Loading...
13-0957 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000957 Property Address: 79110 CALLE BRISA APN: 649-450-020- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50000 Applicant: Tit!t 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HOLLINGSHEAD 79110 CALLE BRISA LA QUINTA, CA 92253 Architect or Engineer: \N\w LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed underiprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the,Bus�{�ess and Qrofess�'orr5 ode, and my License is in full force and effect. License Class: B ( / II / d nse No.: ,77600 NOR "461 MA 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 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 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.). 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.). ' 1 _ 1 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: Contractor: GUSTAFSON CONSTRUCTION P O BOX 6237 D LA QUINTA, CA 92248 (760)340-3462 Lic. No..: 677600 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/13 OCT 15 2013 L CITY OF LA QUINTA 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: Carrie ATE FUND Policy Number 1795609-2013 I -certify that, in the performance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become sub'ec to the wdrk rs' compensation laws of California, and agree that, if I ould bec me subje o he workers' ompensation provisions of Section 3700 of the La or Cade, I sh forthw' c ly with t se provisions. Date:I04�'(,"S Applic tom_ WARNING: 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 1$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 above information is cor ect I agree to c mply with all city and county ordinances and state laws relating to ' ding constr ction, and eb authorize re esentatives of this 9c�ounty to enter upon the above-mentione=yf tion purp s Date: D -(-_� Signature (Applicant or Age LQPERMIT C` Application Number . . . . . 13-00000957 Permit . . . ROOM ADDITION 2013 Additional desc . Permit Fee . . . . 181.61 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/07/14 Qty Unit Charge Per Extension 1.00 120.1200 LS MISC ROOM ADDN, 1ST 100 SF 120.12 1.00 ---------------------------------------------------------------------------- 61.4900 EA MISC ROOM ADDN, ADDL 500 SF 61.49 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 23.83 Plan Check Fee.. .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/07/14 Qty Unit Charge Per Extension 1.00 ---------------------------------------------------------------------------- 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 23.84 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date 4/07/14 Qty Unit Charge Per Extension 1.00 11.9200 EA . MECH APPL REP/ALT 11.92 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH VENT FAN 11.92 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 35.76 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/07/14 Qty Unit Charge Per Extension 2.00 11.9200 EA PLBG FIXTURE/TRAP 23.84 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 ---------------------------------------------------------------------------- Special Notes and Comments ADDITION TO EXISTING CASITA 251 sq. ft.PER 2010 CALIF BUILDING CODES. August 14, ---------------------------------------------------------------------------- 2013 9:41:23 AM JJOHNSON. Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 LQPERMIT Application Number . . . . . 13-00.000957 -------------------------------------'--------------------------------------- Other Fees . . . . . . . . HOURLY PLAN CHECK 196.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, ROOM ADDITION 185.90 PLAN CHECK, MECHANICAL 9.54 PLAN CHECK, PLUMBING 35.76 STRONG MOTION (SMI) - RES 5.00 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total 265.04 .00 .00 265.04 Plan Check Total .00 .00 .00 .00 Other Fee Total 458.03 .00 00 458.03 Grand Total 723.07 .00 .00 723.07 LQPERMIT Brn # I City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ^ 4q n Project Address: 11O Cp //0 ' Owner's Name: Mr. t vl4r A. P. Number: 602-13o — © 0 Address: 79—Ila Cali !i a Legal Descripti ...C Address: -®. , iN City, ST, Zip: j C4 Telephone: - ! <si Project Description: G d �/ B,'► �� City, ST, Zip: r rr Z Telephone: 5411- 5z1q 919 State Lie. # : City Lie. #; Arch., Engr., Designer: 5A fig Address: 0 S %! j7,. F - City, ST, Zip: AIAQ CG , .012210 Telephone: 7U G/ 23-0 GOD ,: Constructionn TYPe•Z°Occupancy: ! cY !S �/ -1 State Lic. #: C. G � f° � Proa circle one): New Addn Alter J ) Repair Demo type ' Name of Contact Person: 411eli agD[) sn Sq. Ft.: 5-1 # Stories: -f # Units: 2 Telephone # of Contact Person: 0 6 0 0 Estimated Value of Project• APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted �3 Item Amount Structural Calcs. Reviewed, ready f orrections r c ,� Plan Check Deposit Truss Calcs. Called Contact Person ' Plan Check Balance. Title 24 Calcs. Plans picked up �(� �i Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correction/issue Electrical Subcontactor List Called Contact Person Plumbing 1 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 rqi?141[3 RANCHO LA QUINTA MASTER ASSOCIATION Architectural Control Committee July 24, 2013 Danny & Anita Hollingshead Re: 79.410 Calle Brisa Dear Mr. & Mrs. Hollingshead, Approval of Submisgion The Architectural Committee reviewed your submission for the. following improvements at your home in Rancho La Quinta Homeowners Association: • Install a putting green • Change the existing sliding glass door in the • Improve the existing.grill area back of the house off the living room and • Add a fire pit remove the :window above it • Room addition off the casita Make changes to the existing outdoor fireplace Your submission as presented is approved upon the Mowing conditions: • All work is to be done in accordance with all applicable requirements of governmental entities, including the City of La Quinta and in accordance with all Homeowners Association architectural guidelines and governing documents. • If required, a City of La Quinta building permit will be obtained and copy furnished to the Association prior to commencement of work. • Materials may not be stacked on the street • No oilier structural changes are approved with this submission. Once completed, please submit a "Notice of Completion" and the Association's Architect will schedule an inspection so we can process your deposit for return. Thank you in advance and if you have any questionsplease do not hesitate to call me at the on-site office (760) 777-8807. . Sincerely, . Nena T. Rutherford-Milward, CCAAP, CMCA®, AMS®, PCAW Association General Manager 760-777-8807 fax 760-777-8961 nr-utherford@drmintemet.com com www rlcima com P.O. BOX 6419 • LA QUINTA, CA 92248-6419 • 760-777-8807 • FAX 760-777-8961 Date 10/14/13 No. 31835 Owner Hollingshead Address 79110 Calle Brisa City La Quinta Zip 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 # No. of Units Epsc�O Q 13ERMUDA DUNES O rn RANCHO MIRAGE b INDIAN WELLS ti dPALM DESERT ,y t}� LA QUINTA , INDIO 649-450-020 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79110 Calle Brisa 251 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 patios/walkways, 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 251 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 - Sandra Hand Check No. Bank Name/Recipient of Certificate Telephone Funding Exempt By Dr. Gary Rutherford Superintendent Fee collected /exemPied PY S ron } r,,Gilvrey Payment Recd $0,60 ` fiver/Under„ Signature NOTICE: Pursunt to Government Code Section 66020(d)1), is will serve to notify you that the 90 -day approval period in wtlich you may protest the fees or other payment identified above will begin to run from the to 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