RER (04-3672)53200 Avenida Martinez
04-3672
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.,BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760).777-:7012
78-495 CALLS TAMPICO FAX (766),77.7-.7011
LA QUINT A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 04-00003672 Date .6/18/04
Property'Address . . . . -53200 AVENIDA. MARTINEZ
APN: 774-062-027-16 -000000
Tenant nbr, name KITCHEN .& BATH ADD.
Application description REMODEL'- RESIDENTIAL
Property Zoning COVE RESIDENTIAL
Application valuation 10000
Owner Contractor
- --
LINDA K: WEISS OWNER
53200 MARTINEZ
LA. QUINTA CA 92253.
Structure Information KITCHENETTE & BATHROOM ADD: -----
Construction Type .. TYPE V - NON RATED
Occupancy Type ,. DWELLG/LODGING/GONG <=10
Flood Zone . . NON. -AO FLOOD ZONE
Other struct info.. CODE EDITION 2001 CBC
# BEDROOMS 2.00
Permit BUILDING PERMIT.
Additional desc.,:
Permit Fee- 117.00 Plan .Check Fee 76.05
Issue Date Valuation 10000
Qty Unit Charge Per Extension
BASE FEE. 45.00-
8.00 9.0000 THOU BLDG 2,001-25,000 72..00
---DP-------
Permit
ermit. . ELECT - ADD/ALT/REM
Additional desc
Permit Fee 23.25 Plan Chelk Fee 5.81
Issue Date . . . Valuati \on1 .211 4 0
f* -IVA
Qty Unit Charge Per O vrExtension
BASE FEE O F c15.00.
11.00 . 8.25
---------------------
Permit'. . . MECHANICAL
AdditionaldesC .
Permit Fee 73.00 Plan Check Fee .18.25
Issue Date Valuation 0
Qty Unit Charge Per Extension
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: d
Applicant:
Applicants Mailing Address:
'VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: t-/i�/oy
Architeor Engineer:
J-1 /.J�_
Architect or Engineer's Address:
Lic. No.,
BUILDING PERMIT DECLARATIONS
I hereby affirm under penalty of LICENSED CONTRACTOR'S DECLARATION
y perjury that 1 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 License No.
Date Contractor
I hereby affirm under pens of OWNER43UILDER DECLARATION
penalty perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 8 (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 rive 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 taw 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 toan owner of property who builds
the Contractors' State License Law.).). or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
U I am exempt under Sec. B.8 P.C. for this reason
ate
WORKERS' COMPENSATION DECLARATION
:l 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 perfor mance of the work for which this permit is
ugd. Myworkers' compensation insurance carrier And policy numbs re:
Carrier /`�'I i9 1 2 Policy Number � l / , , S
I certify that m the performance of the work for which this permit is issued, I shalleZ
of emplo any person in any manner so as. to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Sec
forthwith comply with those.provisions. tion 3700 of the Labor Code, I shalt
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 PROVIDEQ FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under CONSTRUCTION LENDING AGENCY
Y 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
Lenders Address
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 Ouinta, 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 186 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 above -ambo ed property for inspection purposes.
Date- ignature (Applicant or Agent):
Fee summary
-----------------
Permit Fee Total
Plan Check Total
.Other Fee Total
Grand Total
Charged Paid
304.75
.00
122.99
Page
2
Application Number .
. .
. . 04-00003672 Date
6/18/04
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2:00
9.0000
EA
MECH FURNACE <=100K
18.00
1.00
9.0000
EA
MECH APPL REP/ALT/ADD
9.00
2.00
9.0000
EA
MECH B/C <=3HP/100K BTU
18.00
1.00
6.5000
EA
MECH VENT FAN
6.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
91.50, Plan Check Fee
22.88
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
11.00
6.0000
EA
PLB FIXTURE
66.00
1.00
7.5000
EA
PLB WATER HEATER/VENT
7.50
1.00
3.0000
EA
PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes
and Comments
KITCHENETTE &
BATHROOM
ADDITION.
-------------------------------------7--------------------------------------
Other Fees ...
. . .
. .
. . ENERGY REVIEW FEE
7.61
STRONG MOTION (SMI) - RES
1.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
.Other Fee Total
Grand Total
Charged Paid
304.75
.00
122.99
.00
8.61
.00
436.35
.00
0
Credited ' Due
.00
304.75
.00
122.99
.00
8.61
.00
436.35
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Bin #
C� ty of La QUlllta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
`C 36 7
Project Address: Lbb
4 Owner's Name:
A. P. Number.
Address: ` yF
Legal Description:`
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LIM-Mmiry ru (k 1-\44
Contractor.
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FTelephone: "I ?-;t'
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Address: ` z
Project Description:
City, ST, Zip:
Telephone �-dv
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State Lic. # :V)�
Ilk
Arch., Engr., Designer.
Address:
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City, ST, Zi
Telep ne:
State
Name of Contact Person:
ow-
CO nswction T ype
Project type (circle one): New Add'n Alter y
Sq. Ft.: # Stories:
1.
Telephone # of Contact Person: LAO
rEstlrnated Value of Proiec : • 0,3
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Secs
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Energy Cala.
Plans Picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2•' Review, ready for corrections issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.AI.1.
H.OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctio ue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks Appr
Date o rmit •sue
14
(�
School Fee
U
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tal Permit Fees
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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
April 9, 2004
L*%VAO
Mafwy Kay Weiss
16042 Waikiki Lane #A
Huntington Beach, California 92649
(760) 777-7000
FAX (760) 777-7101
SUBJECT: MINOR USE PERMIT 2004-473 (SECOND RESIDENTIAL UNIT AT
53-200 AV'ENIDA MARTINEZ)
Dear Mrs. Weiss:
The Community Development Department has reviewed your request to
establish a second residential unit on your property located at 53-200
Avenida Martinez, in the City of La Quinta, and has approved your request
subject to the following conditions:
1. O,nl.y. one,- second residential.. unit: may- be established per lot, in addition
to � the ,_primary .: residence.. .The second.: residential unit --shall be � an
accessory use to a pre-existing primary residence on a single-family lot.
2. The second residential unit shall be architecturally compatible with the
main residence on the property.
3. The second residential unit shall comply with all applicable zoning
requirements in the district, where the property is located. ;
4. The second residential unit shall not exceed seventeen feet in height and
not be more than one story.
5. The floor area of the second residential unit shall not exceed 1,200
square feet total floor area.
6. A minimum of three off-street parking spaces shall be provided for each
residential lot containing an approved second residential unit, including
the following: a two. car garage for the primary residence and one space
enclosed or_open for.'the.second residential unit:
Ngw�%
ti
.Mrs. Weiss
_
Page 2
7. The second residential unit may have a kitchen and or cooking facilities.
8.- The. second residential unit may be separately. metered for gas,
electricity, water, sewer, and other utility services at the applicant's
cost.
9. The City may elect to add Conditions to this application request to
mitigate any problems that arise not previously addressed herein.
This decision may be appealed to the Planning Commission by anyone
provided they submit the necessary paperwork and filing fee of $175.00
with this office within 15 days of approval of this permit.
Should you have any questions or need additional information please do not
hesitate to contact me directly at (760) 777-7068.
Sincerely,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
MARTIN MAGAIV
Associate Planner
c: Building & Safety Department.
Chron File
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Approved by; Date eso #
Q Planning Commission ,..____.,_..., ..�.....
ity Council
community Dev. Dept,
Initials W1 - 't3 �����"�'�•' .�"'"`
Case No, .,,AL E� .,.. „�....�.,..
Exhibit ,�.,........,,.,,
E3 With Conditions
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