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GRES (05-2467)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253, Application Number: r� 05Y0'TO-6246'7 Property Address: 79576 MISSION DR El� APN: 649=-650=001- -- = - Application description: GARAGE - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4390 Applicant: Architect or Engi 4a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT JUL 12 2005 D LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. LicenseCl ads: B �� y�ensg Np/ 6¢0966 OWNER -BUILDER DECLARATION I 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).: (_ 1 1, 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.). (_) 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 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 i Owner: BOB DIETSCHE 79576 MISSION LA ,QUINTA, CA (760)447-1121 DR EAST 92253 Contractor: ' HART CONSTRUCTION 42935 VIRGINIA AVENUE PALM DESERT, CA 92211 (760)333-1517 Lic- No.: 640966 VOICE (760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/05 -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 the workers' compensation laws of California, and agree that, if 1 should become subject to the workers' compensation provisions of Section 377000 of the Labor Code, I sh Lfhwth comply with -those ovisions. CDate7,)�� 2//c�Phcant_ 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. 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 thiLSoupty to enter uppo. the above-mentioned property forjpsgpction puHWses. / /f 4 Application Number . . 05-00002467 Permit . . . CARPORT/GARAGE . Additional desc Permit Fee 72.00 Plan Check Fee 46:80 Issue Date. . . . . Valuation 4390 Expiration Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU. BLDG 2,001-25,000 27.00 Permit• ELECTRICAL-CARPORT/GARAGE Additional desc . Permit Fee 19.48 Plan Check Fee 4.87 Issue Date �. Valuation . . . . 0 Expiration Date 1/08%06 Qty- Unit Charge -.Per Extension L BASE- FEE 15.00 224.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 4.48 ----------------------------------- Special Notes and Comments ------ ------------- 224 SF. ADDITION TO GARAGE --------------------------------------------------------------------- Other Fees .. . . . . . . STRONG MOTION (SMI) RES ----- .50 Fee summary Charged Paid Credited -- - - - - - --- Due - - - - -- -- - - ------ - - - ---- - - - ---------- Permit Fee Total 91.48 .00 --- 00 - - - - - - 91.48 Plan Check Total 51.67 .00 .00 51.67 Other Fee Total .50 .00 .00 .50 Grand Total 143.65 .00 .00 143.65 - Total Permit Fees • C Of of U. Quin to Building U Safety. Division Permit P.O. Box 1504, 78-495 Calle Tampico J La Quinta, CA 922S3 - (760) 777-7012 Building Permit APPlication and Tracking Sheet Project Address: / A. K Number: 1-4, G4.+ ; ••rte Owner's Name: 105s /e / Legal Description: Address: , ep 6 c S d,.. ff Contractor: City, ST, Zip: i S4�weg7o.J /L Te // ep lhone�bJ ' r! Zl 7 dr Address: e ss•. T 3 S City, ST, Zip: Y/1 tZ • Project Description: �� Telephone: 7 3 3 7 State Lic. # :G Y to (o L ::»:::::>::: ?:::::;>::>:: ✓ �.. ��.7 �.-. City Lic. #: Arch., Engr., Designer: . Address: City, ST, Zip: Telephone: #• on s truct ' 0 nT• Type: Occ u y- P ans_ Name of Contact Person: .,C Pr oe Jct e circle one):. e).. Newd� pj Alter Re air P Demo ---------------- Telephone # of Contact Person: S Ft.: 6 q # Stories: # Units:_ . Estimated�ValuefProject: ) v uo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rc9'd Recd TRACKING 3 Plan Sets Plan Check submitted PERMIT FEES -p� Structural Calcs. Reviewed, ready for corrections �� Item Plan Check Amount . TXuss Calcs/j/ (7� Deposit L .Called Contact'Person 6 Title 2'4 Cafes'. Plan Check Balance Plans picked'up Flood plain plan Construction Grading plan Plans resubmitted of At F Subeontactor List 2" RevieN', ready for corrections/issue Electrical Called Contact Person Grant Deed Plumbing Plans picked up Ii.O.A. Approval . Plans. resubmitted S.M.I. IN ROUSE:- Grading Planning Approval ERe:,i,:-:,readyorrectio s/' sue /Z Developer Impact Fee Called Contact Person -771 A.I.P.P. Pub.11'ks. Appr Date of permit issue 7 y. f v School Fees Total Permit Fees 'RANCHOALA QUINTA MASTER ASSOCIAT10N ,June 17; 2005 Mr. Robert and Diane Dietsche 79-576 Mission Drive fast ' La Quinta, CA 92253 Re: 79-576 Mission Drive East Dear Mr. And Mrs. Dietsche, The Rancho La Quinta Architectural Committee has reviewed and approved your submittal of plans for a golf garage and entry with t.hefollowing conditions: 1) All work is to be done in accordance with alLapplicable requirements of governmental entities, including the City of -La Quinta; and' in , accordance with all Homeowners Association architectural guidelines and governing documents 2) That a City of La Quinta (building) permit be obtained and copy furnished to the Association prior to commencement of work. If copy of permit is not given to Association Office before tt commencement of project, said project will be shut down. When the.work has been finished, please fill out and return to me the Notice of. Completion. The association's architectural consultant will perform a final inspection after receipt of that notice to verify installation according to the approved plan, and then the deposit c be processed for a refund. ce ly, ary E. Wal .,, CCAM, AMS Community ssociation Manager for The Architectural Committee Rancho La Quinta Master Association Cc; Architectural Comm. 73-5�0 ALESSANDPO, Sum 5 • PAL 1 IDrSeer, CA 92260 • 760,346-1161 • FAX -760-346=9918 -