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07-0490 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: m2-7--0`0"0'0.04`90' Property Address: 45250 BIRCRC EST CIR APN: 604-412-017-26 -23995 - Application description: ADDITION- - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6016 c&ty/ 4 4 Qu4z Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: -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 appticant 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 ny pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.- 7044, 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 am exempt under Sec. , 8.&P.C. for this reason caner: Mk CONS UCTION 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'sName: Lender's Address: LQPERi111T Owner: OAKES MARY E 45-250 BIRCHCREST DR. LA QUINTA, CA 92253 Other struct info . Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/13/07 MAR 2 ? 1007 INTA ------------------------------------- '--------- 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 NO Policy Number E FOOTAGE 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 bor Code, all forthwith comply wit se orovisic . �� plicant: WARNING:' FAILURE TO SECURE WO KERS' CO S%ATION OVERAGE IS UNLAWFUL, AND LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS ND 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 ab&e information is correct. I agree to comply with all city and county ordinances and state laws relating to bu' i construction, and hereb authorize representatives of thiscou ty t enter upon the above-mentioned or ' p tion s ature (Applicant or Age `.v Application Number . . . . . 07-00000490 Permit . . . BUILDING PERMIT Extension Additional desc . . 1.00 9.0000 EA MECH APPL REP/ALT/ADD Permit Fee 9.00 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 6016 Expiration Date 9/09/07 9:09:49 AM jjohnson Qty Unit Charge Per - . . . . . . Extension 5.85 BASE FEE 45.00 5.00 ---------'------------------------------------------------------------------- .60 9.0000. THOU BLDG 2,001-25•,000 Charged ---------- 45.00 Permit . . ELECT - ADD/ALT/REM 132.20 Additional desc . Plan Check Total 69.05 Permit Fee . . . . 18.20 Plan Check Fee 4.55 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/09/07 Qty Unit Charge Per Extension BASE FEE 15.00 160.00 ----------------------------------- .0200 ELEC GARAGE ----------------------------------------- OR NON-RESIDENTIAL 3.20 Permit MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . . 0 Expiration Date . . 9/09/07 Qty Unit Charge Per Extension BASE FEE 15.00 . 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------=-----------------------=------- ------------- Special Notes and Comments ---------- CONVERT GARAGE TO LIVING SPACE 160 SQ. FT. March 13, 2007 - 9:09:49 AM jjohnson --------------------------------- Other Fees . . . - . . . . . . --------------------------------=-------- ENERGY REVIEW FEE 5.85 STRONG MOTION (SMI) - RES .60 Fee summary ----------------- Charged ---------- Paid Credited -------------------- ---------- Due Permit Fee Total 132.20 .00 .00 132.20 Plan Check Total 69.05 .00 .00 69.05 Other Fee Total 6.45 .00 .00- 6.45 Grand Total 207.70 .00 .00 207.70 LQPERMIT Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit #�Q 01 La Quinta, CA 92253 - (760) 777-7012 IN HOUSE:- Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number: f Z —0 -7 Address: — Legal Description: City, ST, Zip: Z2S ? Called Contact Person Contractor: 0/j3 Telephone: Address: Project Description: City, ST, Zip: Date of permit Issue Telephone: State Lic. # : City Lic. #: Arch., F-ngr.,q esigner -- Address: —0 3W."S City, ST, Zip:OMM Telephone: Consttuetion Type: V Occupancy: jjjk State Lic. #: Project type (circle one): New Add' Repair Demo Name of Contact Person: Q Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: — 7Cl Estimated Value of Project:) - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIMG . PERMIT FEES - Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for rrections Plan Check Deposit Truss Cala. Called Contact Pe on Plan Check Balance Energy Gales. Plans Oicked up &k Construction Flood plain plan Plans resubmitted p Mechanical Grading, pliio 2"Review, ready for correctio sJi a Vi h Electrical Subcontactor List - Called Contact Person Plumbing Grant Deed Plans picked up S.M.L 02-1K otJ 519 pnl ward ILO.A. Approval Pians resubmitted Grading IN HOUSE:- '~ Review, ready for.correctionstissae Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. App r Date of permit Issue School Fees Total Permit Fees 02-1K otJ 519 pnl ward Al Date 3/21/07 No. 29294 Owner Oakes Address 45-250 Birchcrest Cir City La Quinta Zip CERTIFICATE OF COMPLIANCE 4��sc M�o Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDA DUNES O Cn RANCHO MIRAGE d La Quinta, CA 92253 INDIAN WELLS (760) 771-8515 v> P LA QULM EM A �y _ INDIO `^ 0 YJ APN # - 604-412-017 Jurisdiction Palm Desert Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street Unit 1 45250 Birchcrest Cir Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. Lot # No. 160 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 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: 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 160 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 - Mary Oakes Check No. �--- - Name on the check Telephone Funding Exempt By Dr. Doris Wilson ,.`,�}•'1- Superintendent �. Fee collected /exem ed y S r n rey Payment Recd ±$0.00 ~ dver/.Under l�iwl l';f; Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), t ' willSfirve 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 Ohidh 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