04-5559 (RER)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 04-00005559 Date
Property Address . . . . . . 48955 AVENIDA EL NIDO
APN: 658 -310 -011 -
Application description . . . REMODEL - RESIDENTIAL -®-
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL-
Application valuation . . . . 5464
Owner
------------------------
Mike Wales
P.O. Box 1420
LA QUINTA CA 92253.
Contractor V, e �_
OWNER
9/07/04
1
------ Structure Information ENTRY TOWER ADDITION
-----
Construction Type . .
. TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION
2001
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
81.00 Plan Check Fee
52.65
Issue Date
Valuation . .
. . 5464
Qty Unit Charge
Per
Extension
BASE FEE
45.00
4.00 9.0000
THOU BLDG 2,001-25,000
36.00
----------------------------------------------------------------------------
Permit . . . . .
ELECT - ADD/ALT/REM
Additional desc
Permit Fee . . . .
25.50 Plan Check Fee
6.38
Issue Date . . . .
Valuation . .
. . 0
Qty Unit -Charge
Per
Extension
BASE FEE
15.00
14.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
10.50
------------------7---------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
19.50 Plan Check Fee
4.88
Issue Date
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
P.O. Box 1504�� VOICE (760) 777-7012
Taf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: D— 55 Date:
Applicant: Architect or Engineer:
Q" r/2 -
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.:
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 and effect.
License Class License No.
Date Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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).):
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.).
U 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—.0 - G Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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:
Carder Policy Number
1t 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'
7 compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date 1 - 0� Applicant
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 perforned 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.
1 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 laws relating to building
construction, and hereby authorize representatives of this county toWupon aboove-mentioned property for inspection purposes.
Date�' - Signature (Applicant or Agent):"W� \
y
I'
Page
2
Application Number
. . . . .
04-00005559
Date
9/07/04
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Special Notes and
Comments
Entry Tower Addition
(65 sqft)
w/ 16LF
Garden Block Wall.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ENERGY REVIEW
FEE
5.27
STRONG MOTION
(SMI) - RES
.54
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
126.00
.00
.00
126.00
Plan Check Total
63.91
.00
.00
63.91
Other Fee Total
5.81
.00
.00
5.81
Grand Total
195.72
.00
.00
195.72
I'
A
A
A
1
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # -
L9 ��> > >
.Project Address: q Ave., /)4 k� N I DO
Owner's Name:
A..P.Number: 65N310oll
AAddress: IO x %yzo
u
Legal Description:
City, ST, Zip: 1,4 Q„U4 C4 q Z S'
Contractor: !d
avvnl � J i
FTelephone:
:Address:
Project Description:
City, ST, Zip;
7”
Telephone:
'+M1: •ek'.'•`
,r :=Y
J
/�'V' I1 _! �O. r C... ( r
State Lic. # : City Lic. #:
Arch., Engr., Designer:
V.
Address:
City, ST, Zip:
2 de
Telephoner ,>a.R..
.>.�
State Lic. #: ,,,,.,. �<. ,:,,,,t ,.
Name of Contact Person: 120e Wa 2
Consw pe: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: -
stimated Value of Project: b U
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd
Rec'd
TRACKING
PERMIT FEES
FJl
Plan Check submitted
7ItemAmount
l Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
%
Plan Check Balance
Energy Cala.
Plans picked up
Construction.
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed •
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
M HOUSE:
'`' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fee
Total Permit Fees
7/19 -7a3�?J�
Date.
8/13/04
No.
26320
Owner
Mike Wales
Address
City
Zip
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
Q BERMUDA DUNES
CIO RANCHO MIRAGE
INDIAN WELLS
��
PALM DESERT y
LA QUINTA
Q INDIO
CJ J
658-310-011
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 48955 Avenida EI Nido 65 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Entry tower and entry wall.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. 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 65 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 - Mike Wales Check No.
Name on the check Telephone
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharon MCGilvrq
Payment Recd
Over/Under
Signatu / C
NOTICE: Pursuant to Government Code Sectio 66020(d)(1), this wi rve to notify you that the 90 -day approval period in which you may protest the fees or
other payment identified above will begin to run from the date 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 if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting