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AR (06-3660)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: ' Application description Property Zoning: Application valuation: Applicant: V0'6n000_03.6.6.0 52805 AVENIDA NAVARRO 773-334-016-3 -000000- ADDITION - RESIDENTIAL COVE RESIDENTIAL 20000 T4ht - 4 4aQ" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JACKSON DAVID W _ 52805 AVENIDA NAVARRO j� LA QUINTA, CA 92253 IU Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/12/07 U APR 1.7 2007 CITY OF LA Qwh-r. =--------=---- - - - - -- - ----------------------------------------=-------=--------------------- _�"" LIC SED CON T0R'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm upenalty ofry that I licensed u r provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ' License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' issued. Date: Contractor:. _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the . 'Carrier Policy Number following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subje to the orkers' compensation provisions of Section, ' 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 of the Labor C hall fo hw' cpm with those provisions. 0 (%any 7Daatte.-`"( �FAILURE 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 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 WAR NG:TO SECURE WORKERS' CO NSATION COVERAGE IS UNLAWFUL, AND SHALL ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE -AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within . SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 ate. I hereby affirm under penalty of perjury that there is a cons work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERAfIT LENDING AGENCY in lending agency for the performance of the 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. 1 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 state laws relating to building construction, and hereby authorize representatives of this co ty 0 enter upon the above-mentioned pronrrtv rnr inspecC purAes. r.• Application Number . . . . 06-00003660 ------ Structure Information 280 SF ADDITION/V-NR/RES-3/CONVENTIONAL ----- Other struct info . . . . . CODE EDITION 2001/2005 FLOOD ZONE NO GARAGE SQ FTG 51.00 ------------------------ ---------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 280.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check..Fee.. 134.55 Issue Date . . . . Valuation . . . . 20000. Expiration Date 7/11/07 Qty. Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 162.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 44.32 Plan Check Fee '11.08 Issue Date . . . . Valuation 0 Expiration Date 7/11/07. Qty' Unit Charge' Per Extension BASE FEE 15.00 280.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 9.80 '51.00 .0200 ELEC.GARAGE OR NON-RESIDENTIAL 1.02 1.00 18.5000 -------------------------------------=------------------------------- EA ELEC SVC <=600V/<=200A 18.50 ------- Permit . . ." MECHANICAL Additional desc . Permit Fee 32.50 Plan Check Fee 8.13 Issue Date Valuation . . . . 0 Expiration Date 7/11/07 Qty Unit Charge Pet Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT.INST/ DUCT ALT 4.50 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 ------------------------------------------------------------- EA MECH EXHAUST HOOD -------------- 6.50 Permit PLUMBING Additional desc . Permit Fee 76.50 Plan Check Fee 19.13 LQYERMIT LQPERMIT - . Application Number`,. 06-00003660 Permit . . . . . . PLUMBING Issue Date . . . . Valuation 0 Expiration Date 7/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 ..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 3.0000 EA PLB GAS PIPE -1-4 OUTLETS -------------------------------------------------------------------- 3.00 Special Notes and Comments' 280 SF LIVING/MASTER BATHROOM ADDITION/V-NR/RES-3/CONVETIONAL-2320. ' 'THIS PERMIT DOES NOT INCLUDE BLOCKWALLS. January 12, 2007 11:13:11 AM AORTEGA - -----------------------------------------------7------------- Other Fees ENERGY REVIEW FEE 13..46 STRONG MOTION.(SMI) - RES 2.00 Fee summary Charged Paid Credited Due ---------- -- - - - - - - ------ - - - - ---- Permit Fee Total 360.32 .00 .00 -- - - - - -- 360.32 Plan Check Total 172.89 .00 .00 172.89 Other Fee Total 15.46 00 .00 15.46 Grand Total 548.67 .00 .00 548.67. LQPERMIT - . Bin # �.Cit of La Y Quanta Building U Safety Division s Permit # P.O. Box. 1504, 78-495 Calle Tampico Lo J 1 l_�� La Quints, CA 92253 - (760)'777-7012 " 30 Building Permit Application and Tracking Sheet Project Address: eJ �8os UE -V 49 D Owner's Name: A. P. Number. Address:, Legal Description: City, ST, Zip: Contractor: p�yUl (� '76o G 5l/ 4-7-10 Telephone: Address: Project Description: City, ST, Zip: Telephone: State Lie. # : CityLic. #: Arch., Engr., Designer: �jyyy� .. • Address: AV r City, ST, Zip: Telephone: Construction T YPe• V, Occupancy: State Lie. #: Project,type (circle one): New (?So Alter 'Repair Demo Name of Contact Person: �Au irs f}C��yJ Sq. FL: 2 tfo # Stories: # Units:'.' Telephone # of Contact Person: 6 p 6—ell ?r7 t-) Estimated Value of Project ,� O�� ozf�o APPLICANT: DO NOT WRITE BELOW THIS UNE 11 Submittal Req'd. Recd TRACKING.. PERMIT FEES Plan Sets d Plan Check submitted �V Item Amount Structural Cates. Reviewed,.ready for corrections Z Plan Check Deposit Truss Cates. Called Contact Person " •F Plan Check Balance Energy Cates. Plans kicked up �o Construction Flood plain plan Plans resubmitted p Mechanical Grading.plan . ` Z" Review, ready for corrcctio s (� � Electrical Subcontactor List Called Contact Person 1 � p'f Plumbing Grant Deed Plans picked up .. S.M.I. H.O.A. Approval Plans resubmitted . Grading IN HOUSE:- 3" Review; ready for correctio srssue Developer Impact Fee.. ; Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr " Date of permit issue. School Fees Total777 Permit. Fees ; .:..... 21 JN►� - `(,�OlH/�✓'�l.Nt l S �'�"A.0 1,� �0V4!, P t, A. 3. 1., -115 Of t 4011W- tv CERTIFICATE OF COMPLIANCE4�J��Ft�sC Desert Sands Unified School District 47950 Dune Palms Road Q 9DADUNEs O V) RANCHO MIRAGE Q Date 11/15/06 La Quinta, CA 92253 INDIANWELLS PALMDESE No. 29040 (760) 771-8515 �� LA QUINTAL �y IN0 �P.p 0 Owner David Jackson APN # 773-334-016 Address 52-805 Avenida Navarro Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street S.F. Unit 1 52805 Avenida Navarro 280 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for Irving, 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 280 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 - David Jackson Check No. Name on the check Telephone 641-4770 Funding Exempt By Dr. Doris Wilson Superintendent; Fee collected /exempt S ro ilwey Payment Recd y-`xOver/U ,der- Signature• NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this gill 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 o hich 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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY Chicago Title AND WHEN RECORDED MAIL TO: David W. Jackson 52805 Avenida Navarro La Quinta, CA 92253 A.P.N.: 773-334-016-6 TRA #: 0 -A -c � DOC # 2006-0675217 09/13/2006 08:00A Fee:7.00 Page 1 of 1 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder S R U IIIIIIIIIIIIIIIIIVIIIIIIIIIIVIIIIIIIIIIIIIIIIIII VIII n Order S R I U PAGE SIZE DA MISC LONG RFD I COPY M A L 465 426 CO NCOR SMF NCHG EXAM QUITCLAIM DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX $NONE [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, 035 [ ] unincorporated area; ( ] City of La Ouinta , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, David W. Jackson, as his sole and separate property hereby remise, release and forever quitclaim to David W. Jackson, an unmarried man the following described property in the City of La Quinta, County of Riverside State of California; Lot 3 in Block 148 of Santa Carmelita at Vale La Quinta, Unit No. 15, in the City of La Quinta, County of Riverside, as per map recorded in Book 18, Page(s) 92, of Maps, in the Office of the County Recorder of said County. Property Address: 5 805 Avenida Navarro, La Quinta, CA L David W. Jackso Document Date: August 23. 2006 92253 1 STATE OF CALIFORNIA )SS COUNTY OF Riverside ) On September_ 6, 2006 _before -,me, Jackie J. Edd s Notary_ Public _ personally appeared David W. Jackson -- -- p nown o r proved to me on the basis of satisfactory evidence) to be the person(pf whose name(4 is/awls subscribed to the within instrument and acknowledged to me that he/shtf hey executed the same in his/herdieir authorized capacity(Vs) and that by his/hcTfdteir signatureV on the instrument the person(d or the entity upon behalf of which the person() acted, executed the instrument. WITNES hand and official seal. Signature JACKIE J. EDDS COMM. *1542593 NOTARY PUBLIC CALIFORNIA': '� RNERSIDE COUNTY Commission Et ices JAN 11, 2009 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below To'd4f 4 4a�w P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 March 14, 2008 Mr. David Jackson 52805 Avenida Navarro La Quinta, CA 92253 BUILDING & SAFETY DEPARTMENT (760). 777-7012 . FAX (760) 777-7011 RE: Building Permit Extension Request — 52805 Avenida Navarro. Dear Mr. Jackson: I have reviewed your letter received March 3, 2008, requesting a time extension for the residential addition being constructed at the above address under Building .Permits #06-3660. Our records indicate the following status on this project. Inspection status: Permit issued: .04/17/07 Last successful inspection: 04/19/07 (Rough, underground plumbing) 180 -day expiration date: 10/16/07 180 -day extension date: 04/14/08 Under the provisions of California Building Code Section 106.4.4, your request is hereby granted. . Because the Building Code specifies that "no permit shall be extended more than once," please be advised that unless the project passes its next required. inspection on or before Monday, April 14, 2008, your building permit will expire automatically. Yours truly, Greg Butler Building &Safety Manager - =3/03/2008 10:01 7607713626 DUAL DESIGN PAGE '01/91 DAVID W. JACKSON 52-805 Avenida Navarro La Quinta, CA 92253 .Work: (760) 641-4770 Fax: (760) 771-3626 Email; djackson5@dc.rr.com 3-3-2008 City of La Quinta Building Department La Ouinta, CA 92253 Fax: 760-777-7011 Re: permit Number 06-3660 extension request at 53-805 Avenida Navarro. To Greg Butler Please extend my permit to allow for the remodel of this project per the permitted set of plans. Thank you for your time in this matter. David W. Jacks n