06-1523 (AR)11
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00001523
58005 CARMONA
764-200-006-1 -316811-
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
24367
T4&t 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I under provisions Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines nd Professio als Code, my icense is in orce and effect.
License Clapqs::� r' tens o.: 7 298
Datd.07H 14Y 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
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 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:
LQPERDIIT
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253 G
III/
Contractor:
TD DESERT DEVELOPMENT L
P O BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/09/06
��� 212006
t O ty -MOT
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:
Carrier COMPWEST Policy Number CA005001482-001
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 the workers' compensation laws of California,
and agree that, if I should subject to the workers' compensation provisions of Section
�'/.3 00 of the Labor Co , I shall Ih:=ose provisions.
Dat��I /p (pApplicant:
WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, D SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS OVIDED 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 correct. I agree to comply with all
city and county ordinances and state tawC,el 'o w construction d by authorize representatives
of this coun to ter upon the above-moperty fo 'nspe' Da� ignature (Applicant
1.
Application Number . . . . . 06-00001523
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
252.00
Plan Check Fee
163.80'
Issue Date . . . .
Valuation . . . .
24367
Expiration Date . .
12/06/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
23.00 9.0000
---------------------------
THOU BLDG
:
2,001-25,000
207.00
. . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
29.91
Plan Check Fee
7.48
Issue Date
Valuation . . . .
0
Expiration.Date
12/06/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
426.00 .0350
----------------------------------------------------------------------------
ELEC
NEW RES.- 1 OR 2 FAMILY
14.91
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
39.50
Plan Check Fee
9.88
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
12/06/06
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
1.00 6.5000
----------------------------------------------------------------------------
EA MECH
VENT FAN
6.50
Permit . . . PLUMBING
Additional desc . . `
F Permit Fee . . . . 48.00 Plan Check Fee 12.00
Issue Date . . . Valuation . . . . 0
Expiration Date 12/06/06
Qty Unit Charge Per Extension
BASE FEE 15.00
4.00 6.0000 EA PLB FIXTURE 24.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00
----------------------------------------------------------------------------
Special Notes and Comments
SUPPLEMENTAL TO SFD PERMIT #05-731'.
LQPERDIIT
Application Number . . . . .
06-00001523
----------------------------------------------------------------------------
Special Notes and Comments
426 SQ. FT. ADDITION TO CASITA.April
13, 2006 9:31:19 AM JJOHNSON
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ENERGY REVIEW
FEE
16.38
STRONG MOTION
(SMI) - RES
2.43
Fee summary Charged
---------------------------
Paid
--------------------
Credited
----------
Due
Permit Fee Total 369.41
.00
.00
369.41
Plan Check Total 193.16
.00
.00
193.16
f% Other Fee Total 18.81
.00
.00
18.81
Grand Total 581.38
.00
00
581.38
7
61
F•.
LQPERn1IT
Bin # City Of La QUiilta,
Building USafety Dielsion
P , it f€ ( P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
l/ Building Permit Application and Tracking Sheet
Project Address: 005 ` .+AAi091 Owner's Name: %" O Org
A-P. Number: 7 l0 7io o 00b Address:
Legal Description: ~%t 3 (PS 1 `T l City, ST, Zip: 2,1 '�e
Contractor: t c lM'%a Teltphont: 7 7 / / q)4/
Address: o nu2 Projtd Description:
city,ST,zrp. Z Z a �TorJ �f�'lio�
Telephone: ? / / g ��
L ���A �% ✓ P/
lStateLie.#:
7(o Z�$ 7
City Lie. #: sj v r Prs��� � —? 3
Eoj-
Arch., F.ngr., Designer �( C q �f-lc- t" e lJ ca t.t-- R.t Zo 01--7- 6 Z 7
Address:(S7%L�»ip (J
city, ST, zip: ,p,./ J."'q.,-
q.,Telephone: f54? ei"O 7 2 ?r 'zQ Constmc ionOccupancy=
Tele Phone-'
State Lia #: Projed typo (circle one): tw Add'li Alter Repair Dano
Name of Contact Person: . a,/ .S/ltst/c5 Sq: Ft.:V Ito ' # Storics: / # Units:
Tdcphonc # of Contact Person: 4 ool o o.o
APPLICANT: DO NOT WRITE-BELOW T41S UNE
#
Submittal
Pian Sots
Req'd
Reed
TRACKING-.
Plan Check subinitted
PERMYTFEES
Item . Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss talcs.
''
Called Contact PaTou
Plan Geek Balance
Iguav Cates.
Plans.Pcked.up
Construction
Flood platy plan
Plans submitted
Mechanical
Grading.plan,
2' Review, ready for correcdo assue
b
Electrical
Subcontactor Ust
Called Coatict Person
Plumbing-
Grant Deed
Pt ins picked up
Shu:
HAA. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`` Review, ready for correctloWasue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Datt of permit issue
School Fees
Total Permit Fees
y_.
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name:
Owner's Name:
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
rNITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
TD DESERT DEVELOPMENT
Project Address: 58005 CARMONA ST LA QUINTA, CA
Project Description: CASITA ADDITION
APN: 764-200-006
Date: 07/20/06
Phone No.
Tract #: 31681-2 Lot #'s:
Type of Development: Residential Xz Commercial
Total Square Feet of Building Area: 476 sq. Ft.
760-771-1941
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: 0712-1 Z (a Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
476 sq. ft.
$ 3.75
1785.00
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Maria L. Angulo, Facilities Secretary Signature:
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this Mtrict provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
, tihtr}Ii'aev ce:>'cert.iiictdc of amupliauc, fi3rrn tablcsPt> USE>.doc 1/16/03 T
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Pekarek-Crandell
31872 Camino Capistrano, Suite 100
San Juan Capistrano, CA' 92675
3
May 26, 2006
PLAN CHECK NO. 05-731 SECOND/FINAL CHECK ( Structural )
ADDRESS 58005 Carmona OCCUPANCY R -3/U-1
SCOPE OF WORK Addition TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
,4
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by:
Quynh Nguyen
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868-
(714)
2868(714) 363-4700 ext.
1
VCA File No. LQ -18434