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04-6333 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760) 777-.7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760).777-71.53: BUILDING PERMIT Application Number . . . . . 04-00006333 Date 10/01/04 Property Address 77700 CALLE COLIMA APN: 774 -084 -023 -12 -000000 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning COVE RESIDENTIAL., Application valuation 99448 Owner Contractor- POWER -FINANCE CONTEMPORARY HOMES•INCORP.. P.O. BOX .'134:`P.O. BOX. 1141 LA QUINTA : CA 922S3, LA QUINTA .'CA :92253 •. WCC.: STATE FUND.. W.0 : 16764082004 .. ..'07/01/0S .CSLB:. 736920 01/:31./05 C ------ Structure Information SINGLE FAMILY DWELLING ----- Construction Type TYPE V. -.NON RATED. Occupancy Type . . .. . DWELLG/LODGING/CONG <=10. .Flood Zone NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC BEDROOMS 3:00..: FIRE :NO . GARAGE SQ FTG 536.:00 PATIO SQ FTG 176.00.- NUMBER -OF UNITS.... 1.00 FIRST FLOOR SQ FTG`.. 1.514:00: Permit BUILDING PERMIT Additional desc Permit Fee 639.50 Plan Check Fe.e. 415.'68 Issue Date . . . . Valuation 99448. :Qty Unit Charge Per. Extension BASE FEE 414.50 50..00 .4-5000 THOU BLDG 50,001-100,000 225.00 Permit ... . MECHANICAL Additional desc Petmit Fee. 52.50 Plan.Check:Fee. 13.13 ,Issue Date. Valuation .0 Qty Unit_Cha.rge :Per Extension .P P.O. Box 1504 VOICE -(.760) 777=791-2 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922.53 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: ID -18-0Y Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby atfirtn under para of perjury that�Iamficen�sedunder�provi ns of Cha7000) of Dfvisiorm 3 of the Business aril Professionals and my License is ' and e��n4 cense Class y Z D OWNER43UILDER DECLARATION I hereby affirm der penalty of 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 dvd penalty of not more than five hundred dollars ($500).): U 1. as owner of the property, or my employees with wages as their sole compensation, win do the work, and the structure is not intended or offered for sale (Seca 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 budding or improvement Is sold within one year of completion, the owner -budder win 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) ricensed pursuant to the Contractors' State License Law.). U I am exempt under Sea BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby afire 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. . 14 have and will maintain workers' compen4enlniurance, as required by Section 3700 of the Labor Code, for the performance of the.work for which this permit Is Issued. My workers' compensati uranee carrier and policy nu . arrier Policy Number _ I certify that, in the performance of the work for permit is issued, l s «employ any person in any manner so as to become subject to the workers' laws of California; and at if I should becomes to the workers! compensation provisions of Section 3700 of the Labor Code, l shaft y with those ��,PU. Date pfipnf WARNIN FAILURE TO SECURE WORKERS' COMPENSA�{ION COVE GE IS UNL&Mi6k D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), I ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 37 SECTION 08 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY i hereby affirm under penalty of perjury that there is a construction lending agency for the.perfomhance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the D'�gonismrZde, Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose.behalf ' a ach person at whose request and for whose benefit work Is performed under or pursuant to any permit issued as a result of this appl' a owner, and pplicant, each agrees to, and shad, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and emplo or any act or omissi related to the work being performed under or following issuance of this pemrit. 2. Any permit issued as a result of this application nun 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 pe to cancellation. 1 certify that I have read this application and state thatabov bon is cared 1 agree to�cmpl�wdh an city and county ordinances and state laws relating to building construction, and reby autho ' e rep ntatives of IN uni re (Applicant or Agent): _ property for inspection purposes. r*/ Application Number . 04-00006333 Page 2 Date 10/01/04 Qty Unit Charge Per Extension BASE FEE 15.00 .1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 6.5000 EA MECH VENT.FAN 13.00 1.00 6.5000.EA MECH EXHAUST HOOD 6.50 ------------------------ Permit ... -------------------------------------==------ . . . . ELEC-NEW RESIDENTIAL ------- Additional desc Permit Fee 93.71 Plat Check Fee 23.43 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1514.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 52.99 536.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 10.72 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ----------------------=------------ Permit . . . . . . PLUMBING ----------------------------------------- Additional desc Permit Fee . . . . 141.00 Plan Check Fee 35.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00. .6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 -----------=---------------------------------------------------------------- Permit . . . . . GRADING PERMIT Additional desc Permit.Fee . . . . 1 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1514 S.F. SFD PEWRMIT DOES NOT INCLUDE LM Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 941.71 Page 3 Application Number . . . . . 04-00006333 Date 10/01/04 -------------------------------------------------7-------------------------- Special Notes and Comments 250.00 BLOCK WALL,POOL/SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . .ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC".CENTER - RES 366.00 ENERGY REVIEW FEE 41..57 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 9.94 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 941.71 .00 487.49 250.00 .2456.51 .00 3885.71 250.00 Credited Due .00 941.71 .00 237.49 .00 2456.51 .00 3635.71 Date 10/18/04 No. 26542 Owner Power Finance Address City Zip Tract # Type Single Family Residence Lot # No. Street Unit 1 77700 Calle Colima Unit 2 Unit 3 Unit 4 Unit 5 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 S.F. Lot # No. 1514 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Comments CC#319708 in the amount of $3391.00 plus $.36 paid in cash.. ��xlr�vs >� o. Q BERMUDA DUNES 7- 00 00 RANCHO MIRAGE tZI JINDIAN WELLS PALM DESERT C- LA QUINTA QINDIO ti� 774-084-023 La Quinta 1 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 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: 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 $2.24X 1,514 S.F. or $3,391.36 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 CC/VIB - Thomas Buffin Check No. 319708 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGilvrey Payment Recd $0.00 1' $3, 391.36 Over/Under Signature G 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 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