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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— �p �� Jl, CAM ' (� iii:%::>.:::44?:;f?iii''ti�'%:fy%%{'� Telephone: . .%.,:c>; i rA �^ I '�� S, Q5 r` � I �J`�SI 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`�, _E Q-( _{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