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08-1975 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4tyl 4 4 Q" Application Number: 06-00001975 Property Address: 52105 AVENIDA CARRANZA APN: 773-215-027-6 -000000- Application description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 110000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 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 arlyripplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( l, 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 1 Date: v f \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 Address: LQPER111IT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/16/09 Owner: CARLOS & TERESA RAMOS Contractor: YFffiNJA4NC Owner S 2003 QUINTA D�� ---------------------------------------------- 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 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 Section 3700 of the Labor Code, I shall forthwith comply ith those provisions. Date:3•A Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS 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 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 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives \ of this county to enter upon the above-mentioned property for inspection purposes. Date: ?'ted Signature (Applicant or Agent)��.�an • Y ". �t�./laT Application Number . . . . . 08-00001975 ------ Structure Information 1,438SF RES/482SF GAR ADDITION/VB/RES-3 ----- Other struct info . . . . . CODE EDITION 2007CODES # BEDROOMS .3.00 FLOOD ZONE NO GARAGE SQ FTG 482.00 1ST FLOOR SQUARE FOOTAGE 1438.00 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . BUILDING PERMIT 674.50 9/12/09 Plan Check Fee . . 438.43 Valuation . . . . 110000 Qty Unit Charge Per Extension BASE FEE 639.50 10.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 35.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 93.47 Plan Check Fee 23.37 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 1438.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 50.33 482.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.64 1.00 ---------=----------------------------------------7------------------------- 18.5000 EA ELEC SVC <=600V/<=200A 18.50 Permit . . .' MECHANICAL Additional desc . . Permit Fee . . . . 64.50 Plan Check Fee 16.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 ------------------------------------------------------------ 6.5000 EA MECH EXHAUST HOOD ---------------- 6.50 Permit . . . PLUMBING LQPERMIT Application Number Permit . . . Additional desc . Permit Fee Issue Date . . . Expiration Date . . 08-00001975 PLUMBING 142.50 Plan Check Fee . . Valuation . . . . 9/12/09 35.63 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 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1,438SF RESIDENTIAL WITH 482SF GARAGE ADDITION TO EXISTING SINGLE FAMILY DWELLING/VB/RES-3/CLASS A [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE BLOCKWALLS OR DRIVEWAY APPROACH. DUPLEXES IN THE COVE RESIDENTIAL DISTRICT ARE ALLOWED ONLY WHEN APPROVED WITH A SPECIFIC PLAN. THE PROPOSED ADDITION HAS BEEN APPROVED WITH AN INTERIOR CONNECTION ONLY AND IF REMOVED WILL CAUSE VIOLATION OF THE LA QUINTA MUNICIPAL CODE PERMITTED USES. 2007 CALIFORNIA BUILDING, MECHANICAL, PLUMBING, ELECTRICAL AND ENERGY CODES. March 16, 2009.10:25:35 AM AORTEGA -------------------------------------------------- ------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 5.00 ENERGY REVIEW FEE 43.84 STRONG MOTION (SMI) - RES 11.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 974.97 .00 .00 974.97 Plan Check Total 513.56 .00 .00 513.56 Other Fee Total 59.84 .00 .00 59.84 Grand Total 1548.37 .00 .00 1548.37 LQPERMIT P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (7 60) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits LMMOTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An. application for a building permit has been submitted in your name listing .yourself as the builder of the property improvements specified at We are -providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signs you understand or verify this information. `c..�1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. .4k3. I understand as an "Owner -Builder" I am the responsible.party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. QP,4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. ( 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor an&materials, I may be considered an "employer" under state and federal law. A6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment . compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. , I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the .intent to offer them for sale,. unless all. work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. CA8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. �10. I am aware of and consent to an, Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: -&11. I agree that, as the party. legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this. form immediately of any additions; deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license,. the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for isstrittg, the permit. Note: A copy of the property owner's driver's.lieerrse; form notarization; or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner %� ,� • Date: 3 - d, b l Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which. I understand is my personal responsibility, I hereby authorize the following person(s) to act as. my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.. Property Owner's Signature: Date: Bin # City of La Quinta r Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico \� La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # pl� Project Address: -0 Owner's Name: CIA-& F-b,^JNr-- A. P. Number: `� _2i Address: Legal Description: City, ST, Zip: Contractor:, Telephone: Address: Project Description: FV606A I 3 -&. L� City, ST, Zip: ► d )1•✓%►, Telephone: State Lie. # : City Lie. #: Arch., Engr., Designer: G, �� Address: City, ST, Zip: Telephone: State Lie. #: onstruction Type: u Occupancy: Project type (circle one): New n Alter Repair Demo Name of Contact Person: l�tJl Sq. Ft.: ( �jtj # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE, # Submittal Req'd Rec'd TRACKING PERMU FEES Plan Sets Plan Check submitted ICA Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. 2 Called Contact Person I Plan Check Balance Energy Calcs. Plans picked up –111.0Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correction4p b Electrical Subcontactor List Called Contact Person Plumbing Grant Deed l Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3 " Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr / Date of permit issue ' School Fees or I Total Permit Fees X21) I2--<,J&N4 tQ) (iu-1 � 3Jt6t?401111 051uW W1%i - �c / P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 March 16, 2009 Mr. Carlos Ramos 52-105 Avenida Carranza La Quinta, CA 92253 SUBJECT: BUILDING PERMIT 08-1975 Dear Mr. Ramos: (760) 777-7000 FAX (760) 777-7101 The Planning Department has reviewed building permit 08-1975; a. request for a 1,840 square foot addition to the existing home located at 52-105 Avenida Carranza, in the La Quinta Cove. The proposed building addition includes the construction of additional bedrooms, a kitchen, a two car garage, and a separate front door entrance. The addition provides access to the existing home through double -doors. Due to the one access condition between the addition and the existing unit, the Planning Department must inform you that closing of the access would result in a violation of the City of La Quinta's Municipal Code. Per the City of La Quinta Municipal Code, duplexes', within .the La Quinta Cove are prohibited without the approval of a Specific Plan. Although the proposed addition is incompliance with the City's Municipal Code, closure of the access would create two residential units on a single lot — a duplex. Therefore, removal of the access way is prohibited. If you have any questions, please contact me at (760) 777-7125. Very truly yours, ERIC CE Assistant lanner C: IBuilding and Safety Department CERTIFICATE OF COMPLIANCE 4�J�1FIEOSC�o Desert Sands Unified School District 47950 Dune Palms Road ¢ BERMUDA DUNES O Ln RANCHO MIRAGE 0 Date 3/26/09 La Quinta, CA 92253 t✓ INDIAN WELLS No. 30343 (760) 771-8515 d� PALM OENTA :V LA QUINTA � QIN0 y� Owner Carlos & Teresa Ramos APN # 773-215-027 Address 52-105 Avenida Carranza Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # No. of Units Type Residential Addition Lot # No. Street Unit 1 52105 Avenida Carranza Unit 2 Unit 3 Unit 4 Unit 5 S.F. 1438 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. Comments 'Paid four money orders 20139274573 - 20139274577 - four in the amount of $1,000 and one in the amount of $ 270.86 totaling $4,270.86 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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: 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 $2.97 X 1,438 S.F. or $4,270.86 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 Money Orders*/Carlos Ramos Check No. Name on the check Telephone By Dr. Sharon P. McGehee Superintendent , Fee collected /exempted by Patricia Barbuzza Signature Funding Residential Payment Recd $0.00 $4,270.86 Over'Ur "de'e ; 0. NOTICE: Pursuant to Government Code Section 6611 O(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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting