04-3833 (AR)77445 Loma Vista
04-3833
Application Number . . . . .. L04-0,0003833'.` Da.t`e 6/28/04
Property Address . . . . 77445 LOMA VISTA
APN:' 658-220-.016-38 -25237 -
Application descripti'ori ADDITION - RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL
.'Appl.icat.ion valuation 50000
Owner Contractor.
------------ - - - - -- --- --- - - - - -_
MURPHY KATHALEEN M HOWARD CONSTR DON DBA CHEROKEE
11 TORRIN ROCKS COVEOUTSIDE CITY LIMITS
'BARRINGTON -IL-60 010' - LA QUINTA CA .92253
(760) 341-.09.20.
WCC: STATE FUND
WC: 1640549 08/06/04
" CSLB`: 706194 . ; i'"i:; 05/31/05
CCC: B
x;
------ Structure. Information-- 382 SQ. FT. CASI.TA ADDITION -----
Construction Type TYPE V - NON RATED
Occupancy Type . . . DWELLG/LODGING/CONE <=10
Flood Zone NON'AO FLOOD ZONE
Other struct info CODE EDITION 2001 CBC
BEDROOMS 1.00
FLOOD.ZONE NO '
FIRST FLOOR SQ FTG 382.00
----------------------------------
Permit . . . . . BUILDING.PERMIT
... Additional ' desc.
Permit Fee 414.50 Plan.Check Fee 269.43
Issue Date . . . . Valuation . . . 50000
Qty. Unit Charge Per Extension
BASE FEE 252.00
25.00 6.50.00 THOU BLDG 25,001=50,000 162.50
Permit . . . . ELECT -.ADD/ALT/REM
Additional desc
Permit Fee 28.37 Plan Check Fee-, t. ; , . 7.09
Issue Date Valuation 0
Qty Unit Charge Per: Extension
BASE FEE 15.00
382.00 .0350 ELEC.NEW RES. 1 OR 2 FAMILY' 13:37
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VP
P.O. Box 1504���
VOICE -(760) 777=7072
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)'777-7153
Application Number:
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
Date: 7-/,.S--
Architect or Engineer:
Architect or Engineer's Address:
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 is in full force and effect. -
License Class fi Lice se No.
Date' . 5 — 01 Contractor—/
% t
OWNERIBUILDER. DECLARATION
I hereby affirm'under penalty of perjury that i am exempt frons the Contractors' State License Law for the folio treason (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 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 therefrorrr and the basis,for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects
applicant to a civil penalty of not more than five hundred dollars ($500).):
the ap
U I, as owner o! 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, andwtrddoes 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.).
(--) I am exempfcnder Sec. BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty 07 perjury one of the fo!lowing aeclarations:
_ I have and will maintain a certificate of consent to self' -insure for workers' compensation, as provided f9r by Section 3700 of the Labor Code, for the performance
of the work for which this perm£is issued. •
I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the perfomtance of the work for which this permit is
issued My rkers' compensation insurance carrier anr� policy�uwpgy
Cartier ��e/%ei to h Policy Number— ig . /
I beirtify that, in the pe ormance of the work for which this: permit is issued, shall not a ploy any person in any manner so as to become subject to the workers'
compensation laws of Califomia, a that, if I should become- 'ecttothe rkers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those p sions.
Date % Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the perfornance'ot'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.
1 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 above- mentioned property for inspection purposes.
Date 12' �� � Signature (Applicant or Agent):
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Application Number ;04-0000383'3 Date 6/28/04
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Permit--... ...... •---.... _MECHANICAL...... __...--...^----—..--..-.. _._._.-....
Additional desc T'..
Permit Fee . . . rs:;,,�._•150;o,:•nATI.,;�.�,t1an Check Fee 9.88
_.gsri;; o ar*: Vl'LY'1011ttts i :e ±± :.,, so onCa su .+; ::11it'•r, Y,�,l:�r�
32;190' ,.TI0 at: t,
Qty -Unit Charge Per Extension
BASE FEE lo; ;, _ _15 .::0.0
1.00 9.0000 EAf �. �I �F� RIN.AQE <=100K 9.00
iv;,r•
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i`L-00 'x6':5'000' E!X ,M'ECH'rVp FAN! �`",' 6'150
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Permit PLUMBING
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A oria l9 de:c ;y, 7: 1ygr;1 N ., V0, ' s.S,? , �:1nC .' iii �. a.'? c?_. 14 b • . $7,�n:<', !j '
a� Fee.'oi: t ', n•0' il;e. n v ti Jia 77C'19::1F '• ''9?/T 7.13
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Qty Unit Charge Per v.. ::U ?'.1 u�•';l
- _ .. _noas�l tiri: ,nt .�.'
BASE FEE 15.00
3.00 6.0000 EA PLB FIXTURE- 18,00
1.00 6.0000 EA PLB ROOF_ DRAIN. 6.00
1.00 7.5000 EA.,:,J1� �LB W�TR .:.HEAD/:UEN�;,
arttT2s 0'.'.;.1 :ots,;3 ( U` -EA --.q lit,TvBmWA—TE'R�INS''/A13T'E'REP'it:n9:.sn,.-n;,r`,nc'' ---3.00
1 . 0 0 3 ,0 QO.O ;EA :! -PT
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f ! T�ns:r•, v t `a _ _ 3.00
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ^ — — — r.— — — — — — '''1-1r _'i?r1 Pix .4.Lc_ _!,1"1J �_,GJ'' `'?L"_ — — — — — —
Special Notes and,,Comr* ",s - - „ --- - --- _ _-
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3B 2 SQ. ''FT T. CAS ITA ADD-ITI'ON ' �,r.ME,-BD'"'
CONTRACTORS UPDATE. ar 'q
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Other Fees . . - . ART. IN PUBLiIC PL-AC-ESR1tt
aU2. d1V Fil .1�.
„ ENEI�6'Y 1R�EVIEW�= .;
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Fee -,s ummar Char •�!'' "" .l i'.�j "�'
;irrc: .';t iiw ger; >'' a7',t�alu
----------- - - - - ------ - - - - ------ - - - - ------ - - - ------- - - - - --
Permit Fee Total 534.87 �.0.•_ —-_�0T..._.._._-_'534-:_�,7,
Plan Check Total '299.53
Other Fee Total 0 .00 31.94
Grand Total s 866 :x3,4 �.:.: flO� 5;o'i:.r : J! nt�id9,.r; sT.a'J9r:f
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CERTIFICATE OF COMPLIANCEEsc
Desert Sands Unified School District 11 11 0
47950 Dune Palms Road Q BERMUDA DUNES r
Date 7115/04 La Quints, CA 92253 J
RANCHO MIRAGEINDIAN WELLS
No. 26178 (760) 771-8515 , PALM QUINTS y
QINDIO
Owner Ed Murphy
APN # 631-820-016
Address 77445 Loma Vista
Jurisdiction La Quinta
City La Quinta Zip 92253
Permit #
Tract #
Study Area
Type Residential Addition,
No. of Units 1
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1 77445 Loma Vista
382 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert SandsUnifiedSchool 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:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 382 S.F. or $0.00 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 EXEMPT -Ed Murphy Check No.
Name on the check Telephone 341-0920
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted. by Beth SChieferstine Payment Recd
Signature
$0.00
Over/Under
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or
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