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05-5295 (RPL)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00005295 Owner: Property Address: 77777 CALLE COLIMA SCHENKMAN GEORGE APN: 774-131-001-24 -000000- 53540 AVENIDA VILLA Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 3500 j. Contractor: Applicant: Architect or Engineer: TORRES CONSTRUCTION, 81301 AVENUE 50 INDIO, CA 92201 (760)772-2848 Lic. No.: 550498 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/03/05 0O. q DEC 0 5 1005 CITY OF LA QUINTA FINANCE DEPT. ------------------ ----------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 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 7000) 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: B License No.: 550498 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 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 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).: 1 _ 1 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 ��tt improve for the purpose of sale.). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. T 7044, Business and Professions Code: The Contractors' State License#w does not apply to an owner of property who builds or improves thereon, and who contra= fG4 he rcts with a contractors) licensed pursuant to the Contractors' State Li Law.'. �1 1 I am exempt under Sec. I P or this re on wner: f CONSYF)UCTION LENDING AGENCY I hereby affirm under penalty of perjury that there isA (onstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Ci C.). Lender's Name: Lender's Address: LQPERMIT 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 SUPERIOR INS Policy Number 9369780 certify that, in 4perfore of the work for which t is permit is issued, I shallnot employ any person in anto became subjec to the orkers' compensation laws of California, and agree thecome sub'ect t e war rs' compensation provisions of Section he hall flica WARNING: FAILURE TO SES' 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 e' formati is correct. I agree to comply with all city and county ordinances and st laws relating to bui ingco [ruction nd hereby authorize representatives of this county to enter upon v t!1on d prop rty for ' ctio rpo Date: gnatur Appli or nt': Application Number . . . . . 05-00005295 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 31.50 Plan Check Fee 7.88 Issue Date Valuation . . . . 0 Expiration Date . 6/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50 2.00 7.5000 -------------------------------------- EA ELEC PWR APP >1 TO <=10 -------------------------------------- 15.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 51.00 Plan Check Fee 12.75. Issue Date . . . . Valuation . . . . 0 Expiration Date 6/01/06 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 --------------------------------------------------- Special Notes and Comments -------------------------. TRUSS REVISION AND A/C ADDITION TO GARAGE AREA. FIREWALL REVISIONS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . HOURLY PLAN CHECK 87.50 Fee summary Charged ------------------------------=------ Paid Credited' -------------------- Due Permit Fee Total 82.50 .00 .00 82.50 Plan Check Total 20.63" .00 .00 20.63 Other Fee Total 87.50 .00 .00 87.50 Grand Total 190.63 .00 .00 190.63 r. LQPERDIIT CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road BERMUDA DUNES 0 Cr RANCHO MIRAGE �J Date 12/5/05 La Quinta, CA 92253 INDIAN WELLS No. 27917 d�PALM DESEW LA QUINTA V (760) 771-8515 U!�;,OINDIO y� Owner Gearge Schenkman APN # 774-131-001 Address 77-777 Calle Colima Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Garage Revision - Air Conditioned No. of Units 1 Lot # No. Street Unit 1 77777 Calle Colima Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 696 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, 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: 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 696 S.F. or $1,559.04 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 Bk- G. Schenkman Check No. 963038382 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent r � a Fee collected /exempted by a On C �Ivrey Payment Recd $1,559.04 Ovet/onder"�-- Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), thi ' 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 Distdct(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 30� As Bin # City of La Quinta � Building 8i Safety Division Permic P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: -7-7-1-7-7 CaAlt Owner's Name: 6 eor e- A. P. Number: Address: 5q 5(*5 011 Legal Description: City, ST, Zip: L aC A yl A ��a 3 Contractor: `P -x- Toy -r --PUS Address: -A Telephone: - Project Description: 'L l7Yl City, ST, Zip: Telephone: State Lic. # : 550 L4 11 S City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Ntx I -o rY-4 S Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 0 3L4- —b-70 Estimated Value of Project: ?j ©ivy fx .Jdo If APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING.. PERMIT FEES Plan Sets aj Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. V Called Contact Person Plan Check Balance i Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for correctio ssue 3 Developer Impact Fee Planning Approval Called Contact Person '- - T3 A.I.P.P. Pub. Wks. Appr Date of permit issue P14M GK- dedl&i,a 5 School Fees I i I Total Permit Fees