avenue Post Office Box 5030 Fresno, California 93755 Telephone 209) 222-3719 March. -.17, 1987 C E W E D MAR 19 1987 COMMUNITY DEVELOPMENT CEPT Please be assured that the third bedroom of my residence in La Quinta will be maintained always as a personal use bedroom. It is not a rental unit. I designed this third bedroom for brief visits, wherein, I'would not.have to open the balance of the residence. DPF/kc Sincerely., D.. Paul Fa er 1 r' STATE OF CALIFORNIA ss. COUNTY OF • On this day of C/% /!yi/GCiU� , in the year 19Z before me, the undersigned, a Notary Public in and for said State, personally appeared OFFICIAL SEAL F. DRRVIDDIE NOTARY PUBLIC -CALIFORNIA 1.:i: •., PRINCIPAL OFFICE IN FRESNO COUNTY -- My Commission Expires Mar. 17, 1989 ACKNOWLEDGMENT—General—Wolcolis Form 233CA—Rev. 5.82 ©1982 WOLCOTTS, INC. (price class 8-2) personally known to me (or proved to me on the basis of satisfactory evidence) to be the person_ whose name_ subscribed to the within instrument, and acknowledged to me that _he_ executed it. WITNESS my hand and official seal. Notary Public in and for said State. CommunGoy � �`�`"_ � �` IIIIIIIIIIIIIIIIIIIIIIIII 77 .c ty Azzoc i.a# i_on P. 0. Box 162 TIE La Quinta Ca 92253 - --- Telephone: 760/564-2177 FAX: 760/5644882 June 4, 2000 Planning Department City of La Quinta P. O. Box 1504 La Quinta CA 92253 RE: Construction/49=1-51-Averaida--Anselmo Mr. & Mrs. Dan Hayes Gentlemen: The Architectural Committee of La Quinta Golf Estates has reviewed the proposed construction of a golf cart garage as submitted by Mr. Dan Hayes. These plans have been approved by the Committee and Board of Directors with the stipulation that Mr. Hayes obtain a letter from his adjoining neighbor stating that he has no objection to the variance shown on these plans. Mr. Hayes has obtained said letter. If you have any questions, please contact the office. Yours truly, Peter Murphy/ Tom Kennedy CoChairment