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08-1152 (AR)f. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-iht 4 4 Qum& Application Number: 08-00001152 - Property Address: 79115 RANCHO LA QUINTA DR APN: 649-370-024- #- Application description:- ADDITION - RESIDENTIAL Property Zoning: " LOW DENSITY RESIDENTIAL Application valuation: 60000 Applica-nt: • Architect or Engineer: ---------------J----�J I hereby affir under penalty of p rjury that I am tensed un pr Section 700 1 of Division 3-f t Business and rofession Cod License Cie B enst Date: 2 G- act- - - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --- -- - -------------- VS D LARATI N rvisi s of Cha er 9 (commencing with , a my Lice se is in full force and effect. N .: 879 4 - _, OWNER-BUILDE RATION I hereby affirm under penalty of perjury th I am exempt from the ontracto,'s State License Law for the fallowing reason (Sec. 7031.5, Business and Professions Code: An 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 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.I. ( 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: LQPERA1IT Owner: ARMATAS 49-165 AVENIDA EL NIDO LA QUINTA,.CA 92253 a Contractor: CHEROKEE HOMES 73180 HIGHWAY 111 PALM DESERT, CA 92260 (760)341-0920 Lio. No.: 879734 ` �af VOICE (760) 777-7012 ,. FAX (760) 777-7011 INSPECTIONS (760) 777-7153. 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. 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 are: Carrier STATE FUND Po y umber 23-8004131 I certify that, in the perfor ante of th ork forw ch t s permi i sued, I shall not employ any erson in ny manne so as to be a subject t the orker co pensation laws of California, and agr that, if I ould becom ubject to th ters' omp sation provisions of Section 37 0 Vabor ode, I shall rthwith co th se pr visions. KYDate:./_ AUCant �.... t WARNING: FAILURE TO SECURE WORKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Date: 8/26/08 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 wh6se benefit work i§ j5&t6eM6d iinade 6? pufsuallt to any permit Issuea as a result of MIS applIcatloll, 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 ma an 'd if ork is not commenced with' 180 days from date of issuance of su permit cessation f rk for 180 d ill subject per it to cancellation. I certify he ave read is application and state th the abov in rmation is c r t. I agre to co ly with all city an u y ordinan s a state laws relating building on uction, and er y authorize rep r sentatives of thi ou y to ent_e above-mentioned roperty r in act pur " ses ! d Date. '- �� Signature (Applicant or Agent): Y' Application Number,.. 08-00001152 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . ... 459.50 Plan Check Fee 298.68 Issue Date . . . . Valuation . . . . 60000 Expiration Date 2/22/09 Qty Unit Charge Per Extension BASE FEE 414.50 . 10.00 4.5000 THOU BLDG 50,001-100,000 45.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . 16.12 Plan Check Fee 4.03 Issue Date Valuation 0 Expiration Date 2/22/09 Qty, •Unit Charge Per Extension BASE FEE 15.00 32.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY ---------------------------------------------------------------------------- 1.12 Permit . . . MECHANICAL Additional desc . Permit Fee. . . . . 30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/22/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . PLUMBING Additional desc . Permit Fee ` 33.00 Plan Check Fee 8.25 Issue Date . . . Valuation . . . . 0 Expiration Date 2/22/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLD PI)ITURD 13:00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments REMODEL/ADDITION. 32 SQ. FT. KITCHEN . 4 LQPERA4IT - Application Number . . . . . 08-00001152 ---------------------------------------------------------------------------- Special.Notes and Comments ADDITION WITH 680 SQ. FT. PATIO ADDITION, GAS OUTDOOR OVEN AND INTERIOR REMODEL, INCLUDING LIGHTING,CAB ANDWINDOWS /DOORS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW -FEE 29.87 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due --------------------------- -------------------- ---------- Permit Fee Total 539.12 .00 .00 539.12 Plan Check Total 318.59 .00 .00 318.59 Other Fee Total 30.37 00 .00 30.37 Grand Total 888.08 .00 .00 888.08 Bin # City of La Quinta Buildin & Safe Division g Safety P.O. Box. 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 7 y - �l `j �ahG�10 vl7 7� r, Owner's Name: */4" "r'941 A1/ 1,C.4e ll A. P. Number: 6/0a.. (� �'v Address: 7WI r Legal Description: ,%r S ; '7'p, 2 7Q yU Contractor: 6� LkAo� 4 City, ST, Zip: co dilti Telephone: 760 S(6 y 4i 2 V2 — Address: Address: _.-(8 � ( / Project Description: �NiQQe/ City, ST, Zip:�C�d�7. Telephone:�Y�a/Z State Lic. # : City Lir. #: Off L,f G . �j?'TJ•jAy jJ lj�jZ/1%.4]�/ h Arch., Engr., Designer: CU�..�/s SIjb a �n- /_ y tlfGli I�GG !r �l Z�IOiT,I Address: W -WO FreW 4wo-ta D^ A - S r City, ST, Zip: PQ `� �/er G c* i 22 (p0 ft 6 ` Telephone: 760 34(o 13 5 �§ ` State Lic. #: C % 3 3 eepj r �' Name of Contact Person: Cert /S SLj // e Construction Type: Occupancy: Project type (circle one): New dd'n Alter Repair Demo Sq. Ft.: 32 # Stories: / # Units: Telephone # of Contact Person: 760 3 7 15 Estimated Value of Project: 60 40,0 . QO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted '� Item Amount Structural Calcs. Reviewed, ready r corrections Plan Check Deposit Truss Calcs. Called Contact Pe Plan Check Balance Energy Calcs. Plans picked up t, 7/J— i Construction Flood plain plan Plans resubmitted ? ? Mechanical Grading plan 2°d 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 correct ons/issue 2 Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total erm ees --�� 7[ �� vs � Ua CaN Q lsa T�Z 04 -.7c) lascicesuoo C— 6t� CERTIFICATE OF COMPLIANCE ~J�tEDSr Desert Sands Unified School District zq�cU��oo U 47950 Dune Palms Road ¢ BERMUDA DUNES r Ln RANCHO MIRAGE Date 8/26/08 La Quinta, CA 92253' N INDIAN WELLS No: 30178 (760),771-8515 � PALM DESERT f?�LA QUINTA y VQ INDIO y� O . Owner Mitchell APN # 602-100=012 Address 79115 Rancho La Quinta Drive Jurisdiction La Quinta City La Quinta Zip Permit # Tract # No. of Units 1 Type Residential Addition Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 791,15, Rancho La Quinta Dr 32 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 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: 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 32 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 David Howard Check No. Name on the check Telephone 341.0920 Funding Exempt By- Dr: Sharon P. McGehee Superintendent Fee collected /exemp d b aro GIIVfey Payment Recd s -1$0:00 ` 'z ®ver/UrsdeF " y Signature NOTICE: Pursuant to Government Code Section 66020 (1) this will serve to notify you that the 90-day approval period in which may protest the`fees o r other payment identified above will begin to run from the a 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