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13-0783 (RER)I a ., P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I T-it(t 4 e(P Q" Application Number: 130.0.0.00783 Property Address: 53335 AVENIDA BERMUDAS APN: 774-095-027-7 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 81723 App}is�Arc�h/i�tect or Engineer: 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 STATE FUND Policy Number 1889409-2013 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CUTLER -REHLING TRUST Contractor: LANG CONSTRUCTION 80590 CAMINO SAN GREGER O BERMUDA DUNES, CA 92203 (760)702-7744 Lic. No.: B N VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS.(760) 777-7153 Date: 11/25/13 NOV 2g 1013 --------------------------7---------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70001 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: 748605� License No.: B _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -r ii Ctor: 14rhul Q— 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 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 STATE FUND Policy Number 1889409-2013 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 subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. .., that he or she is exempt therefrom and the basis for the alleged exemption. Any violation Section 7031.5 by - red dollars IS5001.: any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred -r Applicant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and T the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 PENALTIES 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 ($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.). 1 _ 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 _ I 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: LQPERMIT 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: 71A513 --'signature (ApplicanAgent-) ILQ�C���j Application Number . . . . . 13-00000783 Permit . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . 23.83• Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date 5/24/14 Qty Unit Charge Per Extension 1.00 ---------------------------------------------------------------------------- 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 202.60 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/24/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 1.00 11.9200 EA MECH APPL REP/ALT 11.92 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 3.00 11.9200 EA MECH VENT FAN 35.76 1.00 ------------------------------------------------------------------=--------- .11.9200 EA MECH EXHAUST HOOD 11.92 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 166.88 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/24/14 Qty Unit Charge Per Extension 11.00, 11.9200 EA PLBG FIXTURE/TRAP 131.12 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00 --------------------------- 11.9200 LS PLBG ------------------------------------------------ GAS SYS, 1-4 OUTLETS 11.92 Permit . . . REMODEL 2013 Additional desc . Permit Fee . . . . 255.97 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/24/14 Qty Unit Charge Per Extension 1.00 143.0000 EA MISC FIREPLACE 143.00 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF •48.62 3.00 21.4500 EA MISC REMODEL, ADDL 500 SF 64.35 LQPERMIT Application Number . . . . . 13-00000783 ---------------------------------------------------------------------------- Special Notes and Comments REM / ADD 1315 SQ. FT ADDITION WITH 489 SQ. FT. NEW PATIO AND INTERIOR REMODEL.PER 2010 CALIF BUILDING CODES August 27, 2013 11:50:47 AM jjohnson. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, REMODEL 398.97 PLAN CHECK, MECHANICAL 119.17 PLAN CHECK, PLUMBING 174.02 STRONG MOTION (SMI) - RES 8.17 Fee summary Charged Permit Fee Total 649.28 Plan Check Total .00 Other Fee Total 727.16 Grand Total 1376.44 LQPERMIT Paid Credited Due .00 .00 649.28 .00 .00 .00 .00 .00 727.16 .00 .00 1376.44 Bin # Qty of La Quinta R E C E IVE Building && Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 JUN 21 2013 Building Permit Application and Trackir 9kA' QUiNTA Permit # 1 Project Address: 53-335 Avenida Bermudas -La Quinta Owner's Name: CL1ftVR1,WhM A. P. Number: 774-095-027 Address: Legal Description: Lot No. 6 & 7 Sec. 12 T.6 S. R.6 E. Contractor: tanC'png}yLL&IDy) City, ST, Zip: Telephone: Address ��� Project Description: City, ST, Zip: ,v A Remodel To An Existing Single Family Residence . Tele ne• Telephone -.—I P '� A- 3 oq 8 -G � Bathroom and Ft. Attached W./a athroo Adding 1,315.0 S c Add 9 State Lie. # : City Lie. C Arch., Engr., Designer: Mike Mendoza -Designer closet area. Address: 73-900 Dinah Shore Dr. Suite 202 ' .M 11 City, ST, Zip: Palm Desert, CA 92211 Telephone: 1- 760 275-181 6 State Lie. #: N/A ......................... ..... ......... .............. Constructiontructi n Type: V B Occu 1ancY R Project type (circle one):• New Add'n Alter Repair Demo Name of Contact Person: Mike Mendoza -Designer Sq. Ft.: 1 5 1 # S ries: 01 # Units: Telephone # of Contact Person: 1-(760 275-1816 Estimated Value of Project. 5 , 6 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person TIMPlan C Balance. Title 24 Calcs. Plans picked up %K `, C struction Flood plain plan Plans resubmitted 3 echanic' W Grading plan 2nd Review, ready for correctio s/issue WVETFical V 60 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 Imp!!Me Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees , 7116 3 TLAtis K. C. 11311.3 NNl^s 4"z APP, Date 11/25/13 No. 31893 Owner Cutler-Rehling Trust Address 53335 Avenida Bermudas City La Quinta Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street Unit 1 53335 Avenida Bermudas Unit 2 Unit 3 Unit 4 Unit 5 APN # Jurisdiction Permit # No. of Units S.F. Lot # No. 1315 Unit 6 Unit 7 Unit 8 Unit9 Unit 10 Q BERMUDA DUNES 0 Cn RANCHO MIRAGE {� INDIAN WELLS PALM DESERT ,y LA QUINTA .�. RINDIO .y7ti 774-095-027 La Quinta Street S.F. RECEIVED NOV 2 52013 Comments COINMUNITY IF p Q�U�InNTA At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, rEeslt IRME (ions 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 $3.20 X 1,315 S.F. or $4,208.00 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 CC/Wells Fargo Bank - Michelle Melcher Check No. 7234701331 Bank Name/Recipient of Certificate Telephone Funding Residential By Dr. Gary Rutherford Superintendent . v. Fee collected lexem d by Patricia Barbuzza Payment Recd $4,208.00 '' ©ver/V..der Signature NOTICE: Pursuant to Government Code Section 66P0(d)(1), this will serve to notify 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 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 LLft COACHELLA VALLEY WATER DISTRICT O{1 P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 11/25/2013 SUBJECT: SANTA CARMELITA, 53335 AVENIDA BERMUDAS, LA QUINTA, LID 687948, "SCC FEE ONLY" JOHN M. CUTLER Project: 13-5033 c/o LANG CONSTRUCTION Project Date: 11/25/2013 53335 AVENIDA BERMUDAS Amount Due: $4,851.00 LA QUINTA, CA 92253 GEO: 06-06-12-4 Planner: SANDRA VILLALOBOS TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK - -Fee. pe D�escription - - x-- mlim 1.00 FF SCC -COLLECTION $2,415,001 $2,415.00 1.00 FJ SCC -TREATMENT $2,436.00 $2,436.00 .00 $0% $4,851.00 7447 NOV 2 5 2013 COACHELLA WKFER D STR CTY �D 19Q � Z s20 13 coM�� M�vQjNt;,A T SUBJECT:SANTA CARMELITA, 53335 AVENIDA BERMUDAS, LA QUINTA, LID 687948, "SCC FEE ONLY" COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Page pv r w+s rn'yu , �; C Iv o �r� r � D it- d.^'� G - 7 (,c •'F = `+� I y (� • pN #{*� sr +A.i ..J ; , r .r r .[ ••w .+.4 ava :q • U.►liJ^il - A ���• yet POT r LAN � RAN N .