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06-1455 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t(t-4.40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/27/06 Application Number: .06-00001455 Owner: Property Address: 52600 AVENIDA OBREGON DOUG BELKNAP APN: 773-285-005-4 -000000- P.O. BOX 297 Application description: DWELLING - SINGLE FAMILY DETACHED ALM DESERT, CA 92261 Property Zoning: COVE RESIDENTIAL o ®. Application valuation: 102047 q YQ Lo�� ontractor: Applicant: Architect or Engineer: �� LENAP, DOUGLAS W fit - . O . BOX 297 PALM DESERT, CA 92261 (760)902-7444 Lic. No.: OOR SQUARE FOOT Lic. No.: 205031 LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing' with Section 7000) of Division 3 of the Busi s•a Profession Is Co ,and my License is in full force and effect. License Class: B C36_Q442 Lice No.: 205 1 � 2/Dai� �� �Con�actor: ' 0 ER -BUILDER DECLA ION I hereby affirm under penalty of perjury that I am rempt from the Contra 's State License Law for the following reason (Sec. 7031.5, Business and Pro essions Code: Any city or countythat 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 (c6mmencing with Section 70001 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 of her own employees, provided that the improveme6ts 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.). (_ I 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.). 1 1 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: LQPERAIIT 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. 10 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor, t— Code, for the performance'of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:. Carrier STATE FUND Policy Number 1576785 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any. manner so as to become subject to qUPONE is pensation laws of California, and agree that; if I shout come subject to then anon provisions of Section`± 3700 of the Labor Cod s II forthw,' h comp) ions. � �yAppltcant: WARNING: FAILURE TO SECURE WORKERS' C PENSATION UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA IES AND CIVIL E 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 *ACKNOWLEDGE MENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 Ao ove information is c rrect.. I agree to comply with all city and county ordinances and state laws relating construction, d rebs authorize representatives of his -county to enter upo the above-mentioned r inspection rpo ignature (Applicant or Agent V El Application Number . . . . . 06-00001455 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 650.00 Plan Check Fee 105.63 Issue Date . . . . Valuation . . . . 102047 Expiration Date 10/24/06 Qty Unit Charge Per Extension BASE FEE 639.50 3.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 10.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/24/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 95.06 Plan Check Fee 5.94 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/24/06 Qty Unit Charge Per Extension BASE FEE 15.00 1604.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 56.14 446.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.92 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit PLUMBING Additional desc . . Permit Fee . . . . 129.00 Issue Date Expiration Date . . 10/24/06 Qty Unit Charge Per BASE FEE 10.00 6.0000 EA PLB FIXTURE LQPERA11T Plan Check Fee 8.06 Valuation 0 Extension 15.00 60.00 Application Number . . . . . 06-00001455 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/24/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1604 SF. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH. 75% REDUCED PLAN CHECK FEE FOR MULTIPLY HOUSES OF SAME PLAN. -------------------------------- Other Fees . . . . . ------------------------------------------- ... . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 10.56 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00. STRONG MOTION (SMI) - RES 10.20 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 954.56 .00 .00 954.56 Plan Check Total 123.73 .00 .00 123.73 Other Fee Total 3736.76 .00 .00 3736.76 Grand Total 4815.05 .00 .00 4815.05 LQPERMIT V Y— CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road BERMUDA DUNES O U RANCHO MIRAGE Date 5/1/06 La Quinta, CA 92253 INDIAN WELLS DESERT No. 28427 G'� PALM LA QUINTA y (760) 771-8515 � %INDIO N� Owner Doug Belknap APN # 773-285-005 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type New Residential Addition No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52600 Avenida Obregon 1604 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 "Unit 10 D' Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios✓walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.63 X 1,604 S.F. or $4,218.52 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By OC/Wells Fargo - Doug Belknap Check No. 0737705148 Name on the check Telephone 777-9572 ]binding Residential By Dr. Doris Wilson Superintendent Fee collected /exemptedby har Mc y Payment Recd $4,218.52 ®ver/under. Signature C , NOTICE: Pursuant to Government Code Section 66020(d)(1), this Wiil s rve to otify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which a ilding or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt -Copy -Accounting +�`+e..n+s�tr+.c+r:.�7[ev. mew.sanaa` •ar=r.,r.rt--.we.^-'s.3r.w.r..wR.rrma..�,.: aeea::e +��,_,�� ./ 1.4ar��ss ; v..+.n.a =-`sarsil:�.a�:- - ...� .t f i -, (X)Sladd-n Engineering Dry Density 1 03.0414 i 6782 Stanton Ave., Suite A 39-725 Garand Ln., Suite G 114 9. California Ave. 15438 Cholane Road_ Buena Park, CA 90621 - Palm Desert, CA 92211 Beaumont, CA 92223 Victorville, CA 92392 (714) 523-0952. (760) 772-3893 - (951) 845-7743 760-962-1868 Fax (714) 523-1369 Fax (760)772-3895 Fax (951) 845-8863' Fax 760-962-1878 Date 6�' FIELD MEMO Job No. 5-Z . Project Name L.l ,,2j, , Client: Site Address 2 lvof %?�2 G,B� at wGb Tei Job. Phone Work Done Test Summary / Footings Inspected Test No. Lbcatio _ 7 Elev. Dry Density Moist % % Relative Compaction Ref. Max pcf Moist % Z7 1— 5 L-1 C7Z� 2 %3.v 5 Comments 24- hour notice requested to schedule Field Technician. Thank you for Certificate of Occupancy Building & Safety Department This Certificate is issued pursuant.to the requirerri:ents of Section 109 of the. California Building T. Code, certifying that, at the time of issuance this structure was in compliance with the Y g p f provisions of the Building Code and the various ordinances of the 'City regulating building 3 construction: and/or use: BUILDING ADDRESS: 52-600 AVENIDA OBREGON Use classification: SFD Occupancy Group: R3 Owner -of IBuilding: M/M DOUG BELKNAP I Building Offici Type of Construction: VN Building Permit No.: 06-1455 Land Use Zone: RC Address: PO BOX 297 City, ST, ZIP: PALM DESERT.CA 92253 By: K.KIRKLAND Date: 9-26-06 POST IN A CONS PIC UOUS.PLACE