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AR (13-0474)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253' Application Number: 13-00000474 Property Address: 79726 MISSION DR E APN: 649-750-029- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 14000 Applicant: Archjt t r Engineer: <f X- f 4u�,r' ^� � VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/19/13 -------------------------------------------------- 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. LicenselnCl ss: License No.: 820801 �te: v I Contractor: kJ 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 (5500).: (_) 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 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 Owner: KENNEDY MICHAEL 79726 MISSION DR. E LA QUINTA, CA 92253 (760)203-2730 Y . D Contractor: �� 9 2�/4 L 'J SANTUCCI BUILDERS INC 72529 BEAVERTAIL STREET -.PALM DESERT, CA 92260 CITyOfLA, QUINTA (760) 578-7757 CIMANCEQEPT Lic. No.: 820801 ------------------------------------------------ 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 GRANITE STATE Policy Number 51759994-12 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.l should become. subject to the workers' compensation provisions of Section �j 7`00 of the Labor Co , I shall forthwith con ly ith tho a provisions. Applicant:JV J WARNING: FAILURE TO SECURE WERS' COM NSATION COVERAGE IS UNLAWFUL, AND SHALL NA SUBJECT AN EMPLOYER TO CRIMIPENALTIES 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 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 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is c rect. I agree to comply with all city and county o dinances and state laws relating to b (ding construction, an ereby authorize representatives of this YWI-3s ou tytnter upon the above-mentioned grope yfor npection pur ses.Date:ignature IApplicant or Agent):�� Application Number . . . . . 13-00000474 ------ Structure Information PEXIST 480 SF GARAGE ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . GAR, CARPORT, SHED, 'AG Other struct info . . . CODE EDITION 2010, # BEDROOMS .00 FLOOD ZONE no GARAGE SQ FTG ---------------------------------------------------------------------------- 230.00 -----Permit. Permit .. . . BUILDING PERMIT Additional desc . Permit Fee 153.00 Plan Check Fee 99.45 Issue Date . . . . Valuation . . . . 14000 Expiration Date 12/16/13 Qty .Unit Charge Per J Extension BASE.FEE 45.00 12.00 9.0000 THOU BLDG 2,001-25,000 ----------------------------------------------------------------------------- 108.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee .1 . . . 19.60 Plan Check Fee 4.90 Issue Date . . . . Valuation . . . . 0 Expiration Date . 12/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 230.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 4.60 -- ---- - 7 -------------- ------------------------- Special Notes and Comments Special -- -- 23'0 sf ADDITION TO EXIST. GARAGE. TYPE V -B CONSTR. 2010 CODES. ENGINEER: REZA ASGHARPOUR C67613 -------------------------------- -------------------------------------------- Other Fees . . . . . . . . BLDG-STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 9.95 STRONG MOTION (SMI) - RES 1.40 Fee summary Charged Paid Credited Due Permit Fee Total 172.60 .00 .00 172.60 Plan Check Total 104.35 .00 .00 104.35 Other Fee Total 12.35 .00 .00 12.35 Grand Total 289.30 .00 .00 289.30 LQPERMIT y R/*�i�ED Btn.# ` City. Of b. Quthta I BulkUpg sz Safety Division APR •I j Permit # P.O. Box 1504,78-495 Calle Tampico city 24 La.Quinta, CA 92253 - (760) 777-7012 e�MMJIV1 to QUI p �• Building Permit •Application and Tracking Sheet oEVE� Project Address: 7a' Ca �' J rt- h 0/' . .��j i 1� Owna's'Nwne:. r�I 1�L% eh h r A M� /7-/ A P. Number. O a - 3 D - o a- Address: 7 q �/ d�'t IIII D n oJ-. &ry . Legal Description: �.0 f . ►-q 2 7 - 3 Contractor: Q� f I/ cL IL City, ST, Zip: av t f CA '7 2 7 J 3 Telephone: 7 6 # - �o 3 -Z736 Address: Ner4l)acription:, & �LO h City. ST, Zip: Q /,%,t ep -t . . Dei Dei e- 1 J �bh cc -, • 0-� 23 0 f F ' Telephone: %6O S%� ??Sr7 g State Lic. #: City Lic, #: DesiigDesignerCvk:" Ei.i Arcfi., Engr., ,�Lj 2 eK'�e�I70 h t�tra!e( '' 1�Q (0 CQ � ✓Q C Address:? ZO Red WQ `r n �r / ► S City., ST. zip: Rt (m Pei &t C14, 122 Q Telephone: 76 0 3 4 7 �4� Construction Type:/VI- Occupancy:.' Project type (circle one): New Add'n Alter Repair ` Demo Sq. Ft.: 23 o # Stories: # Units: State Lic. #: Name of Contact Person: Cb r C.! �X o e Telephone # of Contact Person: .760 3�p 13 S Estimated Value of Project: � � 000. 00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Recd TRACMG PERMIT FEES- Pian Check submitted z, Item Amount Structural Cake. Reviewed, ready t ectioos Plan Check Deposit. . Truss Calcs, Called ContaU Person Plan Check Balance Title 24 Calls. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan Z`! Review, ready for correctioneiissue or Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plaos picked up S NLL MOAL Approval Plans resubmitted Gradlag IN ROUSE:- 1id Review; ready for correctionslissae Developer Impact Fee Planning Approval Called Contact Person A".P. Pub. Wks. Appr Date of permit issue School Fees otal Permit Fees a: A -i2-4113' �r�l�/j3 �ybp��-,F� Gem • LfST � CO�tI%AST . • • 3 ..Sem-in�i.1 �62.n.�i as i� ( L vr. r ,RANCHO LA QUINTA MASTER ASSOCIATION + rchitecturaL Control Committee March 28; 2013 .{ , • Mr. Michael Kennedy 79-726,Mission Drive East La Quintal CA 92253 Re:'79-726 Mission Drive East Approval of Submission - : The Architectural Committee reviewed your submission for an addition/extension to your. == - garage. The submission as presented is approved upon condition of: v The.Committee requires the foliowing: !' All work'is to be done in accordance with all applicable requirements of governmental entities, including the City of La,Quinta and in accordance with all Homeowners Y K .Association architectural.guidelines and governing documents. • A City of la Quinta building permit be obtained and copyfurnished to the Association • prior to commencement of work.: , • No materials can be stored in the street,or block mailboxes. When the work has been finished, please return "Notice of Completion" to the Association -Office.. The Association's architectural consultant will perform a final inspection. Upon approval of final inspection, thedeposit will be processed for refund. { Thanking you in advance and if any questions please do not hesitate to call me at the on-site office•777,8807.' Sin Y, MarytE..W I er, ccAm , Association`General Manager 760.777.8807. fax 760.777.8961 Email':' mwalker@'drminternet.com. www:rlQma.com � CENED r r RE cc: Architectural Comm. JUN U 3 2Q13 ' • � CITY OF LA QUINTA COMMUNITY DEVELOPMENT l P.O. BOX 6419 • LA QUINTA, CA 92248-6419 • 760-777-8807 • FAX 760-777-8961 t