The URL can be used to link to this page

SFD (04-5400)P.O., Box 1504. 78-495 CALLETAMPIC.0 'LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760)'7774012 FAX ,(760)1777-701'i INSPECTION REQUESTS (760).777-71-5.3: Application Number . . . . .. 04-0.0005400 Date 7/09/04 Property Address 51795 AVENIDA NAVARRO 773-183--014-4, _000000 - Application description DWELLING.- SINGLE FAMILY DETACHED Property Zoning -COVE RESIDENTIAL AppLiqat-ion- valuation 116814 Owner Contractor ---------------- -------------- 2- -------------- - MORENO SALVADOR OWNER 5177.5 AVENIDA NAVARRO LA QUINTA-.- ..CA 52.2.53.: . Structure Information 1863SFD - ----- -.Cbns'tfuctibr!- Type. TYPE NNON.. T D&y—v �fjh' 9R%'U_ 4_W�TA Occupan'c'y..Type DWELLG/LOnGIN G Flood Zofle:. NON-AO:FLOOD ZONE .0ther.strudt. info CODE EDITION2Q01. # BEDROOMS. -4.00 FIRE .00FIRE SPRINKLERS NO 7 --GARAGE SQ.FTG 504.00, PATIO .SQ FTG.0 28*. 0 'NUMBER OF UNITS - :1:00 FIRST -FLOOR -SQ'.VfG- ------------ ------ --------- ------- ----------- --------------- 7 Permit BUILDING PERMIT Add tional desc Pe.6.'9.9 .'0 0 Permit '-'.Fe'e Plan -Ch6ck-P66 20.4'.35 Issue- Date Valuation 11681.4 Qty. Unit Charge Per Extension BASE FEE 639:50 .17.00 -3-.'5000.THOU ' BLDG 1001001.-5001-000 ` 59*. -50 - - - - - - - - - - - - - --- - - - - - - - - - 7 - ----- - --- - - - - - - - - - - - - - - - --- - - --- - - - - - - - - - - - ----- - Permit. ELEC-NEW RESIDENTIAL Additional desc Permit .Fee - 105.29, Plan Check'Fee 26.32 Issue.Date Valuation 0 ...Qty 18-63. ob 504.'00 1.00 Unit Charge. Per BASE FEE ELEC NEW RES '- 1- OR .2 FAMILY ELEC GARAGE.OR'NON-RESIDENTIAL 'ELEC TEMPORARY POWER'..POLE. ..0350� ..0200 15.,.00.00_ EA: Extension 1.5.00. 65.21 1.0. 08 15.0 0 P.O. Box 1504 VOICE (:750) 777=791-2 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922.53 4 TA INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 00 Applicant: OW Ff, Applicant's Mailing Address: Date: 7- Architect or Engineer:" Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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. License Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affix 'under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sea 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 Contractors' State License taw (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).): U 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 or through his or her own employees, provided that thelmprovements 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.). U 1, as owner of the property, am exitucontracting with licensed contractors to construct the project (Sea 7044, Business and Professions Code: The Contractors' State License Law does not appla owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) liicensed pursuant to the Contractgqrsrs Slate License La,,?,'. U I am exempt un8er ec. A or this 96n\ Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm under penaltyof perjury on o e following declarations:. I have and will maintain a certi of consent to selfdnsure for workers' compensation, as provided for by Section 3700 of the labor Code, for the performance of the work for which this 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 isred. My workers'compensafiiarNespranoe carrier and policy number are: Carrier f _ _ Policy Number _ I ce ty•that, in theperformance f the ork for which this: permit Is Issued, l shall not employ any person in any manner so as to become subject to the workers' . pensation laws of Califom ; a gree that, 91 should become subject to the workers, compensation provisions of Section 3700 of the Labor Code, l shall Ifo comply with those p i D1 WARNIN FAI URE TO SECURE WORKER4' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUS D OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTE , AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the.perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 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 ed to the work being performed under or following Issuance of this permit. 2. Any pe t issued as a result of this application beco s nu and void it work is not commenced within"180 days from date of Issuance of such permit, or cessati n of work for 180 days will subject perm to ncella on. I certify thathave ad this application and state that the above fo on is correct. I agree to comply with all city and county ordinances and state laws relating to building constructionland h reby authorize representatives of this county enfif upon the above-mentioned property for inspection purposes. nn0 Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00005400 Date 7/09/04 Permit . ... GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 ,Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension --------------- BASE FEE 15.00 ------------------------------------ Permit . . . . . ------------------------- MECHANICAL Additional desc Permit Fee, 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH'B/C <=3HP/100K BTU 9.00 3.00 6.5.000 EA MECH VENT FAN 19.50 1.00 6.5000 -------------------------=-------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . . . . PLUMBING Additional desc '. Permit Fee . . . 128.25 Plan Check Fee 32.06 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE ,15.00 11.00 6.0000 EA PLB FIXTURE 66..00 1.00 15.0000 EA PLB BUILDING SEWER' 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT .7.50 1..00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9..00 4.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS % 12.00 1.00 .7500 ---------------------------------------------------------------------------- EA PLB GAS PIPE >=5 .75 Special Notes and Comments 1863 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL & SPA , BLOCK WALLS, OR DRIVEWAY APPROACH. PERMIT WAS ADJUSTED FOR $250 DEP. Other Fees, . . . . . . . ART IN PUBLIC PLACES -RES .00 Page 3 Application Number 04-00005400 Date 7/09/04 ---------------------------------------------------------------------------- Other Fees DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 45.44 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC -' RES 502.00 COVE PRECISE PLAN FEE 100.00 STRONG MOTION.(SMI) - RES 11.68 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES •1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1006.54 .00 .00 1006.54 Plan Check Total 277.48 .00 .00 277.48 Other Fee Total 2562.12 .00 .00 2562.12 Grand Total 3846.14 ..00 .00 3846.14 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 9/7/04 La Quinta, CA 92253 No. 26411 (760) 771-8515 Owner Moreno Salvador Address City Zip Tract # Type Single Family Residence Lot # No. Street S.F. Unit 1 51795 Avenida Navarro 1863 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments 4C-)J��Fte�sc�o zo Q BERMUDA DUNES t " RANCHO MIRAGE �J INDIAN WELLS PALM DESERT y LA QUINTA , 1y �> 0 I O 1�1 O APN # 773-183-014 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government. Code 65995 Et Seq. in the amount of $2.24 X 1,863 S.F. or $4,173.12 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 OC/Wells Fargo - Moreno Salvador Check No. 0737704339 Name on the check Telephone 564-6237 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempt by Sharon cGllvr Y Payment Recd $0.00 / �� 70 /? � Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve totify 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 bui ng 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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting 41 -�J 7TD CITY OF LA Q.UINTA-SUI3-.CONT%,,,,CTOR L1.11 -0- PERMIT NUMBER OWNER Uft OIL BUILDER L JOB ADDRESS This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous jplace. 061y persons appearing on this list or their - employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. , Failure to comply will result in a stoppage "On of work andhor,the voidance of building permit. For each applicable trade, all information requested below must be -completed by applicant. File" is not an acceptable response. ...... . . ... ... ........ .. -'X ... ............ . ... ............. x ..... ... . ........... . ............ Xx ............ .................. ............ :: : nk ............ .... . ............ . . . ......... .............. ............. ... . ..... ...... ..... .. . . . .... . .. .... ..... ... k-* ..... C-... �oa ens 0 0-P ............. sin x, .... :.... - ........ ..... ...... . .... ............ .. .. .. .. ... ... . .. ......... X .. . . ........ X ............ .......... ...... .. Company Name Classification (e.g. A, 13, C.-8)., er abEx, Numb License Num (xxxxxx) Exp. D .Date a (xx/xx/x xx x) Carrier Name (e.g.. State Fund, CalComp) Policy. N mber u (Format Varie s) Exp. Date (xx1x0ix) Lice nse Number - (xxxx) Exp. Date (xx/xx/xx) .......... .......... ......... C �3 73 3T 15 -P Or. -;:5 T4 7E- 1-j�ljlrj .......... -5 '�Tri A 7t - Y-0 7U ....... FRAIVIIN te-71-01V 02 22C6 Z11V670#06&h5PA t, 05 Eft: ...... R .... ..... . .... .......... �G' 007RUeebll 73�5 I �Y-1- MAP- OS 51AT�i --T-0,00 1(c4b9 05 0-�9Gq LUMS IN .1. MH No 2 QS ....... ..... ALL Je�` --------- -IDL" blAM JUL 00 'a A .......... L) 0 6ZP.13 ,1 UL 66 . . ....... ............... A0 X�. MN�l og Braefi�lalm '1J) - - &�4 i�i3 .- ......... .... T, F -'F -.T M <T —of 16 9 3q% .... . . ........... ............ .. ... ..... ... . .......... .......... ...... a WON.: a X: 4 Yov4a 710A6 �2 2—, 5,7o?(,.D 113005- ,:�7-47Z FOAD 17055 39. /A0DvDN . . ............ ........... ..... .......... ... ........ . .. ......... ...... . ..... ... ........ 2 01b . . a . . .......... W-1 .. .......... .............. dew/ (&t gb5b- . .......... ........... ................ C .. .... S API -, --:2.3 -7 ��. Certifica to of Occupancy G�oF��J Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 51-795 AVENIDA NAVARRO Use classification: SFD Building Permit No.: 04-5400 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC Owner of Building: SALVADOR MORENO Address: 51-775 AVE NAVARRO City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: 9-23-05 uilding Off ici POST IN A CONSPICUOUS PLACE