06-3457 (AR)uurcir, •
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA,. CALIFORNIA 92253 • BUILDING& SAFETY. DEPARTMENT. INSPECTIONS (760) 777-7153 .
BUILDING PERMIT
Date: 4/17/"07
Application Number: 06-00003457 Owner:
Property Address: 52110 AVENIDA M_ONTEZUMA MEEKS DAVID
APN: 773-201-024-20 -.000000- 52-110 MONTEZUMA AVE.
Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: . COVE RESIDENTIAL
Application valuation: 32366 Fk
Contractor:e. Applicant:: Architect or Engineer:. FRENCH CONSTRUCTION INCR 172001
705 SUNNYSIDE AVENUEREDLANDS," CA 92373(909)841-1379 ®FIS®UINTA
pINANGE ®SPT
Lic. No.: =-------------- Lic. No.: 667383
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section7000)of Division 3 of the Business and Professiona s Code, and my License is in full force and effect.
License Class: B icQnse No.: 667383
( (/
Date: ,� i7 I t Contractor
V
OWjV' ER•BUILDER DECLARATION
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'buiIds 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 ofsale.l. '
1 _ 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
1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
wgrk for which this permit is issued ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERIIIIT
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 and policy number are:
Carrier EXEMPT Policy Number EXEMPT
_ 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 theworkers' compensation laws of California,
and agree that, if I should become subject to t!l a workers compensation provisions of Section
3700 of the Labor Cod I shall forthwit ply wit ose provisions.'
cJ, r
Date: 1• �•�lU Applican . _,� r
`WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES 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 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 1 have read this application and state that the above information is correct. I agreecomply with all
city and county ordinances and state laws relating to building construction, and herebuf(torizel, presentatives
of this county to enter upon the above-mentioned propert - r inspection purpose
' ,Date: Signature (Applicant or-AgefU• /J !'
v Application Number
06-00003457
.Permit
BUILDING PERMIT
Additional desc .
Permit Fee- ..
304.00
Plan Check Fee
197.60
Issue -.Date•:...
3/06/07
Valuation.
32366 .
Expiration Date
9/02/07.
Qty Unit Charge
Per.
Extension
BASE
FEE
252.00
' 8.00 6.5000•THOU
BLDG
25,001-50,000
52,00
Permit . . .
ELECT = ADD/ALT/REM
' Additional desc .
Permit 'Fee
32.26
Plan Check Fee..
8.07
Issue.Date
3/06/07
Valuation
0
Expiration Date
9/02/07.
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
485:00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
16.98
14.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
.28
Permit
GRADING PERMIT
Additional desc .
Permit Fee'
15.00
Plan Check Fee :_
.00
Issue Date . . .
3/06/07
Valuation
0
P, Expiration Date
9/02/07-
/02/07Qty'
Qty'Unit Charge
Per
Extension
F;
-------------------------------------------------------------------------------
BASE
FEE
15.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
46.00.
Plan Check Fee
11.50
Issue Date
3/06/07
Valuation
0
Expiration'Date•.
9/02/07
Qty Unit Charge
Per
Extension
•
BASE
'FEE
15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.6000,EA
MECH
B/C'<=3HP/100K BTU
9.00
1.00 6.5000
EA MECH'VENT
FAN
6.50
1.00 6.5000
EA MECH
EXHAUST HOOD
6..50
Permit . . . .
PLUMBING
LQPERMIT
:Application Number 06-00003457
- Permit . . . PLUMBING
Additional desc
Permit Fee 55:.50 Plan Check Fee
13.88
Issue.Date 3/06/07 Valuation
0
Expiration Date 9/02/07
Qty Unit Charge Per.
Extension
BASE:FEE
15.00
4.00 6.0000 EA PLB FIXTURE
24.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50 .
1.00 3.0000 EA PLB WATER INST/ALT/REP -
3.00
2.00. 3.0000EA PLB GAS PIPE 1-4 OUTLETS.
6.00
----------------- ---------------- ----------------------------- -----------,---
Special Notes and Comments
�,
485 SQ. FT. GRANNY FLAT..WITH .327 SQ.
FT. PATIO.February 23, 2007 1:52:04 PM
jjohnsonCHANGE OF CONTRACTOR TO FRENCH_
'• CONST.
April 17, 2007 10:21:44 AM erandall
--------------------------------------------------
Other Fees .... . . . . . . . CHANGE OF CONTRACTOR
7 -----
4.50
ENERGY REVIEW FEE
19.7.6
STRONG MOTION (SMI) - RES.
3.23
Fee summary Charged Paid Credited
Due
--------------------------------
Permit-Fee Total 452.76 452.76 ..00
.00
Plan Check Total 231.05 231.05 :00'
Other Fee Total 27.49 22.9900
.00
4.50
Grand Total 711.30 706.80 ..00
4.50;
LQPERMIT
Bill #
' City of La Quinta
Building & Safety Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address.` ,�7 2 1 (Q kjq/V ] Ll b m QNB f _wnA
Owner's Name: -D
A. P. Number:
Address:_
Legal Description:
City, ST, Zip:
Contractor:
Telephone:, �-% ?— Z60(a
Project Description:
Address:
City, ST, Zip:
Telephone:
City Lic. #:
State Lie. # :
Arch., Engr., Designer:
Address:.
City., ST, Zip:
Telephone:
r a,
I +"
Construction Type` Occupancy:
Project type (circle one): New Add'n . Alter Repair Demo .
State Lic. #:
Name of Contact Person:
Sq. FL:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal .
Req'd
Recd
TRACMG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss.Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Floodplain plan.
Plans resubmitted
Mechanical
Grading.plau
2°" Review, ready for. correctionslssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"dReview, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 00 :6000�03457
i, t4t'4 1
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
'Property Address:
52110 AVEN369—MONTEZUMA
APN`.
773.=201 -024 -20. -000000 -
Application description:..
. ADDITION .- 'RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:.
32366
Applicant:A�ect
or Engineer:
issued.
4I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Owner:
MEEKS DAVID
52-110 MONTEZUMA AV
LA QUINTA, CA 92253
Contractor:
WILKERSON.INC, SA
1717'VISTA CHINO STE 7-103
PALM SPRINGS, CA 92262
(760) 323-5155
Lic. No:: 807450
777-7012
777-7011
777-7153
3/02/07
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
- I hereby affirm under penalty of perjury the I am licensed under provisions of. Chapter 9 (commencing with
d hereby affirm under. penalty of perjury •one of the following declarations: _
-
Section 7000) of Division 3 of the Busin nd Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
-. License Class: B �L--kens , 807450.
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
`%
te:�(� � J �G / Cpmctor:
issued.
4I 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
- OWNER -BUILDER DECLARATION
insurance carrier and policy number are: '
I hereby affirm under penalty of perjury that I am exemptfrom the Contractor's State License Law for the -
Carrier STATE FUND. Policy Number 0023284-2006
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to .
I certify that, in the performance of the work for which this permit is issued, I shall not employ any,
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so a to become subject to the workers' compensation laws of California,
' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I sho ome subject to the war rs' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor , I sh II forthwith comply wit ose provisions.
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).:
e:^'SV71plicant:
(_ 1 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 fSec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
' Contractors' State License'Law does not apply to an owner of property who builds or,improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himselfor herself through his or her own employees, provided that the
DOLLARS -1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). -
- APPLICANT ACKNOWLEDGEMENT -
1 _ 1 [,:as owner of the'property, am exclusively contracting with licensed contractors to.construct the project (Sec.
IMPORTANT Application is hereby.made to the Director of Building and Safety for a permit subject to the
` 7644, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. -
- property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
" pursuant to the Contractors' State License Law.).
-whose benefit work is'performed under or pursuant to any permit issued as a result of this application,
" (_) I am exempt under Sec. .', B.&P.C. for this reason
the owner,`and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City -
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:
LQPERMIT
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 b ildi g construction, and hereby a orize representatives
of this clod ty to enter upon the above-menticne erty r inspection p rposes.
e: i�Signat Applicant or Agent): •�
Application Number .
. . . . 06-0.0003457,
Permit
BUILDING PERMIT
Additional desc..
Permit Fee . .
304.00
Plan Check Fee
197.60
Issue Date . . .
Valuation
32366.
Expiration Date..
8/29/07
Qty Unit -Charge
Per
Extension
BASE
FEE
252.,00
8.00 6.5000
THOU BLDG
25,001-50,000
52.00
Permit'
ELECT -.ADD/ALT/REM'
Additional desc
Permit Fee
32.26
Plan Check -Fee
8.07.
Issue Date . .
Valuation . . .
0
Expiration Date
8/29/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
485.00 .0350
ELEC
NEW RES -' 1 OR 2 FAMILY
16.98
14.00 .0200
-----------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
.28
Permit . .
GRADING PERMIT
Additional desc .
Permit Fee
15.00
Plan Check Fee .'
.00
Issue Date . . . .
Valuation
0
Expiration Date
8/29/07,
Qty; Unit Charge
Per
Extension
BASE
FEE
.151.00
Permit
MECHANICAL
Additional desc .
Permit Fee'
46.00
'Plan Check Fee ".
11.50
Issue Date . . . . .
-
Valuation
0
Expiration Date
8/29/07
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/.0 <=3HP/100K BTU
9.00
1.00 6.5000
EA MECH
VENT FAN
6.50
1.00 6.5000
-------------------------------------------------------------------
EA. MECH
EXHAUST HOOD
6.50
Permit
PLUMBING
.LQPEIL,NIIT
Application, Number
06-00003457
- ( Permit'PLUMBING
'Additional desc
Permit Fee . .:
55.50
Plan Check Fee
13.88
Issue Date
Valuation
0
Expiration Date.:
8/29/07
Qty Uni,t Charge
Per
Extension
BASE
FEE
15.60 -
4.00 6.0000
EA PLB
FIXTURE
24.00
1.00 7.5000
EA PLB.WATER
HEATER/VENT
7...50
1.00 3.0000
EA PLB
WATER INST/ALT/REP
3.00
2.00 3.0000
EA PLB
GAS PIPE 1-4 OUTLETS
6.00
----------
--------------------------------------------
Special Notes and Comments
--
-- -------------
- '485 SQ. FT. GRANNY FLAT.WITH 327
SQ-.
FT.•PATIO:February 23,
2007 1:52:04
PM
jjohnson
-
Other Fees . . .
. .
ENERGY REVIEW FEE
.19.76
STRONG. MOTION (SMI) - RES
3.23
Fee summary Charged
Paid Credited
Due
Permit Fee Total
452.76
.00 00
452.'76
Plan Check Total
231.`05
.00 ..00
231.05
Other Fee Total
,22.99
.0-0 :00
22:99
Grand Total
706.80
.00 :00
706.80 `
LQPERMIT ..
PfAce-, ori
laip ff .
----rri r M
t
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #5'1
Project Address: �ON me,
J 5z' � l �
, t
Owner's Name: � U�
A. P. Number:
Address: -�Z -� I !' ID A AvE
Legal Description:0
City, ST, Zip: LP 1 yl T- ( 77—Z -5-3,r
Contractor: 6r � rV�t
Telephone -740-777-2.00 (,
Address:l�tiQ�O SUIjJ5 %-l0
Project Description:
Q A44,
City, ST, Zip: A)V0 S � Zz/67—
Telephone: 71,0-323-,S-15 '
State Lic. # : eQ? City Lic. #:
Arch., Engr.,esigner: G E V dYk
D
Address: `31D(o ueNp 0�Ic
City, ST, Zip: 11��V►1 ZZ6c)
Telephone:
Construction Type: Occupancy:
State Lic. #: �ll�
Project a circle one
J type ) A%w Add'n Alter Repair Demo
Name of. Contact Person.l/
Sq. Ft.: 7S
# Stories:
#Units:
Telephone # of Contact Person:' -AD- OZ - 4.? 6')P
Estimated Value of-Eroject:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recc��'d
TRACKING .
PERMIT FEES
Plan Sets
pt
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, r y for corrections `L
Plan Check Deposit
Truss Calcs.
A
Called t n Contac i
Plan Check Balanc
Energy Calcs.
of
Plans picked up T19101
oo
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready focorrection issue
6
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
0 b
S.M.I.
H.O.A. Approval
Plans resubmitted a(,
Grading
IN HOUSE:-
7rd Review, readyor correctio s ue G�
all
(p
Planning Approval
Called Contact Person d
A.I.P.P.
_
Tub. Wks. Aper
p
D—sue V 0 I
School Fees
�/��/� / �/ O
�► 5 �( t �S
q�o? � ��, �o � MGI. (uC.� /0•r)•a6
4127 -7 o N b0 *4 (-W
ro! 2 Avis, �
Total Permit Fees
7/0
�z l 776-�
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 485 S.F. or $1,275.55 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/Canyon National Bank - Steve Wilkerson Check No. 37580
Name on the check Telephone 902.4707
F A. Residential
By` Dr. Doris Wilson
Superintendent
Fee collected /exempted by S (aQMc�4
Signature
mg
Ur,
�s +
CERTIFICATE OF COMPLIANCE
JF�s�,
Desert Sands Unified School District
47950 Dune Palms Road
zo�co
< BERMUDA DUNES r
Date 3/5/07 La Quilnta, CA 92253
- rn RANCHO MIRAGE Q'
t_, INDIAN WELLS
29266 (760) 771-8515
dady PALM
DESENo.
LA QUINTAT �y
y>QINDIO
Owner David Meeks APN #
773-201-024
Address 52-110 Avenida Montezuma Jurisdiction
La Quinta
City La Quinta Zip 92253 Permit #
Tract # Study Area
-$1,275.55
Type Detached Guest House No. of Units
1
Lot # No. Street S.F. Lot # No.
Street S.F.
Unit 1 52110 Avenida Montezuma 485. Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments- Granny Flat
At the.presenftime, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 5
00 square feet, detaehedjaccessoiy structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation).or repla"oement 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 485 S.F. or $1,275.55 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/Canyon National Bank - Steve Wilkerson Check No. 37580
Name on the check Telephone 902.4707
F A. Residential
By` Dr. Doris Wilson
Superintendent
Fee collected /exempted by S (aQMc�4
Signature
mg
Ur,
�s +
Payment Recd
X0.00 = t"
-$1,275.55
`Over/. Under
•' -.,>w
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve notify 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 ich th wilding 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 aut ed to collect them on the Dstrict('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting `