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AR (05-2384),: P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002384 Property Address: 49963 AVENIDA MONTERO APN: 646-191-007- - Application description: ADDITION.- RESIDENTIAL . Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/05/05 Owner: DIMARE THOMAS F P.O BOX 517 NEWMAN, CA 95360 Contractor: - JOHNSTON CONSTR.INC., D.W. 1445 N. SUNRISE WAY, #203 PALM SPRINGS, CA 92262 3 O 205 WCC: STATE FUND Lic. No.: B OF u► QUANTA --------------------------------------------------- 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 and Professionals Code, and ohyffense is in full force and effect. License CI s: License o ./ Date: ontra or: / OWNER -BUILDER DECLARATION I hereby affirm under penalty f erjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 , 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 I, as owner of the pioperty, 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 contractorls) 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.I. ' 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 this permit is issued.. My workers' compensation insurance carrier and policy number are: Carrier 1640856-2005 01/01/06olicyNumber 699640 _ I certify that, in the performance of the work for which this permit is issued, I shall not employany person in any manner so as to become subject to the ;orkers' co nsation laws of California, and agree that, if I ome subject to the workcamp tion provisions of Section �37�the i Code, I al,forthwith comply win p ins. — WARNING: FAILURE TO SECUWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN, EMPLOYER TO)CWINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000).. IN AGMTION 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 agr a mply with all cit a ount ordinances and state laws relatingto m onstruction, and hereb /auth resentatives y is S.OWlty to utter upon the above=mentioned operty f inspection purpaLes. / 1 (Applicant or e Application Number 05-00002384 Permit` BUILDING PERMIT Additional desc . Permit Fee 284.50 P1an.Check Fee 184.93 Issue Date Valuation . . . . 30000 Expiration Date 2/01/06 Qty Unit Charge Per Extension BASE FEE 252.00 5:00 6.5000.THOU. BLDG 25,001-50,000 32.50 Permit ELECT - ADD/ALT/REM Additional desc . 'Permit Feel 21.55` Plan Check Fee 5.39 Issue Date . . Valuation 0 Expiration Date.,.'. 2/01/06 Qty Unit Charge Per, Extension BASE FEE 15.00 187.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 6.55 Permit MECHANICAL Additional desc . Permit Fee 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation 0 Expiration Date— 2/01/06 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 187 SQ.FT. RESIDENTIAL ADDITION TO LIVING WHILE UNDER CONSTRUCTION. 2001. CODES Other Fees ENERGY REVIEW FEE 18.49 STRONG MOTION (SMI). - RES 3.00 Fee summary Charged Paid Credited `. Due --------------------=-------=----------------------------- Permit Fee Total 325.55 .00 .00 325.55 Plan Check Total 195.2.0 00 ..00 195.20 Other Fee Total 21.49 .00 00 21.49 Grand Total 542.24 .00 00 542.24 LQPERMIT :r 7 A `n# 8A4 Lis Permit # AA 73 O I City of LaQ uinta Building ar Safery Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: *4kVEM 0^ NPJ41EP-qb 4 0%%-ncr*s Name: — A. P. Number Legal Description: gAddress: City. ST. Zip:CD U out, Contractor: Address: FTelephone: XProject Description: City? ST, Zip: Telephone.. (AVw)n State Lic. # Citv Lic. #: — I J W_ Arch., Engr., Designer: Address: Construction Type: Occupancy City. ST. Zip: Telephone: State Lic. #: .7 Project type (circle one): New Add'n Alter Repair 'Sq. Ft.:' Pr N Stories: N Units: XEstimatcd Value of Proiect., Demo Name of Contact Person: Telephone# of Contact Person: APPLICANT: DO NOT WRITE BELOW THIS LINE $1 Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets 19 —Plan Check submitted item Plan Check Deposit Plan Check Balance Amount St . ructur - at Cala. 2— Reviewed, ready for corrections Truss CaIcs. Called Contact Person Energy Calcs. At Plans picked up O Construction Flood plain plan Plans resubmitted hl,Ch..ic.i Grading plan 2" Review, ready for correctio issue 4kElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SAM. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionstissu Developer Impact Fee A.I.P.P. Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees T.I., Permit Fees W QW UJ (,3T1UL,-r —71 !Poll t­,� CC -,A WC, I I 1_4 LJ I % %J —/ (D (-C).rJ Z_ 71 Z5 7/2 0 �G APR At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosAvalkways, 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 187 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 - Jimmie Green Check No. Name on the check Telephone 347.3336 Funding Exempt By Dr. Doris Wilson Superintendent ;5 ) Fee collected /exempted aron McGilvrey 'Payment Recd 3000 r = - Overlunder,- Signature` NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting ,fie CERTIFICATE OF COMPLIANCE - Desert Sands Unified School District J��eiEDSc� 47950 Dune Palms Road < BERMUDA DUN s Date 9/30/05 La Quinta, CA 92253 RANCHO MIRAGE INDIAN WELLS No. 27715 (760) 771-8515 ALM DESERT d PL QUINTA '''s 1� INDIO y Owner Thomas Dimare APN # 646-191-007 Address 49963 Avenida Montero 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 49963 Avenida Montero 187 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5, Ugtit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosAvalkways, 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 187 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 - Jimmie Green Check No. Name on the check Telephone 347.3336 Funding Exempt By Dr. Doris Wilson Superintendent ;5 ) Fee collected /exempted aron McGilvrey 'Payment Recd 3000 r = - Overlunder,- Signature` NOTICE: Pursuant to Government Code Section 66020(d)(1), 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 DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting ,fie