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05-1940 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/27/05 Application Number: ; 05-00001940 d Owner: Property Address:- _ --------------------------------- APN: C7.7.Z7.7_CALLE COL IMA} SCHENKMAN GEORGE Application description: 774-131-001-24 -000000- Application valuation: COVE RESID Applicar Architect or Engineer: Lic. No.: OF UNITS -- - - -- ---- 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: 550498 License No.: 9369780 Dat 2 ��f7 Contra 1%' --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 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 contractors) 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: LQPER1111T Contractor: TORRES CONSTRUCTION, A.O. 81301 AVENUE 50 INDIO, CA 92201 Lic. No.: 9369780 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 amiss; ed. 1 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 2848 Policy Number SUPERIOR INS I certify that, in the performance of the work for which this permit is issued, 1 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 / 11 3700 of the Labor Ca/d/E, I shall for hwit h comply with those provisions. DalS+�T�f Applicant: O 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 ($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 oriomission 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 propert for inspe ion purposes. S?—Signature-(Applicant D� or Agent): C Application Number . . . . . 05-00001940 Permit . . . BUILDING PERMIT. Additional desc . Permit Fee . . . . 1143.50 Plan Check Fee 743.28 - Issue Date . . . . Valuation 243735 Expiration Date 11/23/05 Qty Unit Charge Per Extension BASE FEE 639.50 144.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 504.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 96.50 Plan Check Fee 24.13 e Issue Date . . . . Valuation . . . . 0 Expiration Date 11/23/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 178.95 Plan Check Fee .44.74 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/23/05 _ Qty Unit Charge Per Extension BASE FEE 15.00 3858.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 135.03 696.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.92 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 233.25 Plan Check Fee 58.31 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/23/05 Qty Unit Charge Per Extension BASE FEE .15.00 22.00 6.0000 EA PLB FIXTURE 132.00 LQPERMIT i LQPERMIT Application Number . . . . . 05-00001940 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension . 1.00 15.0000 EA PLB BUILDING SEWER 15.00 5.00 6.0.000 EA PLB ROOF DRAIN 30.00 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 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 11/23/05 Qty Unit Charge Per Extension BASE FEE _ 15..00 ---------------------------------------------------------------------------- Special Notes and Comments 3858 SF. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH ------7--------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 109.33 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 74.33 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DI -F PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 24.37 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ---------- ---------- ---------- --- Due ------ ----------------- Permit Fee Total 1667.20 .00 .00 1667.20 Plan Check Total 870.46 250.00 .00 620.46 Other Fee Total 2613.03 .00 .00 2613.03 Grand Total 5150.69 250.00 .00 4900:69 r � O� .n O F 1 2 J --CITY- F LA QUINTA owS� !� r1 UILDING& SAFETY DEPARTMENT 77Y-7012 r'a�; INSPECTION REQU;SII LINE ! ;7.77-;7153' Owner DR./MRS. Si*---- Contractor A O TORR Permit Numbers 0'5_;1.9.4.0 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 77-777 CALLE COLIMA 3858 SF. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPR0ACHIR EPLACEMENT JOB CARD TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING 2 FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP 1 /.i r•, - �; FRAMING COMBINATION ROUGH ELECTRIC _ _ '- ROUGH PLUMBING ROUGH MECHANICAL COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION 6. U SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL o2 PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED , ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR -OCCUPY BUILDING - -AV P 4 e14� R9b(r(Qo5AqA0 P.O. BOX 1504 APPLICATION ONLY -495 Building '7 17 7 � %r�,E Cr►L�M� 78 ACCAL I171)DKIIA 902253 Address Owner /� 1�/�f[ BUILDING: TYPE CONST. OCC. GRP. Mailing A.P.Number77 -131-000 � 77Yp_13 �_oo City ^ Contractor Project Description A-6 - ( (tum S G uS�-. EW C', S iK I --3 a I A vc �a City Zip Tel. ..Z�,D►o "1 2 zs r -7-77--Z9101 & Cl si . & Classif. � / 41J'S Lo/� Q vitt' Lic. # Arch., Engr., -t Designer 4e JG Address Tel. Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 or not more than five hundred dollars ($500). p 1, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. It, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT Sq. Ft. Estimated Valuation No. f No. Dw. Stories ( Units Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep, V I� Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, 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: 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 $2.24 X 3,858 S.F. or $8,641.92 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 OC/Washington Mutal - George Schenkman Check No. 577611984 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collect( Signature Payment Recd $8,641.92 $o.00 Over/Under NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve 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 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 DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting Certificate oC C `.% a c y OF Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, 'certifying that, at the time of issuance., this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 77-777 CALLE COLIMA Use classification- SFD Building Permit No.: 05-1940 Occupancy Group- R3 Type of Construction: VN Land Use Zone- RL Owner of Building: DR./MRS. SCHENKMAN Address: 53-540 AVENIDA VILLA City, ST, ZIP. - LA QUINTA,. CA 92253 By: KIRK KIRKLAND Date: 08/21/2006 Building Official POST IN A CONSPICUOUS PLACE