04-3595 (AR)? •
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BUILDING & SAFETY DEPARTMENT
����.0�504 (760) 77,7-7012
-"'78.495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA.'CAiIFORNIA 92253 INSPECTION REQUESTS&(760)777-7153
BUILDING PERMIT
Application Number
04-00003595 Date
4/22/04
Property Address . .
. 53875 AVENIDA NAVARRO
APN:
774-174-018-6 000C00-
Appl-ication description
ADDITION - RESIDENTIF_L
Property Zoning .:
COVE RESIDENTIAL
Application valuation..
7241.3
Owner
- Contractor
GARCIA.STEVEN A
OWNER
53-.875 AVENIDA NAVARRO
LA QUINTA.
CA 92253
(760).771-1680
---------------------------=-
Structure 'Information -------------------------
Construction Type
TYPE V - NON RATED
Occupancy Type . . .
. . .. DWELLG/LODGING/CONG <=10.
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
CODE EDITION 2001
CBC
# BEDROOMS`
1.00
FLOOD ZONE NO
PATIO SQ FTG
232.00
FIRST FLOOR SQ FTG 1212.00
Permit . . : . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
518.00 Plan Check Fee
336.70
Issue Date . .
Valuation
72413
Expiration Date
10/21/04
Qty -Unit Charge
Per -
Extension
BASE FEE
414.50
23.00 4.5000
THOU BLDG 50,.001=100;000
103.50
Permit . . . .'. .
ELEC-NEW RESIDENTIAL
Additional desc
-Permit-Fee
57.42 Plan Check Fee
14.36
Issue Date
Valuation
0
Expiration Date
10/21/04
Qty Unit Charge
Per
Extension
BASE. FEE
15.00
1212'.00 .0350
ELEC.NEW RES -'l OR 2 FAMILY
.42.42
Permit . . . . ...
GRADING PERMIT
--------
P.O. BOX 1504
78-495 CALLE TAMtICO
LA QUINTA. CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:—
Applicant:
M w.,s S c,— 6;Acu, +
Applicant's Wiling Address:
551, 537 S-
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .f– u– 0
Architect or Engineer:
Architect or Engineer's Address:
t-ic. No.
oanL4JIN" 1'tKMI I UtVLAKATlQNS
1 hereby affirm under LICENSED CONTRACTOR'S DECLARATION
Denis a Perjury that 1 am kwowd under previsions d chaplet 9 (commencing with Section ?000) of Division 3 a to Business and Rdessar aft
Code. and my License k b tut face and Blixt
a°fe0 Class; License No.
Dak •
1 hereby at5rm under Penally d perjury that I am owNER ER OECLJ1itllTtON
city or �y that requires a permit b oamWmrct, from the Contracbrs' Stab License law for the bMowirq mason (Sec 7031 5. Buskmess and Professions Coda: Any
italement that he or she k iowoM pursuant b is m• de h. « fePair �Y ' 0 b lts issuance. also requires tme appicant for the Pumt b lis a sigrod
and Pndessiorrs Code) or tfut he or she k D ons a the Contractee• Stale License Law (Chaplet 9 (COMMOneirng with Section ?000) a Division 3 d the Business
the applicant b a da than tmaetrom and the basis let the alleged exenmp5am Any violation a Section 7071.6 M any applicant bra permit subjects
Pastry d rmd more than rtes hundred dotsrs (5500).):
as owner a the property. or my employees with wages as their sole oompensalim we do the work and the structure is not itended or oflered for sale (Sac 7044•
Business and Protess ns; Code: The Co tracbrs• Stale License Law does not apply to an owner Of property who builds or inpnoves tmereoa and who aces the work
himselfel r � or though his or her own anpbyees, provided that the kfPvmnents we not intended or offered for ask. ff. howeyer. the building or improvement is
(..) Las
sold within
d the 1� d � , Ce owner -builder wit have the burden d pro" that he or she did not build or improve ler the purposed sale.).
State License Law does of exclusiveN with I'm nseo canbsci s b O0 the project (Sec. 7044. Business and Piotessions Code: The Contractors•
apply.) an owner d
the Contractors• stab License taw.). property who builds a thereon. ereonctsith. and who contracts for the projewa Centracbr(s) icensed pursuant b
U I am exempt under Sec . BA P.C. for this reason
Dai 7—a�-0�
1 hereby affirm under penalty d perjury one a the
WORKERS'COMPENSATION DECLARATION
_ 1 have and will makdain a certifiCate d content b se for workers, '
d the work for whidr this pemtt is issued, oorr'Pensation. as provided for by section 3700 d the Labor Code. for the peAommxmce
_ 1 have and will maintain workers' compensation irm"noe. as required by Section 3700 of the Labor Code, for the performance d the work for which this permit is
Carrier issued. My workers' compensation hvPAance carrier and Policy number ate:
Number
_ I rxMy that, h the Peeomance d the work for which this permit is. l shah not employ any person in any mamer to as to become subject to to workers!
con Crs850m laws of CaMomia. and agree thaL III should beoOwm10 the workers' compensation provisions of section 3700 of to Labor Code.1 sled
bfflvvft Pfr with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL- AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL ON 3 6 F ONE LABIIUOR
EO TNDUSAND DOLLARS (:100.000). M ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR tr
SECTION 3706 OF THE LABOR CODE, t�ITEREST, AND ATTORNEY'S FEES. .
CONSTRUCTION LENDING AGENCY
I hereby affirm en
order pdly ry that taro Is a oort:tnaction
lending agency for the performance a the work for whidi this permit is issued (Sec. 3097. Civ. C.).
Lenders Name d
Lenders Address
IMPORTANT Application is hereby Malde to the Dinecbr a APPLICANT ACKNOWLEDGEMENT
t. Each person upon whose De!►atf this BuSditp and Safety ler a permit subject b the conditions and restrictions set forth on Cis application.
Issued as • result d Cis beha 50m. made, each person at whose request and for whose benefit wok k pedomed urdet or pursuant b any peril
officers. agents and employees for any act or omission�
related to the work 1p and ormshall, defend. ollowinity and hold harmless the City a La Cukta, its
2 Any permit issued as a result d this aPPk8§0n bworng Issuance k is ecomes null and void If ws nod commenced �t
wih n 150 days rfdateofof issuance of such pen, or
cessation of work for 160 days wit subject permit b amcel"on.
1 certify that I have read this application and state that the above IMon m bon is correct 1 agree to Cortply with all city and county ordinances and state laws retab 10 buNditmg
construction, and hereby suowdn representatives Of this county to enter upon to above-renmtiorw Propert inspection purposes.
Date : 01 - 1 SOMdure (Applicant or Agent): /J Ct,�'1 �tJ V
a
Page
2
Application Number
04.-00003595 Date
4/22/04
Additional desc
Permit Fee . .
. .
15.00 Plan Check Fee
.00
Issue Date
Valuation _
0
Expiration Date
10/21/04
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
-------------
Permit . .
. .
MECHANICAL
Additional desc
Permit Fee .
.
59.00 Plan Check Fee
14.75
Issue Date . .
. .
.Valuation
0
Expiration Date
10/21/04
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
4.00
6..5000
EA MECH VENT FAN
26.00
Permit . . . .
. .
PLUMBING
Additional desc
.
Permit Fee . .
. .
113.25 Plan Check Fee
-28.31
Issue Date . .
. .
Valuation . .
Expiration.Date
10/22/04
Qty Unit
Charge
Per
Extension-
BASE FEE
15.00
14.00
6.0000
EA PLB FIXTURE
84.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7..50
1.00
3.0000
EA PLB WATER INST/ALT/REP
3.00
5.00
.7500
EA PLB GAS PIPE >=5
3.75
Special Notes and
Comments
1212 SF. .ADDITION
AND
232 SF. PATIO
COVER
Other Fees . .
.
. . . . ENERGY REVIEW FEE
33.67
STRONG MOTION (SMI) - RES'
7.24
Fee summary
Charged
Paid Credited
Due
r ------------------
-----------
----------------------------
s
Page 3
Application Number.
04-00003595
Date 4/22/04
Permit Fee Total
762.67
.00
CO
762.67
Plan Check Total
394.12
.00
C0
394.12
Other Fee'Total
40.91
.00
CO
40.91
Grand Total
1197..70
.00
C0
1197.70
I
P.O. BOX 1504
Building 78-495 CALLE TAMPICO APPLICATION ONLY
Address r �j /�t�a .. �C% JAP-900 QUINTA, CALIFORNIA 92253
Owner
A
Mailing
Address .07 <Z— At6. A)Av/�4i
C y Zip Tel.
19� • `�'2 � S• ?7' — %gyp �
c;lty (Zip
State Lic.
& Classif.
Arch., Engr.,
Designer
Address
BUILDING: TYPE"CONST. e_ OCC. GRP.
A.P. Number,, 1-7 � 01
Legal Description ta7— -5-0
Project Description=L.
# Sq. Ft.I7�No.. j
Size Stories
New ❑ Add ❑ Alter 0
"y Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
7I hOereoby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
Division 3 of the Business and Professions Code, and my license Is in full force and
effect.
AC I Name of Contact Pcrs
No. Dw.
Units
Repair ❑ Demolition ❑
F
New Add'n Alter Repair Demo
on. Sq. Ft.: # Stories: #Units:
X I Telephone # of Contact Person:
sttmatcd Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
p
Submittal
Req'd
Recd TRACKING
Plan Sets
Structural Cala.
Plan Check submitted
Reviewed, ready for corrections
Truss Calcs.
Called Contact Person
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
Plans picked up
Plans resubmitted
''. Review`. ready for corre ionslssdeIV
C fd Cont ct Peri n
p
tted
dy fo correctionsrssue
OCSIContactPerson
Date of permit issue
PERMIT FEES
Item
Plan Caeck'Deposit
77
Plan C�Ieck Balance
Construction
111echasical
Electrical
Plumbing
SAI.1.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount
CERTIFICATE OF COMPLIANCE �AtFi�sc
Desert Sands Unified School District �4�cayo
47950 Dune
� Palms Road _ ¢ BERMUDA DUNES r
Date 3/8/04 La Quinta7 ,CA92253 rn RANCHOMIRAGE 0
INDIAN WELLS
No: 25584 (760) 771-8515: P La QuirsiTnT y
:.QINDIO y�.,
O
Owner Steven Garcia ,APN # 774-1.74-018
Address 53-875 Avenida Navarro Jurisdiction La Quanta
City La Quinta Zip 92253 Permit #
Tract # BLK250 Study, Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 6 53875 Avenida Navarro 1212 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collectfees. on garages/carports, covered patioshralkways, 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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14)( 1,212 S.F. or $2,593.68, 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 CC/1St Bank - Phyllis Sandoval Check No. 70980
Name on the check Telephone 760/771-3499
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected le ed by KSection%020(d)(11),
ithis
Payment Recd
$2,593.68 OverfJnder
Signature
NOTICE: Pursuant to Government Codl se a 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 Disirict('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building DepanmenUApplicant Copy - Applicant/Receipt Copy - Accounting
CITY OF LA QUINTA o s CITY OF LA QUINTA
�„-5UI ING &'SA'FETY DEPARTMENT %F ���
F.�,a�. .�.--,, �4 � c`�JBUILDING &SAFETY DEPARTMENT -
.7T7-7012 F�OFTN�•
!�777-7012
NSPECTI Np'REQUEST LINE .1 INSPECTION REQUEST LINE
I
777-7153 777-7153
Owner �'� ! MR/MRS STEVEN GARCIA
Owner
' Contrac or .-�`` ".'z�, �. = - OWNER BUILDER
_ Contractor
Permit N mber 6; 04 3595 '
POST ON JO I POST O
NSPICUOUS PLACE Permi'
INSPECTOR MUST SIGN ALL APPLICABLE SPACES INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 53 875 Yip ENIDANAV�AznQ O JOB ADDRESS 53-875 AVENIDA NAVARRO
POOL ONLY. ALARMS BARRIERS SHALL BE IN 1212 SF. ADDITION AND 232 SF. PATIO
PLACE PRIOR TO PREPLASTER INSPECTION. COVER
EQUIPMENT ENCLOSURE NOT INCLUDED IN
PETIWjT0 INSPECTION DATE INSP.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER TEMPORARY POWER
SETBACKS SETBACKS
U/G PLUMBING /WASTE U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING U/G ELECTRICAL /GROUNDING
FOOTINGS / STEEL FOOTINGS / STEEL
CONCRETE SLAB CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED — Quti� — L
DO NOT UR CONCRETE UNTIL ABOVt SIGNED
ROOF NAIL / PRE -ROOF ROOF NAIL / PRE -ROOF
OKAY TO WRAP OKAY TO WRAP
AMING C
FROMBINATION FRAMING COMBINATION 7=4 S
ROUGH ELECTRIC ROUGH ELECTRIC
ROUGH PLUMBING ROUGH PLUMF3.IN.G'
ROUGH MECHANICAL ROUGH MECHANICAL
INSULATION INSULATION —
COVER NO WORK UNTIL ABOVE SIGNED COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
EXTERIOR LATH INTERIOR GYP. BD. DRYWALL
—�
i EXTERIOR LATH
GAS TEST GAS TEST
SEPTIC ABANDONMENT j SEPTIC ABANDONMENT
SEWER CONNECTION + SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR SEPTIC/ GREASE INTERCEPTOR
MASONRY INSPECTIONS MASONRY INSPECTIONS
FOOTINGS / STEEL FOOTINGS / STEEL
BOND BEAM BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS 1. POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS - 0V PRE-GUNITE / SETBACKS
U/G PLUMBING U/G PLUMBING
U/G GAS U/G GAS
U/G ELECTRICAL t , U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERSF " PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONSid' FINAL INSPECTIONS
rEMP. USE OF PERMANENT POWER 1'� TEMP. USE OF PERMANENT POWER
LECTRICAL ELECTRICAL
'LUMBING PLUMBING
V ECHE 11ICAL I MECHANICAL
3UBLIC WORKS DEPARTMENT 1 PUBLIC WORKS DEPARTMENT
DOMMU; TY DEVELOPMENT DEPT. COMMUNITY DEVELOPMENT DEPT.
=1NAL /JOB COMPLETED FINAL / JOB COMPLETED
ETE FLAT WORK SHALL BE PLACED A} ABOVE APPROVALS DO -NOT INCLUDE RIGHT TO
U
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