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08-1162 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 08-00001162 S;999 AVENIDA CARRANZA 774-081-029- - ADDITION - RESIDENTIAL COVE RESIDENTIAL 49507 T4 -'it- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 3 — 5 a?o Owner: ROSENFELD MICHAEL 53380 AVENIDA CARRANZA LA QUINTA, CA 92253 Other struct info . Architect or Engineer: 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 foll6wing 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).: (_ 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 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 n employees, provided that the improvements are not intended or offered for sale. If, how, ve , the building or improvement is sold within one year of completion, the owner -builder will have the b rde of proving that he or she did not build or improve for the purpose of sale.). f x 1 I, as owner of the property, am exclusively contracting wi lice sed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrac rs' S to License Law does not apply to an owner of property who builds or improves thereon, and who ontr is for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , B.&P.C. for thi Date: Owner: CONSTRtlCTION 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: LQPE%NIIT Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 C Date: 9/30/08 u DITION 2007 OCT 03 2000 FINAN QUIjN�q eden-=-- 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' compeJ a ce, as required by Section 3700 of the Labor Code, for the performance of the woris permit is issued. My workers' compensation insurance carrier and policy number ar Carrier 1.00 Policy NO I certify that, in the performance of the wh this permit is issued, I shall not employ any person in any manner so as to becomehe workers' compensation laws of California, and agree that, if I should becomeorkers' compensation provisions of Section 37�Y4f the Labor Code, I shall rthwwith those provisions. Date) O 2 "'Applicant: / WAR G: 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 0100,000). 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 rk is not commenced within 180 days from date of issuance of such permit, or cessation of rk for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above informati ect. I agree to comply with all city and county or inances and state laws relating to building construct an authorize representatives of this cou toAnler upon the above-mentioned property for inspection pu e Dat ? Signature (Applicant or Agent): Application Number . . . . . 08-00001162 Permit . . . BUILDING PERMIT Extension Additional-desc . BASE FEE ------------------------------ 15.00 Permit . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Permit Fee . . Valuation . . . . 49507 Expiration Date . . 3/29/09 . . Valuation . . . Qty Unit Charge Per 3/29/09 Extension Qty Unit Charge BASE FEE Extension 252.00 25.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 1.00 162.50 Permit . . ELECT - ADD/ALT/REM 1.00 Additional desc . B/C <=3HP/100K BTU 9.00 1.00 6.5000 Permit Fee . . . . 46.02 1.00 ---------------------------------------------------------------------------- Plan Check Fee 11.51 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/29/09 Qty Unit Charge Per Extension BASE FEE 15.00 592.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 20.72 515.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.30 Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 3/29/09 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension ---------------------------------------------- BASE FEE ------------------------------ 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 46.00 Plan Check Fee 11.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/29/09 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 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . PLUMBING LQPERA11T Application Number . . . . . 08-00001162 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 88.50 Plan Check Fee 22.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/29/09 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 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 1.00 15.0000 EA PLB GAS METER 15.00 ------------------- -------------------------------------------------------- Special Notes and Comments DETACHED SECOND DWELLING UNIT WITH CARPORT. SEPERATE UTILITY ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 26.94 STRONG MOTION (SMI) - RES 4.56 Fee summary Charged`_ Paid Credited Due --------------------------------------------------------- Permit Fee Total 610.02 .00 .00 610.02 Plan Check Total 314.57 .00 .00 314.57 Other Fee Total 31.50 .00 .00 31.50 Grand Total 956.09' .00 .00 956.09 LQPE%IIIT 774-08 /00, J 3o r. R. A. oto -0/5 020- /09 020-176 POR. S. //2 S/E'C.12 T6S. R. 6E. 020-062 020-116 020-069 020-121 020-076 020-130 020-089 020-141 020-096 020-/55 020-102 020-166 �y 0 I r- ff J 0 MC CALLE 0 M 30 OA rE 23 211 /79 8101.2 1 25 J/79 108345,17 23 4- 61 082-18 25 7/8d ! %//a: Lqw 082-26 72--/3,/4 27 /, 2 085-25 5/91 13,14 084-24 lb ) 23 © 6.7 081-26 N 1,2 083-24 //- 92 OB/- /. 27, 29 O Z Q 13013'0 S. 0N9 So. o/ 7? 9 9 0 24 o O / M 00 — _ — TRA 020-089 © 2 TRA 020-15 O lb ) 23 © I o °a 22 N 2 o , ro 44) .4 N h5320' 14 3 5 h TRA O v0 /9 O- 69 11 6 o 08/ N h x/82.. /g 7 0 53-340. O q9 © /7 ® TRA 020.130 /9 8 TRA 020-069 0 16 O O 9 1l 7 /5 /0 2/ /0 /2 TRA 020-/4/ ® 8 TRA 020-/30 14 /I TR4 020-/76 ® p /2 TRA 020-141 /3 /2 '� 79.9 go, v/ 0N9 lye O / O5 0 24 O/ o Q / .24@ M 00 _ 0.22Ac. N 4 0 23 ® 2 7RA 020 - 076 4 ® 23l3 2 C, --- o 22 ° ro } Sg26o 8'E 260 MONTEREY 30 30 30 W z 0 t9 0 2 Q 30 O W Q 30 1 30. `k lye O / 7 9.9 0 24 O/ o Q / .24@ M 00 _ 0.22Ac. N 4 0 23 ® 2 7RA 020 - 076 4 ® 23l3 2 )7 6 10 --- o 22 ° !© 3 ^. a 0 TRA 020-/41 22 0 14 3 TRA 020-069 2/ ® 4 2/ ® Q 4 0 0 020'-//6 200 ®5 Ire e 0 0.23 Act O q9 © 6 79.49 QQ o 100 :082 18 7� 1l 7 0 0 26 /2 020 - //6 17 ® ® 8 74. /6 ® TRA 020-069 © 9 /5 /p © /0 TRA 020 -/3 020-/55 /4 TRA 020-/4/ 08 ° 0.22 Ac- cPv /3 TRA 020-/55 ®/2 ° "Ra 79.9 9 8o -a/ s�At O W Q 30 1 30. `k lye O / 7 9.9 / a — O ry �2 0 230 .24@ /Z I 22 (D rRA 020-121 N3 Q3 4 200 !(0 5 7RA 020 - 076 4 ® 23l3 2 )7 6 10 84 0.22Act ORA 020-121 S O1 22 0 14 3 /7 ® rq 8 2/ ® Q 4 0 0 020'-//6 150 Z j /0 0 0 20 O 23 5 Q TRA H /3 @1 o 79.49 QQ o 100 h - O.?0- Fa - /9 ® 26 /2 C3 6 74. .0e. o/ two S. 2/ QQ /8 O 7 rRA 020-/55 /7 ® 08 b. TRA 020-069 /6 ® 9 0 O a /5 ® /0 ~ o /4 (5 // O o 0 ° /,3 TRA 020-/30 v 0 /2 'Qr 7^•99 $o.o/ 14� 30 30 30 IR t4j4z z w Z O W Q 30 �%� ,--OZ THIS MAP WAS PREPARED FOR ASSESSMENT PURPOSES ONLY NO.IABUTY IS ASSLWD FOR AGCURACY OF THE DATA SHOWN. ASSESSOR'S PARCEL MAYNOT COMPLY WITH LOCAL LOT-SPIIT OR BUILDING SITE ORDNANCES. SEP 01 2005 M CALLE zoo z6� + sa9�5 E—�- COL/MA 0 ° M � SANTA CARMEL/rA Ar VALE LA QU/NTA UN/r NO. 2/ M8 20/22 11 " n " 11 11 " N0. 20MB /9/38 JUNE 1967 3o J 30 C4 Z Q 30 3c DATA: MERGER NO. 88-062 ,. 09-178 89-/00 S� a ®h r3 o. 24fO M / a — O ry �2 0 230 r¢ 2 0 0.34Act o 3 22 (D rRA 020-121 N3 Q3 4 200 !(0 5 7RA 020 - 076 4 ® TRA 020-062 .11 ® )7 6 10 84 ti C018 S O1 TRA O20-e/2/O 020•/50 /7 ® rq 8 /6 ® ® 9 020'-//6 150 Z j /0 QO TRA 020-089 140 ©2 Q TRA H /3 @1 o 79.49 QQ o 100 M CALLE zoo z6� + sa9�5 E—�- COL/MA 0 ° M � SANTA CARMEL/rA Ar VALE LA QU/NTA UN/r NO. 2/ M8 20/22 11 " n " 11 11 " N0. 20MB /9/38 JUNE 1967 3o J 30 C4 Z Q 30 3c DATA: MERGER NO. 88-062 ,. 09-178 89-/00 S� a ®h r3 �� 0. 234c 2 r¢ 2 0 020-096 3 -Z15, rRA 020-121 N3 Q3 0 15 3�cy N g- 7RA 020 - 076 4 ® rb 4 N y 0 50. Q t% 5 lit - h .5. 2 69: 15 6345 ° TRA 020- 069. R-5 020-096 O v `� 70 0 TRA 020- /30 020-096 8 ® TRA OZO-069 8 h QO 020-109 �c90 9 �c B 0° 0 NJ/p /0 TRA020.176Q /O v QQ o 100 h TRA 020-121 . // / 26 /2 /O o @ 12 74. .0e. o/ two S. 2/ N 4I iso ASSESSOR'S MAP BK. 774 PG. 08 RIVERS/DE COUNTY, CALIF SK EXHIBIT A CERTIFICATE OF PARCEL MEAGER NO. -O -1 --al Existing Parcels Record Owners Assessor Parcel Numbers S evroe of _�. 7171/_S - Legal Description of Merged Parcel LOSIt 19 420 in Blvd< .223., S4,% 4 (favv-441)'f i t' male La (uiw.'f1 uvu t 0.?/ its per wrap ��cord a VL book .to p4 -01 l i,L CoUn- &0r4r Of d PARCEL MERGER No. f APPROVED BY CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT BY '21�kl 5di AWL DATE q` Exhibit EXHIBIT B CERTIFICATE OF PARCEL MEAGER N 0-°1-061 C4.4 hjmbte-��Y___ Sot Loi 0 m �m timIT ►-J- w iQD tN fh Qi % {^ N ma, ` age Spi � V 40'0 19 DEPARTMENT USE ONLY Record Owner W60Ar,,L This Certificate of Parcel Merger No. - q&— is Address �W DI N L hereb}x�a''pproved LA caul , Map Prepared By By T"itlpwirer eY�� Address Date Area/District SITE PLAN CERTIFICATE Of PARCEL MEAGER NO. F%f# IOU Record Owner AddressMap Address pared By hudAt'dot Ot f VV nZ L scale 1 cwt . to Fr Assessor's Parcel No. . Bin 3 Permit # ��lD 0�. City of La Quinta Building u Safe Division Safety P.O. Box'1504, 78-495 Calle Tampico d5#10 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet - Project Address _� 4 06 Owner's Name:"r/ < U lJ Y X-, A. P. Number: U '2, Address: t�T 3 — .3 S-2 AVC e Legal Description: City, ST, Zip: Z,4 4011J)�A CR Contractor: 0 Telephone: �� (~� /(] •..f Address: ' �Z° (,)651 Project Description: City, ST, zip: 00 A C-A 5;c5e- /J N 6J e-IIV 6 Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: S p U TN W FST C O N vepr S Address: 79'-116' C U6 ffST ,t) D S1JITC 26 City, ST, Zip: ZA v/NT G,4 2 d'3 Telephone: (76 G S';(V— y 7d s Construction Type: Occupancy: State Lic. #:5^23$„3 7GC. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 5r,6 A#614 All E M Sq. Ft.: # Stories: phone # of Contact Person: �O ,565/-5/ 0 7 Tele71 Estimated Value of Project: 430, 0 D APPLICANT: DO NOT WRITE BELOW THIS LINE O {! Submittal Req'd Reec'd "' TRACKING. RMTr FE Plan Sets vC Plan Check submitted �/Q Item Amotmt Structural Cates. Reviewed, ready or corrections 1 Z. Plan Check Deposit tr Truss Calcs. Called Contact Pe Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, r y for orrec n sue Electrical 'All Subcontactor List Calle ontact er 8 Plu Grant Deed Plans piked u S.M.I. H.O.A. Approval Plans resub ed p IN HOUSE:- 3H Review, rea r correct /is Developer Impact Fee Planning Approval Called o erson A.I.P. Pub. Wks. Appr Date of perm i ue C 9 School Fees jmvoe Total Permit Fees 71/o ,c.Q�c. �l.t�a-t --� C I)P AJL44 7 -/ 7��n�,n� Jiy/tV 9 f 16 k4a,c� 'FYI"�" OWNERBUILDER INFORMATION 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. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more"'for'the entire project, and -such -persons are not licensed as -contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING. 78-495 Calle Tampico La Quinta, CA 9225 (760) 777-7012 FAX: (760) 7 SIGNATURE/DATE S� ��� IYVGIy%•� �/L&0144 PROPERTY ADDRESS PERMIT NUMBER(g) Y CITY OF LA QUANTA SUS-CONTR CZ"® IST JOB ADDRESS 5�d"'a C�r�u�. z`I PERMIT NUMBER OWNER BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a consRicuous place. Only 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 of work and/or the voidance of building permit.' For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade /Classification trac o Con t r :.::<;;::::.:.::.:.".:.::.S.a .' , , t te.Contractor s. License . Wor r ...: e . .. ke $ Com . nsatiort :Insurance City Business License::..: Company Name Classification (e.g. A. B, C-8) License Number . (xxxxxx) Exp. Date (xx/xxlxx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-121 F� CONCRETE (C-8)��si ��G �I�f� G- �9� 75 D� �>�ti�,� �n�s� - Ao s/o q ��� �F ��2 3.•3/0� FRAMING (G-5) J�I1� i#'�`^4MIN6 7�9 �� c� ���g SIAI& P4N10 00,26�/(o STRUCT. STEEL (C-51) � MASONRY. (C-291 04 6 'PLUMBING (C-361 Aly W I.- rS 1�{ G- 3 � 61:9 / o 0 3 � ®� 4 %r e, .I��/I��u / 0 9a B . � 3 �y 1 � � 7 0110� LATH: PLASTER (C.35)L, �� �(/ WA�N 7-31i o ii 3o a9 S �r� rcivI4 7 I -002,&/7 9 q/I a9 /02907 4o9 DRYWALL (C-9)'. 8 ly (-/% %Are "OND %7-000/000 1/410-5 l/o�! IC -20) . .::.... SAN G'd ,G C��NHVAC 6�0211109 S¢ �Z{� G/foo. ELECTRICAL. (C=10) I� nW �Lw�l"" 1 V' G l�� �� Jl /� s/�% /rlilil/,� % ' HOZ/� 5 i a9 /�'�0� .ate D9 ROOFING (C..:;" V�v'f` I1�� G 3 767o.Zi 9 q9 SHEET METAL (G 43) FLOORING (C;'4" 5): GLAZING (C-171:., . .. : 174��? I"i �� U�J �Q / �r / �® SrAf6 Ft4JV.0 l oc v °3 �%9 %®2 2 INSULATION IC -2). DVAIYI/UJ Ik5iQUAI-/ _ 520966 11 ,�D4� s//Q7� �l/%�� �3�j"��T72 / �J 1&7 D SEWAGE DISP� (C-32) `. N PAINTING (G=33) CERAMIC TILE (C-54) �� % T^ CABINETS (C-6) FENCING (C-13) F LANDSCAPING (C-27). POOL (C-53) P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning Permit #: BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: 7- /0-0.9 Due Date: 7 - I i - ok Status: Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: �/tp�- tzr i;e u% • Q-�"' Address or General Location: 55-390 Applicant Contact: %.2 . 7Zc4140- Slo4- 47407 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. VW/ ...these Building Plans are approved by the Planning Department. t� r%Ai t—i- -Vo vz. c c.4 �: t iae.i a: d vzo",.4 /cu,� / e., 4 ti( Q11,ee/, 4 CRiv.�5 Xj " ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Planning Department for review. '/ Johnsp , Director -Planning L Date `R`n'# ' City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: C� J .� 3 �;' �I� G k ;FA . Owner's Name: .,-(S- �^/iF t 4) / - c►� (- A. A. P. Number: 7 7 — J () 2 c` Address: n 3 P. 3 96 A. 9A Legal Description: City, ST, Zip: L �► l�U�n/I��Q �� Contractor: Telephone: ( Address: Project Description: City, ST, Zip: A 56e !JN/J 1314 c-/ /V 6 ' Telephone:,}- State Lic. # : City Lic. #: Arch., Engr., Designer: So V W W Fs % C o N CEPr' S Address: 7T-11-!9* C u6 EsT Ur7 SvIM- Za I ,1. . City, ST, Zip: ZA U//Jr C,4 2 S'3 Tele hone: p f760 ,�'6S/ y7a � ' Construction Type: Occupancy: State Lic. #:52353 GC, Project type (circle one): New Add'n Alter RepaidDemmo Name of Contact Person: P#,61J NI E Ta Sq. Ft.: U # Stories: --T —# units: Telephone # of Contact Person: ,S'6V —5/ 2 O7 Estimated Value of Project: -# 0 0 JO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted )) �(4 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Q1 Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" 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 Total Permit Fees Date 10/2/08 No. 30224 Owner Rosenfeld Address 53390 Avenida Carranza city La Quinta Zip Tract # Type Detached Guest House Lot # No. Unit 1 6339A Unit 2 53370 Unit 3 Unit 4 Unit 5 Comments CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Street Avenida Carranza S.F. 592 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 4���1FIEDSC�O Q BERMUDA DUNES C/) RANCHO MIRAGE !v f INDIAN WELLS PALM DESERT .y LA QUINTA ��IN0 y� APN # 774-081-029 Jurisdiction La Quinta Permit # 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 patios/walkways, 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 592 S.F. or $1,758.24 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 CC/Rabobank - Steve Nieto Check No. 008001344 Name on the check Telephone 564.4707 Funding Residential By Dr. �L.. --- RA-fr-L..... Sup Fee collecte Signature Payment Recd . ::50.00 _ $1,758.24 OverlUleP NOTICE: Pursuant to Government Code Section 66020(d)(1�i�.(erill 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 Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting