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AR (05-3813)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003813 Property Address: 57292 MERION' APN: 762 -031 -031 - 62-031-031-Application.description: Application. description: ADDITION:- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4910 Applicant: Architect or Engineer LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/15/05 Owner: _. . TRACY JOHN 57292 MERION LA QUINTA, CA 92253 SEP 16 2005 Contractor: BLAKESLEY, DONALD RAY WCC: STATE FUND CITY OFtAi�'i� WC: 46-04 08/01/06 FINASUC:�EV CSLB; 839472 05/31/06 Lic. No.: E FOOTAGE 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 P ofessionals Code, and my License is in full force and effect:. �. "License Class: - - - - --- - - - - License No.: E FOOTAGE r ate: 1.18 contractor: OWNE -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contracto'r'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 requirestheapplicant for the rmit 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).: (_ 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 (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 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.). (_ 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.). , ( 1 1 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: LQPERMIT 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 th' permit is issued. My workers' compensation insurance carrier and policy number are: :� C .rer B Policy. Number 200 I certify that, in theperformance of the work for which this permit 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Co a ell forthw' h comply with those provisions. ~ APPlican C WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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. ' 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 coup yto enter upon the above-mentioned property, r�ilonpo s S. Date: eSignature (Applicant or Agent): LQPERMIT Application Number .. . . . . 05-00003813' Permit BUILDING PERMIT Additional desc.. Permit Fee 72.00 Plan Check Fee 46.80 - Issue Date Valuation. 4910 Expiration Date 3/14/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00, 9.0000 THOU ,BLDG 2,001-25,000• 27.00 Permit . . . ELECT - ADD/ALT/REM Additional desc,. Permit Fee, .. 17.66 Plan Check Fee 4.42 Issue Date Valuation 0 Expiration Date 3/14/06 Qty Unit Charge Per Extension BASE FEE 15.00 00 .0350 -_--_-_76_ --- ELEC NEW RES - 1 OR 2 FAMILY 2_66 ----- Permit MECHANICAL Additional desc . Permit Fee 19.50 Plan Check Fee 4.88 Issue Date . . . Valuation 0 Expiration Date 3/14/06 Qty Unit Charge Per "Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/DUCT ALT 4.50 Special Notes and Comments Residential Addition; enclose existing covered patio at Dining Room.(76sgft) ------------------- ---- Other Fees . . --------------------------------_ . . . . ART IN PUBLIC PLACES -RES - 20.00 ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due Permit Fee Total 109.16 .00 .00 109.16 Plan Check Total 56.10 .00 .00 56.10 Other Fee Total 25.18 .00 .00 25.18 Grand Total 190.44 .00 .00 190.44 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered pabostwalkways,. 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: 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 76 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 - Donald Blakesley Check No. Name on the check Telephone 342.8458 Funding Exempt it 42 By Dr. Doris Wilson Superintendent t N Y+ Fee collected /exempted b y Payment Recd P y Sharon McOilvre y r .r :o.00 ��r�.�Javer/Unger t;+`� Signature _ ' ; + 9 NOTICE: Pursuant to Government Code Section 66020( , this will serve to 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 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 CERTIFICATE OF COMPLIANCEN�Fs� Desert Sands Unified School'District6 47950 Dune Palms Road BERMUDA DUNES r Date 9/15/05 La Quinta, CA 92253 RANCHO MIRAGE INDIAN WELLS No. 27656 (760) 771-8515 ALM 0<? �P LA QUINTA �y INDIO y^i Owner John Tracy APN # 762-031-031 Address 57292 Merton 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 57292 Merton 76 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 Sands Unified School District does not collect fees on garages/carports, covered pabostwalkways,. 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: 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 76 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 - Donald Blakesley Check No. Name on the check Telephone 342.8458 Funding Exempt it 42 By Dr. Doris Wilson Superintendent t N Y+ Fee collected /exempted b y Payment Recd P y Sharon McOilvre y r .r :o.00 ��r�.�Javer/Unger t;+`� Signature _ ' ; + 9 NOTICE: Pursuant to Government Code Section 66020( , this will serve to 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 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 JCM Inspecti6ris 39725 Garand Lane Suite F - Palm Desert, CA 92211. INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date c/04bc- Project Name: Pt No: Project Address: City: CC, X.IBC Title 24 Other:, &-ii-en-t. Sub -Contractor: General Contractor: Architect: Structural Engineer: GD n 1� C, S. --Z') C_ 14 Cha Anchor Bolts Rebar Epoxy Type: Q scl 6 0 1) C11 __V11 'Q_ Epoxy Shelf Life: �. a, :?,,Oc;,l qk"Z� c \,z CoHole Cleaning Method(sSee N Weather: Is un Unresolve-eitems* M -None Below. Description of Work Inspected: ryd k X 1 Ll Oce, S _iVn c� o c- 0. C, _1 C CW k t -C-1 O. -9-0 ox, 4 ly&c), corvl-�Q_ SA 0 A.& �b \a. VNQ P. f1t. 0 rLm C. V, E" e) n_c�� = e )c r V_ C40a <- ;0RqC"\0'r- �O oo'CLV." Work complies with written approval from Structural Engineer and ICBO Evaluation Report # 's;7an,q I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability - I have found this work to comply with the approved plans, specifications -applicable building laws. Final report issued at project completion. Inspector: Jack 0 �Millfiin ICC Cerq"fli ati. n No: 0842216-49 Contractor's, Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of '-TAty.1 P.O. BOX 1504N O . i� 765� I Building 78-105 CALLE ESTADO Address 57-232 Het ion LA.QUINTA, CALIFORNIA 92253 Owner Sunrise Company . BUILDING: TYPE CONST. Mailing OCC: GRP. Address —fiif M cis A.P. Number, City Zip Tel. Legal Description Trac . •M419-1 Palm 47260 55P. -282A, Contractor Project Description ph&sla 7H Plant OR Address City rip fely:State Lic. 8 Classif.10 . # Sq. Ft. No No. Dw. Arch. Engr., Size Stories • Units Designer ; .} .,�,, New ❑ Add ❑ Alter ❑ Repair ❑- Demolition ❑ ' Address :w Tel. .er City j Zip State i Lic. # ,/� ;'LICENSED CONTRACTOR'S DECLARATION hereby affirm that ! am licensed under provisions of Chaptec9 (commencing with Section ; 7000))i6f Division 3 of the Business and.Professions,Code, and my license is in full force and ' effeEt. l j.- 3 q Y y zr SIGNATURE r sp ,H r.. v • Rs.' ' ' . ! B TE OWNER -BUILDER DE WIATION s 5vj Estimated Valuation I ISereby affirm that I�am exempt from the Contractor's License Law for the following •@4.A4� A.-y1A reason: 1 (Sec. 7031.5,8usiness "and 'Professions Code: Any city or county which requires a. _ 119i 449 :permit to construct, alter, Improve,. demolish, or repair any structure, prior to its issuance also - _AMOUNT -•- requires the applicant for•,such permit, to lila a signed statement that. he is licensed pursuant to PERMIT r the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) 'of - - .•� _C,,:, Division.3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis - •- •� ',; 1,-,{' • for the alleged exemption. 'Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. 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 Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. ,7044, Buisness and Professions Code: The Contractor's License Law does not apply to an. owner. ofproperty who Const. ,builds or improves thereon' and who does such work himself or through his own employees; Mech. y .provided that such 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 Electrical of proving that he did not build or improve for the purpose of sale.) N ° 19 ❑ I, as owner of the property;'am exclusively contracting with licensed contractors to con- Plumbing. _ 362 struct the- project. (Sec. -X7044;-:Business and Professions Code: The -Contractor's +License'Law • ° does not apply to an owneKof,property who builds or improves thereon, and who contracts for S.M:I such projects with a contractors) licensed pursuant to the Contractor's License Law:) , •a �, ❑ lam exempt under Sec. •r •� B. 8 P.C. for this reason Grading ' Driveway Enc. y'0qT �! Date Owner:- Infrastructure ;3 .60 Less Cmd1t2*153.80 WORKERS' COMPENSATION DECLARATION it, ftla Du hereby affirm that I have a; certificate of consent to self -insure, or a certificate of, Worker's Compensation Insurance; or a certified copy thereof. (Sec. 3800, Labor Code:) - ;,c Policy No. ` -.Company - - O Copy is filed with the'city:' '0 Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM • REMARKS WORKERS' COMPENSATION INSURANCE n,,+ T3 42t` ' (This section need not be completed: if the permit is for one hundred dollars ($100)*valuation.�ffi•• •j �Y- or less.) - - I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. > Date Owner.: NOTICE TO APPLICANT: .If, -after ; making this Certificate of Exemption you should become ZONE: - • BY: subject the WorkersCompensation provisions the Labor•Code,. you must lortnwirn- Minimum Setback Distances - comply with such provisionssor this permit shall be deemed revoked: � _ - - Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Slde'Street`Setback from Center Line • I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) $Ida Setback :from Pfoperty Line Lender's Name Lender's. Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE 5 INSPECTOR expiration it work I ereunder'is suspended for 180 days. - �y I certify that I have read this application and state that the above information is.correct:• Issued by: Date 4/231 9e CPermit I agree to comply with all city and county ordinances and state laws relating to building.- m nsWcti0n, and hereby authorize representatives sof this city . to enter the above--- - - - mentioned property for inspection purposes. Validated by: Signature of applicant Date 4 Mailing Address Validation: City, State, Zip - xt. � �, ; •+ � �; _, �K., i i.a ;.v � -.� . -, .'a'Y� ,t. ,t z ^+i~ a, '4�-4%LC'f-s �t - .f'. � .c __� � � s i ' t•" � i � ., +, s1 r? ti .A�. .�qi ,,•` .�♦.:..1 •.a-a...•G ,-. .-v.�, .4' a .7,,,... .�c�-_.4, t. ,,..'S .r},, ,� �.^.. r _,'tr."x • `t:_:T �.aJmmy, .fw' :"f k t:.`?. ^+'.'ti rJ.� R j CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. I SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER (ROUGF�/ �y� vV GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL ©� 7-67(.a/ /./� � —p� ,qJ�/j �w /`� V / I ` J/ SO.FT.GAR ® V4c HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 49, ROUND PLUM '2 f��) UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR SEPT U' ROUGH WIRING DUCT WORK ROCKSTORAGE 1 FOUND. REINF. S��U ��/ /Aw VVV (ROUGF�/ �y� vV METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ —plus—x$_=$ LUMBER GR. F NAL INSP.!/ -6 �' •� f c/ FINAL INSP. LRAMING tlOOFING �, ,y eV ©� 7-67(.a/ /./� � —p� ,qJ�/j �w /`� V / I ` J/ REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH QANSULATIONISOUND?,�t/I. FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL