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ADDN (04-5877)u C&f BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760) 777-7012 ��OF9 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA "-" � �FA 7 (760) !' -7011 92253 INSPECT 4-1 7 -7153 BUILDING PERMIT NOV 200 a Application Number cITy or. LA cam INTA 04-00005877 FINA1dC /05/04 Property Address 49408 MONTANA WY APN:. _ 649-510=010—����� Application. description Property Zoning LOW DENSITY RESIDENTIAL Application valuation..., 21793 Owner Contractor TD DESERT DEVELOPMENT SPARKS CONSTRUCTION, INC PO BOX 1716 P.O. BOX 1716 LA QUINTA CA 92253` LA QUINTA CA 92247 (760) 7.71-1941 WCC: STATE FUND WC:.4610.000348 01/0.1/05 CSLB: 674074 '07/31/.05 CCC: B - Structure Information -381 SQ.. FT. GUEST HOU.SE' Construction Type . . . TYPE V -.NON RATED Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone ... . . . . . NON -AO FLOOD ZONE Other struct info.. . . . . CODE EDITION 2001 CBC # BEDROOMS 1.00 - FIRE SPRINKLERS NO NUMBER OF UNITS' 1.00 FIRST. FLOOR, SQ FTG 381':`00 Permit• BUILDING PERMIT Additional desc Permit Fee 225.00. Plan Check Fee 146.25" Issue Date Valuation- 21793 Qty Unit Charge Per Extension, BASE FEE 45.00 20..00 9.0000 THOU BLDG 2,001-25,000 180.00 Permit ELEC-NEW,RESIDENTIAL :. Additional desc Permit Fee 28.34 Plan Check' Fee 7.09 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 115.00 381.00 .0350 ELEC.NEW RES - 1 OR 2 FAMILY' 13.34 ,Permit . . . :MECHANICAL Additional desc Permit Fee 46:'00 Plan Check Fee 11..50 r P.O. Box 1504 • �il rV VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: .0 Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Lic. No.: BUILDING PERMIT DECLARATIONS 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 Professionals Code, and my License ' in full force and effect. License Class Lice o. Date f Contractor CiOWNER -BUILDER D LARATION I hereby affirm*under penalty of perjury that I am exempt from the Contractors' State Licen 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 st cture, 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , B.& P.C. for this reason Owner_ WORKERS' 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 an pplicy number are- Cartier5%.q?r ,L/ is Policy Number ?j�� _ I certify that, m the performance of the work for which this. rmit 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 1 should becom 'act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 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 APPLICANT ACKNOWLEDGEMENT 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 that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the bove-mentioned property for inspection purposes. DaW ,c ` Signature (Applicant or ent): Page 2 Application Number _ 04-00005877 Date 11/05/04 Issue Date Valuation 0 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 2.00 6.5000 EA MECH VENT FAN 13.00 Permit . ... PLUMBING Additional desc Permit Fee. 85.50 Plan Check Fee 21.38 Issue Date Valuation 0 Qty Unit Charge Per - Extension BASE FEE 15.00- 4.00 6.0000 EA PLB FIXTURE 24.00 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 4.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 12.00 Special Notes and Comments 381 SQ. FT. GUEST HOUSEII/5/04 7:21:55A M JJOHNSON ---------------------------------------------------------------------------- Other Fees" ENERGY REVIEW FEE 14.63 STRONG MOTION.(SMI) - RES 2.17 Fee summary, -----------------' Charged ---------- Paid Credited ---------- Due Permit Fee Total 384.84 -----------=-------- .00. .00 384.84 Plan Check Total 18.6.22 .00 .0'0 186".22 Other'Fee Total 16.80 .00 00. 16.80 Grand Total .587.86 `.00 00 587.86 y,' �0116!i2FJe3^".a 2:26 Bin # n a `+ PermitJ ,, oy X77 JC Project Address; 4'7 1 7 07777011 LA QUINTA PAGE 01/01 City of - La Quinta Building K Safety Division P.O. Box 1504, 78-495 Calle Tampico !a Quinra, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sheer S ,/l/%Odj q�1� �� wner's Name: %r�� �.�5`z.�7' °�✓�m��!(�' A. P. Number: 65�Z/40 A% 9 jAddress: PO �� jL (, ((� Legal bescription /yAe % Z2gI L �T 5 ir•-. ST_ Zip. L.� 3 Y'. Contractor: S C�.v Address: `✓ �c-� ( Project Description: City. ST, Zip: L ry ' J f � Tel ephon �c^. lLJ J � t' Statc Lir. w 7 C. Arch., Engr.. Dcsiener: Address: City. ST. Zip: Telephone: Constotion T,,pc: Occupancy: : State Lic. t;: Project ype (circle o Iter Repair Dcmu Name of Contact Person: /L/r Sq. Ft.: YO0 Units: Telephone of Contact Person:( �- -)7-7/ �1v3 y Estimated Value of Project: p �� APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Rec'd TR.kCKING PERMIT FEES Plan Sets Plan Check submitted 'Item Amount Structural Calcs. Reviewed. ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan ChceL• Balance Title 14 Calcs. Plans picked up. C:onsiruciion Flood plain plan Plans: resubmitted Mechanical Grading plan I 2"a Review, ready for corrections/issue Electrical SubCOntacTor Liss Called C'onmct Person Plumbing, Grant Deed Plans picked up S.M.I. Ii-O.A. Approval 'Plans r•esubmilted Grading IN HOUSE:. Revir%. reads' for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P: Pub. NVks,Appr Date of permit'tssuc School Fees Total Permit Fees i , o Date 9/10/04 No. 26419 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253. (760) 771-8515 Owner Nolan Sparks Address 49408 Montana Way City La Quinta Zip 92253 Tract # Type Residential Addition Lot # No. Street S.F. 4�J�ZFIEDSC�o Q BERMUDA DUNES r RANCHO MIRAGE N INDIAN WELLS PALM DESERT .y LA.QUINTA VQINDIO © J APN # 649-210-010 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # No. Street S.F. Unit 1 49408 Montana Way 400 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 . Comments Detached Guest House At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. 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 $2.24 X 400 S.F. or $896.00 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 CC/ Palm Desert Nab Bank -Judy Halpain Check.No. 089578 Name on the check Telephone 760-771-1941 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exem Payment Recd $896.00 OverlUnder NOTICE: Pursuant to Government Code Section 66020(d)(1), this willslapr�to notifyyou that the 90 -day approval period in which you may protest the fees or Y Y PP P Y YP other payment identified above will begin to run from the date on which the building 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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy -Applicant/Receipt Copy.- Accounting