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04-5890 (AR)n TA -if °F 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . .-,_04-00005890 Date 8/10/04 Property Address . . . . . . 79025 CALLE BRISA APN: 649-450-035- - - Application description . . . ADDITION - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 21189 Owner Contractor ------------------------ ------------------------ T.D. DESERT DEVELOPMENT SPARKS CONSTRUCTION, INC P.O. BOX 1716 P.O. BOX 1716 LA QUINTA CA 92253. LA QUINTA CA 92253 (76 0) 771-1941 WCC: STATE FUND WC: 4610000348 01/01/05 CSLB: 674074 07/31/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . ... TYPE.V - NON RATED Occupancy Type . . ... . . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 1.00 FIRST FLOOR SQ FTG 272.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation ,- 21189 Expiration Date 2/10/05 �;�� Qty Unit Charge Per Extension BASE FEE �45 . 00 20.00 9.0000 THOU BLDG 2,001-25,000 \," 180.00 ---------------------------------------------------=----------------- ---- ----- Permit . . . . . . MECHANICAL` Additional desc Permit Fee 47.00 Plan Chetc ee 11.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 9.0000 EA MECH FURNACE <=100K 9.00 P.O. Box 1504ICE VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04- 5090 Date: 9r •© Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS /A LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm ncing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen is in full force and effect. % �0 License Class � License �• Date 0--1120t-Z Contractor r OWNER -BUILDER DECLA TION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 1, 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.). U I am exempt under Sec. , BA P.C. for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: t 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. MI 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 w,Qrkers' cowpensation insurance came �a¢d policy number ar% `/ Carrier. ?i1 —,-9 �+/� 1-3 Policy Number n 7Oy C�O`iT _ 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 with those provisions. 0 Date—0 i Z-- Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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 tM7r ee comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of tentio ed property for inspection purposes. Date O % Signature (Applicant or A Application Number . . . . . 04-00005890 Page 2 Date 8/10/04 Qty Unit Charge Per Extension 1.00 16.5000 EA MECH B/C >3-15HP/>10.OK-500KBTU 16.50 1.00 6.5000 EA MECH VENT FAN 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 24.52 Plan Check Fee 6.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 272.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 9.52 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 39.00 Plan Check Fee 9.75 Issue Date . . ... I Valuation . . . . 0 Expiration Date . . 2/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 ---------------------------------------7------------------------------------ Permit . . . . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date .. . . ;Valuation . . . . 0 Expiration Date 2/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .0000 HND GRADING 101-1000 .00 ----------------------------------------------------- Special Notes and ---------------------- Comments 272 S.F. ATTACHED MONTANA 1 GUEST SUITE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 14.63 STRONG MOTION (SMI) - RES 2.11 Fee summary Charged Paid Credited Due Page 3 Application Number . . . . . 04-00005890 Date 8/10/04 --------------------------- Permit Fee Total 350.52 -------------------- .00 .00 ---------- 350.52 Plan Check Total 173.88 .00 .00 173.88 Other Fee Total 16.74 .00 .00 16.74 Grand Total 541.14 .00 .00 541.14 P:O. Box 1504 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253 August 31, 2004 Mr. Alvin Moran 79=025 Calle Brisa . La Qui.nta, Ca. 92253 SUBJECT:.. Minor Use Permit 2004-511. (Guest House.Use) Dear Mr. Moran, (.760) 777-7000 FAX (760) 777-7101 The Community Development Department has approved your request to allow a atttached.guest house in conjunction with your residence at 79-025 Calle Brisa. You must have the enclosed Covenant and. Agreement recorded by..the County Recorder.. in. Riverside, and deliver a copy of the recorded documents to us for our files. Once recorded, our Department will give the Building and Safety Department clearance to issue the building permit. Enclosed is a letter addressed to the County Recorder indicating our approval of.the request. On the covenant. please fill in the date of signing the Covenant on'the second page prior to recordation. You need .to sign on the second page, with the signatures notarized. For yourinformation:, Homeowners Association approval may be required for constructionof this nature. Should you have any questions, .please call me at (760.) 777-7065. Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR Fred Baker, AICP Principal Planner Attachments c: Building and Safety Department P:\FRED\MUP 2004-511 guest house app .Itr.doc F�� Tiat 4 Building & Safety Department 78-495 Calle Tampico PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice — (760) 777-7011 fax CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 79-025 Calle Brisa APN: 649-450-035 DESCRIPTION OF WORK: Residential Addition SQUARE FOOTAGE: 272 OWNER'S. NAME: T.D. Desert Development C1y QUINTA BUILDIN421 a AFEW DEPT. APPROVED DATE-E-10—OZ/BY Awl Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, .CA 92253 (760) 771-8515 SCHOOL FACILITY FEES 'COLLECTION HOURS: 8:00 A. M. — 11:30 A. M. & 1:30 P. M. — 4:30 P. M. Monday - Friday PLEASE NOTE: FEES MUST BE PAID IN CASH OR CASHIERS CHECK. For questions regarding this letter, please, call: Ed Randall, Counter Technician (760) 777-7012 Date 9/20/04 No. 26443 Owner T.D. Desert Development Address 79-025 Calle Brisa City La Quinta Zip 92253 Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units 33 O Q BERMUDA DUNES O V) RANCHO MIRAGE d INDIAN WELLS d.� PALM DESERT ,y LA QUINTA %INDIO L� O 649-450-035 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79025 Calle Brisa 272 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 collect fees on garages/carports, covered patiostwalkways, residential additions 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: 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 272 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 - Judy Halpain Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson Superintendent Fee,.colleFted /exempted by Shikron McGilvrey Payment Recd $0.00 Over/Under Signature e NOTICE: Pursuant to Government Section 66020(d)(1), this will serve to notify you that the W -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting f -SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LO QAC ^ Q� ! 1 A - � (�� / A w `v�f� REPORT SEQUENCE N0. TVP OF_SIAUUCTf URE O��}� /� PEE•RMIMIT NO. DAT l� ! DAY OF WEEK MATERIALSCRIPTION ti -'3 (.0 A - -,s73 ARCHITECT I R HRS. CHARGED .� ENGINEER ASSISTANTS f HRS. CHARGED SUB INSPECTION GENECONTRACTOR,9PA E KS Cow c -r CONTACTOR p wG- L-6, W 6 - DATE Cc w OEr-T IoN 14-TEE� -M ,:�XTk,STC-7- nt1t^le COPY SENT TO CLIENT CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. �-/ CL� 12-111719 9 _IGNATURE OF REGISTERED PECTOR "'� _ 41 C$ o �� /� DATE OF 4EPORT REGISTER NUMBER