07-1514 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00001514
Property Address: 52965 "AVENIDA RUBIO
APN: 773-312-024-11 -000000-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: COVE RESIDENTIAL
Application valuation: 116384
Applicant
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: B' - S License N6.: 847937
Datelo�-l6•7 Contractor: CfAWy `
ff
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 cityor 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).: '
( ) I, as owner ofthe 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 Proiessions 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 thathe or shedidnot build or -
.improve for the -purpose of sale.).
(_ 1 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
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.).
Lender's Name:
Lender's Address:
LQPERDIIT
Owner: .
RC CONSTRUCTION
69622 WILLOW LANE
CALEXICO, CA 92231
Contractor:
RC GROUP.
66309 PIERSON-BLVD
DESERT HOT SPRINGS,
(760)272-5183
Lic. No.:.84.7937
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/16/07
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 workfor which.this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier EXEMPT Policy Number EXEMPT
_ 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 st&d become. subject to the workers', compensation provisions of Section
X700 of the Labor Qbde; I shall forthwith comply with those provisions. _
WARNING: FAILURE TO SECURI WORKERS', COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLAFS (5100,0001. IN AD TION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE 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 aresult 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.
1 certify that I have read this application and state that the abov information is correct. I agree to comply with all
city and county ordinances and state laws relating to building c nstruction, and hereby authorize representatives
of this county tp enter upon the above-mentioned proper[ ection purposes.
Application Number .. . . . . 07-00001514
Structure Information 1,855SF DWELLING/V-NR/RES-3/CLASS A -FR
.Other struct info . .
. . . CODE EDITION 200/2005
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
485.00
PATIO SQ FTG
58.00
NUMBER OF UNITS
1..00
1ST FLOOR SQUARE FOOTAGE
1855..00
Permit
BUILDING PERMIT
Additional desc .
Permit,Fee
699.00 Plan Check Fee
454.35
Issue Date;
Valuation
116384
Expirat ion:.Date
4/13/08
Qty Unit Charge
Per
Extension
BASE EEE
639.50
.17.00 3.5000
THOU BLDG 10"0,001-500,000
59.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
64.50 Plan Check Fee
16.13
Issue Date . . .
Valuation . . . .
0
Expiration -Date
4/13/08.. -
Qty' Uni:t Charge
PerExtension
BAS14EE_
15.00
1..00 9'.0000
EA MECH FURNACE <=100K
9..0.0
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'
13:.•00
1.00. 6',."50'00,
.EA MECH EXHAUST':HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
104..63.• Plan -Check Fee
26..16
Issue Date
Valuation . . . ..
0
Expiration Date
4/13/68
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1855.00 .0350
ELEC NEW RES - 1 OR 2.FAMILY
64.93
485.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
9.70
1.00 15.0000
EA ELEC TEMPORARY POWER POLE
15.00
LQPERAIIT
Application Number. . . . . . 07-00001514
--------------------------
Permit . : .
------------------------------------
PLUMBING
--------------
Additional desc .
Permit Fee
141.00 Plan Check Fee
35.25
Issue Date . . . .
Valuation
0
Expiration Date
4/13/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
12.00 6.0000
EA PLB FIXTURE
72.00
1.. 0.0 1,5.. 0Q0.0
EA _PLB ,BUILD-ING. 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
6.00' ..7500
EA PLB GAS PIPE >=5
4.50
I.00 15:0000
EA PLB GAS METER
15.00
Permit . . .=
GRADING PERMIT.
Additional desc .
Permit Fee
15.00 Plan Check Fee
.00
Issue. Date
Valuation . . .
. 0
Expiration Date
4/13/08
Qty Unit Charge
Per ,'
Extension
BASE FEE
15.00
Special Notes and Comments
1,:855SF DWELLING/V-NR%RES-3,/•CLASS
A -FR
[CONVENTIONAL -232,0]. THIS PERMIT DOES
r NOT INCLUDE BLOCKWALLS,
POOL AND SPA,
OR DRIVEWAY APPROACH.
2001 CBC, CPC,
CMC, •2004.CEC, 2005 ENERGY. October 3,
2607.1i:47:45 AM AORTEGA
-------------
Other Fees . . . .
. ART IN PUBLIC PLACES -RES
.20.00
DIF COMMUNITY CENTERS -RES
74:00
DIF CIVIC CENTER-- RES
995,00
ENERGY,REVIEW FEE
45:'44
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
15:00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892•.00
COVE PRECISE PLAN FEE
100.40.
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
LQPERD4IT
Application Number . . . . . 07-00001514
Fee summary Charged
Permit Fee Total 1024.13
Plan Check Total 531.89
Other Fee Total 4655.44
Grand Total 6211.46
LQPERMIT
Paid Credited
.00 .00
250.00 .00
.00 .00
250.00 .00
Due
1024.13
281.89
4655.44
5961.46
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950. Dune Palms .Road ¢ BERMUDA DUNES r"
(/)RANCHO MIRAGE
Date 10/16/07 La QUinta,:CA 92253 �.INDIAN WELLS
`�� P QUINTLM EAT
No. 29741 y�
(760) 77'I-8515QINDIO y7�
0
Owner
R.C. Construction Group, Inc
APN # 773-312-024
Address
Jurisdiction La Quinta
City
Zip
Permit #
Tract #
Study Area
Type
Single Family Residence
No. of Units 1
Lot # No. Street
S.F. "
Lot # No. Street S.F.
Unit 1
52965 Avenida Rubio
1855 Unit•6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands. Unified School District does not colied 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'exempi from -paying schootfees 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 $2.63 X .1,855 S:F. or $4,878:65 , 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/Canyon Nat'l Bank - Ricardo Aguilar. Check;No. 01107
Name on the check Telephone
Funding Residential
By Dr. Doris -Wilson
Superintendent
Fee collected /exempts b Sharo cGilV Payment Recd 1$6.00
$4,878.65.
'5 a equndkr
Signature
NOTICE: Pursuant to Govemment.Code Section 66020(d)(1), this II se e, 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 wh 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 aufhoriied to collect Uiem.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