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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