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04-5410 (SFD)°F �'wQ�rw BUILDING &I SAFETY DEPARTMENT P.O. Box 1504. (760),777-7012 78-495'CALLE TAMPICO P -AX (760)'777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number Property Address,.*... APN: Application description. Property Zoning Application valuation.. Owner ------------------ RICHARD J.. SOLTYS 50-400.SPYGLASS LA-QUINTA —0--4!--0-CF0-0-5 4-1-0Date 11/04/04 . . . 56048 PALMS DR 7.64 -030 -*005-' . . . DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDEN-IAL- 278261 li NOV' 22 200-4- 11 rC-A-=9-2.2-5.3 ' CITY OF LA QUINTA FINANCE DEPT. Contractor ----------------------- BOVENZI HOMES P.O. BOX 1714 TRUCKEE' CA 96160 (530) 613-1173 WCC STA' -'E LIT TKTn WC: 172177 01 0,1,/:05 CS*LB': 71.0230'7' 0 Yl/b5 CCC:- B Structure Information 3226 SQ. FT.-SFD Construction'Type TYPE V - NONRATED Occupancy Type . . . ... . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . 'NON -AO FLOOD ZONE Other struct info .. . . . . CODE EDITION 2001 CBC # BEDROOM$. 4.'00 FIRE SPRINKLERS NO: - GARAGE SQ FTG .687.'O'0 PATIO SQ FTG .311. - 00 NUMBER OF UNITS .1.00 FIRST FLOOR SQ FTG 2693.00 SECOND FLOOR SQ FTG, 533.00 -- - - - - - - - - - - - - - - - - - - - - - - - - - Permit - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - --- - - - - BUILDING PERMIT - 7 - - - - - - - - - - Additional'desc Permit Fee 1266.00 Plan Check Fee 82'2.90 Issue.Date Valuation . . . . 278261 Qty Unit Charge Per' Extension BASE FEE 639.50' . 179.00 3.5000. - --- - - - --- - - THOU BLDG 100,001-,500,000 6-2 6, 5 0 7 - 7 - - - - - - - - Permit - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - ELEC-NEW RESIDENTIAL - - - - - - - - - - - - Additional desc Permit Fee . . . . 156.65 Plan Check Fee 39.16 Issue Date . . . . - Valuation, 01 Qty Unit Charge Per Extension BASE FEE 15.00 3226.00 .0350 ELEC NEW RES 1 OR 2 'FAMILY 112.91 P.O. BOC 1504 • '��� 78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: %%' o?�2 •O� Architect olr�gin�er: //�� _t s CEJ Architect or Engineer's Address: J—Lic. No.: 7 c`3.s�Z BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force qnd effect. ,_-�cense Class QAje, . icen� No, Gi 71192— 3 � /Date 1/2-7 03 -- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 civil penalty of not more than five hundred dollars ($500).): U 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 or 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.). (__) 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner, WORKERS' 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 suefd M workers' compensatio urance carrier and�sl��u �ar -ml Carrier 51 A� Y� Policy Number // _ 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 shout me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date I t!-22.01- ant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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. 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 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 corre . I gree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize re resentatives of this county to enter upo b e -mentioned property for inspection purposes.. Z Date ' 2 ` 0 Signature (Applicant or Agent): 13 Page 2 Application Number . . 04-00005410 Date 11/04/04 Qty Unit Charge Per Extension 687.00 .0200 ELEC GARAGE OR NON-RES=DENTIAL 13.74 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . GRADING PERMIT Additional.desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 .Permit. . . . . MECHANICAL Additional desc Permit Fee . . . . 114.50 Plan Check Fee 28.63 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA' MECH FURNACE_<=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.-5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . PLUMBING .Additional 'desc Permit -Fee 180.75 Plan Check Fee 45.19 Issue Date . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE. 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5,000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYS'T'EM 9.00 9.00 .7500 EA PLB GAS PIPE >=5 6-.75 1.00 --------------------------- 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments 3226 SQ. FT: SFD. THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. 11/4/04 11:20:28 .AM JJOHNSON ---------=------------------------------------------------------------------ Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 195-.65 Page. 3. Application Number . . 04-00005410 Date 11/04/04 Other Fees ... . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY.REVIEW FEE 82.29 DIF FIRE PROTECTION• -RES '97.00 GRAD.ING.PLAN.CHECK =EE .00 - DIF LIBRARIES - RES .225.00 DIF PARK MAINT FAC = RES 5.00 DIF.PARKS/REC -RES 502.00 STRONG MOTION (SMI)'- RES 27:82 DIF STREET MAINT FAC—RES` - 15.00 DIF TRANSPORTATION - RES 1098..00 Fee summary Charged, Paid Credit -d Due Permit Fee.Total 1732.90 00 .00 1732.90 Plan Check -Total 935.88 .750.00 .00 185.88 Other Fee Total 2710.76 00 .00 2710.76 Grand Total 5379.54 750.00 .00 4629.54 Coachella Valley'Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 39$=5909 = Fax (760) 398-1224 This Box For District Use Only DEVELOPER FF.FS PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT:, MITIGATION AMOUNT: COMWiND. AMOUNT: DATE: RECEIPT: CHECK N: INITIALS: s, CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: November 22, 2004 Owner's Name: Richard J. Soltys Phone No. 564-8424 ProjeetAddress: 56-048 Palms Drive, La Quinta, CA 92253 Project Description: 1 mobile home installation AP1V: 764030005', Lot #'s: Type `of D'evel'opment:Resid==IXXlCommercial Total Square Feet of Building Area: 2693 Industrial Certification of Applicant/Owners: The person signing certifies that the above information is corr•.cf and makes this statement under penalty of perjury and further represents that he/she is authorized to sign onpehalf of trier/deve_loper. Dated: ff 2 Z ' D Sig tature: ;w- C—� - 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 NKOM Number of Sq.Ft. 2693 Amount per Sq.Ft: $2.68 Amount Collected" $7217.24 Building Permit Application Completed: Yes/No By:. Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Marcela Valdez, Facilities Clerk . Signature: Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a wri en not a to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -da} period to protest the im osltio of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and otherapplicabie law, this Notices all 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 a.- 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 Ibetermined 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. M V:c/mydocs,'dev.ti;es,'certificate of compliance form tablesTO USfi.doe 1/16/03 T Fred Sheu Structural Engineer 15434 Sage Street, Suite A, victorville, CA 92392 (760) 955-7522 Feb. 16, 2005 City of La Quinta Building & Safety Department Attn: Building Inspector Ref: StructuraltObservation L 566.4_&ealftDrive La Quinta, CA + Dear Sirs: Per builder's request, I performed the structural inspection for the above referenced project. It was found the overall structure is in conformance with the approved structural plan except those items presented to the builder during the inspection. Also attached please find a shear transfer detail for the utility opening in the-shear panel area. Should you have any questions, please feel free to call me. Thank you. Sincerely, , �pFESs/ Sf Fred Sheu, Ph.D, SE Mo. s-4111 m Registered Structural Engineer # 54111 Exp.e-30-06- �� CAL�F� .