08-1435 (MECH)v P.J. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001435
Property Address: 46044 ROUDEL LN
APN: 649-040-007-17 -31816
Application description: MECHANICAL
Property Zoning: MEDIUM DENSITY RES
Application valuation: 864
aF �Q�«rw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LA-QUINTA NORTH
CROOKED STICK
;WPORT BEACH,
149)533-9408
PARTNERS LP
DR '
CA 92660
Contractor:
Applicant: Architect or Engine URBAN HABITAT
a 2 CROOKED STICK DRIVE
NEWPORT BEACH, CA 92660
'(949) 533'-9408
Lic. No.: 808912
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 808912
DagZed' t % Co
�—
OWNER -BUILDER DECLARATION
I hereby affirm under penalty ofperjurythat 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 Gy
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and l
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 _) 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(sl licensed
pursuant to the Contractors' State License Law.).
1 _) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY r
I hereby affirm under penalty of .perjury that there is a construction lending agency for the performance of the
work for which thispermit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/28/08
--------------------
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 STATE FUND Policy Number 1741937
_ 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,
andagree that, if I should become subject to the workers' compensation provisions of Section
t9 3700 of the Labor Cod Lterthwith comply with those provisions.
Dateii
WARNING: FAILURE TDEE �WORIEIOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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 above information is correct. I agree to comply with all
city and county ordinances and state Taws rel ting to building construction, and hereby authorize representatives
of this county to a om1 ve- entioned property for inspection. purposes.
O �l o
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/Date: - v-0 Sign ppf a nU:
Application Number 08-00001435
Permit . . . MECHANICAL
Additional desc .
Permit Fee 30.50 Plan Check Fee
7.63
Issue Date Valuation
0
Expiration Date 2/24/09
Qty Unit Charge Per
Extension
BASE FEE
15.00_
1.00 9.0000 EA MECH B/C <=3HP/100K BTU
9.00
1.00 6.5000 EA MECH AH <=10K CFM
6.50
Special Notes and Comments,
ADD SPLIT -HP SYSTEM TO SINGLE CAR GARAGE
[2007 ENERGY CODE]
August 28, 2008 8:54:26 AM AORTEGA
Fee summary Charged Paid Credited
----------
Due
----------------- ---------- ----------
Permit Fee Total 30.50 .00 .00
30.50
Plan Check Total 7.63 .00 .00
7.63
Grand Total 38.13 .00 _00
38.13
LQPERMIT
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AUG 18 2008
J j i `iiTi
BY
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracldng Sheet
Permit # /
Project Address: A(e-o44
Owner's Name: L 0, Q--.-.a NOV44, ?",e4c,
A. P. Number: 1�O0 0 L/ Z
Address: 2 Uppkrd -.5-ACA P6,
Legal Description: 4,0 % I T✓gc* 3 11646
City, ST, Zip: o-l~- Q,Ca k GAL e% ZGGd
Contractor: U"" #401mr
Telephone: 149-7S'9— to /9
Address: Z &I-d%f.,P Q✓
Project Description:
City, ST, Zip: oz!r `�'� Cfi 49264,
/`Td ef (, /
Telephoneq,f g- Vl to /
State Lic. # : Q9Q/ Z
City Lic. #:
111 i (�
Arch., Eri Designer:
I II IIII
II
Address: � E l,b(, `�#� E
In V I UUu
City, ST, Zip:
Telephone:
State Lic. #:
BY
Construction Type: Occupancy:
Project type (circle one): New AJd'n Alter Repair Demo
Name of Contact Person: I ..ti -ko t0 a
Sq. Ft.:
# Stories:
F# Units -
Telephone # of Contact Person: q-K— 493 3 _Q a/Oq
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Z
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
L
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecharacal
Grading plan
2" Review, ready for correctionsfissue
Electrical
Subcontactor ListCalled
Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
'
Grading
IN HOUSE:-
3'd Review, ready for correctio ssu 8
Developer Impact Fee
Planning Approval
Called Contact Person
A,I.P,p,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Fermit Fees
1�akt)w t 11 3Ixd8 -sT
b
Date
8/28/08
No.
30180
Owner
La Quinta North Partners
Address
46044 Roudel Lane
City
La Quinta Zip
Tract #
y7
Type
Residential Addition
Lot # No. Street
Unit 1 46044 Roudel Lane
Unit 2
Unit 3
Unit 4
Units
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
4w��IF08
47950 Dune Palms Road
¢ BERMUDADUNEs O
La Quinta, CA 92253
rn RANCHO MIRAGE
INDIAN WELLS
(760) 771-8515PINDIO
�t� P LA QUINTAT ' -
y7
APN #
649-040-007
Jurisdiction
La Quinta
Permit #
No. of Units
1
S.F. Lot # No.
Street
289 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Comments Air Conditioning Single Car Garage
S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/wa3kways, 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 follomdng 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 289 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 - Jim Thompson Check No.
Name on the check Telephone 949.533.9408
Funding Exempt
BY Dr. Sharon P. McGehee
Superintendent
Fee collected /exem b Payment Recd
t
P Y ha c i rey�. y
verA.Jndee- -
� \ �
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this ill s rve 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 i 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 Districtfs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting