AR (14-0565)R r R
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SANTUCCI BUILDERS
72529 BEAVER TRAIL
LA QUINTA, CA 92253
AR -14-565
78920 MISSION DR W
646410032
REM/ ADDITION
$30,000.00
Titit 4l�Q�rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
V
Owner:
GLENN & SHAR,
78-920 MISSIOD
LA QUINTA, CA
j
Contractor:
CIT( �F,oM NT DE?
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 Professions Code, and
my License is in full force and effect.
License Class: _ License No.:
Date: " r Contractor:
OWNER -BUILDER E LARATION
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).:
(_) 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.).
(_) 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/29/2014
)NES /1
D [�
32
JUL 29 2014
CfTY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
SANTUCCI BUILDERS
72-529 BEAVER TRAIL
PALM DESERT, CA 92211
Llc. No.:
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:_ Policy Number: _
L.,,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 I should become subject to the
workers' compensation provisions of Secti 3700 abor Code, I shall forthwith
comply withosepr isions.
Date :7�—M/l ApplicantIF:
WARNING: FAILURE TO SECURE WORKERS OMPENSATION COVERAGE 15 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 Building Official 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 Fitate laws relating to building
construction, d her by authorize representatives of this ity o e ter upon the above-
mentioned pr perty f r inspection purposes. e
Date: 7 ignature (Applicant or Agent): l✓—JL�
FINANCIAL ••
1.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$61.49
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.16
$0.00
PAID BY
METHOD
RECEIPT #'
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.12
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$168.74
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forADDITION: $367.51 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
2
$140.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCITY STAFF - PER HOUR: $140.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.19
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $190.19 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
-DESCRIPTION.
ACCOUNT-
CITY
AMOUNT
PAID
PAID DATE
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.77
$0.00
PAID BY ` .`
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $16.69 $0.00
DESCRIPTION
ACCOUNTI
CITY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600.
0
$11.92
$0.00
-PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $23.84 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$3.90
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY .
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $3.90 $0.00
TOTALS: $744.13 $0.00
Bin #
City of La Quinta
I' Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
it #
rM
'
Project Address: SS a � �. t
Owner's'Name::
_..4 to — n32.
Address: -16-920 M1&Sjtg W. IN' ,
Legal Description:
Contractor: Co t
o. ��� VV� L-
City, ST, Zip: LA WA- C 013
Telephone:
Address:
Project Description:
City, ST, Zip: ch—
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Telephone: . .%.,:c>; i
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State Lic. # : 4 Q Q City Lie. #:
Arch., Engr., De_ si&ner:
Z,v Q Q41`t 6
Address:49- 5 FRUWA VP— SE -�
2 z3 4•
City., ST, Zip: H`�,
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_{72
C .. 4 0
Telephone: ,^ '
��Q2��ZLli r:'>.>:::;:>•::•: •;;
if:+ii �Y.::J, �i:i::4ii y::ii:::,::,:r:?•::,}irni:
State Lie. #: ..........................................:.........
Name of Contact Person:
Construction Type: Occupancy• --.3
Project type (circle one): New dd Alter Repair Demo
Sq. Ft.: # Stories: ` # Units:
Telephone #,of Contact Person: Q, 2�- �'�2
Estimated Value of Project: Q Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
3
Plan Check submitted S Z
Item
Amount
Structural Calcs.
,
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up .�
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections
Electri
5Lk6l
Subcontactor List
Called Contact Person
Plum(ing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Ud Review, ready for corrections/issue
Developer Impact Fe
Planning Approval
•
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue •
School Fees
INV
Total Permit Fees
71a 7- 16 - 0)4a. 7 c/
Date
7/29/14
No.
32215
Owner
Glenn & Sharon Jones
Address
78920 Mission Dr West
City
La Quinta Zip
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
No. of Units
4ct,
Q BERMUDA DUNES r
Cn RANCHO MIRAGE b'
�J INDIAN WELLS
PALM OESERT ,y
LA QUINTA
QINDIO y�
O
646-410-032
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 78920 Mission Dr West 223 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 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:
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 223 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 - Jerry Santucci Check No.
Bank Name/Recipient of Certificate Telephone 760-578-7757
Funding Exempt
By Dr. Gary Rutherford
Superintendent
ry CJs
Fee collected /exemp ed by ha on vrey Payment Recd \x$0.00
` Qyer/Un6dde
r <
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will Mrve 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 without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting