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11-0953 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r11-00000953 L� Property Address: 50850 NISPERO' l APN: 772 -070 -021 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 27634 Tdv/440" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: AULT DAVID 50850 NISPERO LA QUINTA, CA 92253 (760)771-4722 Contractor: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/02/11 ?0-a Applicant: Architect or Engineer: SUN VISTA DEVELOPMENT CORP I v P.O. BOX 1144 Cm OF (�UINIT- LA QUINTA, CA 92247 iFi«�+� =F (760) 771-4722 LiC. No.: 744091 P - LICEN D CONTRACTOR'S DECLARATION ------------------------------- WORKER'S COMPENSATION DECLARATION - I;hereby affirm under penalty of perjury that m tensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: . Section 70001 of Division 3 of the Busine and rofessionals Code, and "my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 13 License 744091 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Dater, ontractor: 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 ILDER DECLARATIONinsurance W�pt carrier and policy number are:Ifierebyaffirm under,penalty rjur tha7aelm, from the Contractor's State License Law for the Carrier STATE FUND Poli Number 0000179-2010 ' following reason (Sec. 7031.5, Business anessions Code: Any city or -county that requires a permit to _.l certify that, in the performance a ork for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure,. prior to its issuance, also requires the applicant for the ' Co ion laws of California, person inanymanner so a beco a subject to the wlhesprovismns. permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I shou become bject to the workepensation provisions of. Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3709 of .e Labor C e, I shall f hwith co ly h (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).: Date Applicant: 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 WARNING: FAILURE TO SEC RE RK ' COMP S ION C VERAGE IS UNLAWFUL, AND SHALL ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO RI NAL PENALTIES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS 1$100,0001. IN AD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City h kb' 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: �Ay Lender's Address: I` LQPERMIT of La Ouinta, its officers, agents and emp ogees or any act or omission re ate to a wor emg 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, es ation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the abo inform ion i correct. I agree to comply with all city and county ordinances and state laws relating to buildi construc on, a hereby authorize representatives of this county to en r upo the above-mentioned prope fo 'nspe ion al se . i l D e:/ lure (Applicant or Agent): Application Number . . . . . 11-00000953 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 271.50 Plan Check Fee 176.48 Issue Date . . . . Valuation 27634 Expiration Date 4/30/12 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 THOU ,BLDG 25,001-50,000 ---------------------------------------------------------------------- 19.50 ------ Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 26.97 Plan Check Fee 6.74 Issue Date Valuation . . . . 0 Expiration Date.. 4/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 342.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 11.97 Permit . . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . 0 Expiration Date 4/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 4.5000 EA MECH VENT INST/ DUCT ALT 9.00 Special Notes and Comments 342 SF ADDITION TO EXISTING DETACHED CASITA PER ENGINEERED PLANS. 2010 CODES DAVID W..HELTON ARCHITECT C-32640. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 17.65 STRONG MOTION (SMI) - RES 2.76 Fee summary Charged Paid Credited Due Permit Fee Total 322.47 .00 .00 322.47 Plan Check Total 189.22 .00 .00 189.22 Other Fee Total 22.41 .00 .00 22.41 Grand Total 534.10 .00 .00 534.10 LQPERMIT 5�� Ms= Y -r TAB Bin # Permit # Project Address: 0 , A. P. Number: City of la: Quints Building.a Safety Division ' P-0: Box 1504,78-495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012, Building Permit Application and Tracking Sheet 5L7 Owner's Name: • Address: - Legal Description: 9//s em ,��'G City, ST, Zip: Contractor:yq 140/6 i Telephone: ' ,. ,M-,?". Address: Project Description: City, ST, Zip: Telephone: 4 kC 514. A,W",n>:., tijj•.�Ai,?J. . State Lic. # : City Lie. #; Arch., Engr., Designer. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #:. Name of Contact Person: XA3' K n .. �:-y;<��?�`: "VV? Sq, FL: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: p Submittal APPLICANT: DO NOT WRITE BELOW THIS UNE Req'd Rec'd TRACIUN1G PERMIT FEES Plan Sets Plan Cheek submitted 4J I Item Amount Structural Cala. Reviewed, ready f co 0 5 . Plan Check Deposit Truss Cala. Called Contact Person 2.(W Plan Check Balance Title 24 Cala. O� Plans picked up Construction Flood plain plan Plans resubmitted ` Mechanical Grading plan V. Review, ready for correctionvUsue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval {I Plans resubmitted Grading m IN HOUSE:- 3" Review, ready for correctionsrusne Developer Impact Fee iL IV Planning Approval Called Contact Person A.I.P.P. • Pub. Wks. APPr Date of permit issue 11 Z • School Fees II /j ( `va er .S Total Permit Fees q f I -� -O 9/l.5 9//s em ,��'G 10fi? 06z� 4 3A. -%j d44oc 140/6 i 36%gC App kO. 40M MA4- :q53 P.O. BOX 1504 APPLICATION ONLY -S 78-495 CALLE TAMPICO Address Building Q � �� �, LA QUINTA, CALIFORNIA 92253 v� � Owner BUILDING: TYPE CONST. OCC. GRP. Mailin Address A.P. Number—7-7 1g,— 0-70jjc�,' C, . ®, Zi I. Legal Descriptio �/dv z�.s (740)771:x Contractor 111roject Description Address _ D. Fc X //vq State Lic. City & Classif. 1051 Lic. # Arch., Engr., Designer Address Tel. 124191;6 S ty , 1 i8 z1 2- 90 � LState ic t#e_3Z 6 y0 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I a�� licensed under frovistons of Chapter Vcommencing with Section 7000) of Divisiogt of I e Apgoess and P otessions Code, anVhy license i1F in fWI force and OWNER -BUILDER DECLATION I hereby affirm that I am exempt from the Cont clot's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). of ' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.' If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT Sq. Ft. No. No. Dw. New ❑ Add V," Alter ❑ Repair ❑ Demolition ❑ 9Z1.2 s. -P. Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE— Issued by: Validated by:— Validation: YELLOW = APPLICANT INSPECTOR Date Permit PINK = FINANCE CERTIFICATE OF COMPLIANCEv'sc Desert Sands Unified School District �o�es do 47950 Dune Palms Road ¢ BERMUDA DUNES r' rn RANCHO MIRAGE Date 11/2/11 La Quinta; CA 92253 INDIAN WELLS (Si PALM DESERT ,y No. 31137 (760) 771-8515 LAINTA �QINDID y� . m Owner David Ault APN # 776-070-019 Address 50-850 Nispero Jurisdiction La Quinta City La Quinta I Zip Permit # Tract # No. of Units 1 Type Residential Addition Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 50850 Nispero 342 Unit 6 Unit 2 Unit 3 Unit 4 Unit 5 Comments 4 Unit 7 Unit 8 Unit 9, Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, 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 342 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 - Rob Capetz Check No. Name on the check Telephone 760-7714722 Funding Exempt By Dr. Sharon P. McGehee Superintendent Fee collected /exegiAted by Signature NOTICE: Pursuant to Government Code Section 66*620(d)(1), this or other payment identified above will begin to run from the date 0( which those amounts are paid to the District(s) or to another public �Ot Payment Recd .$0.00 1 z`�Over/Under . 711 to notify you that the 9D -day approval period -in, r kh you�may protest the fees building or installation permit for this project is issued, or from the date on horized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt 'Copy - Accounting CITRUS COURSE HOMEOWNERS ASSOCIATION NOTICE OF APPROVAL :. September 27, 2011 David & Diane Ault 533 Playa Newport Beach CA 92660 RE: 50850 Nispero 'Dear David & Diane Ault: Your Request for an architectural change has been approved. Specifically, you have approval to proceed with the following: Adding square footage to exisiting casita for office space. Specification of changes are noted in submitted plans. We reserve the right to make a final inspection of the change to make sure it matches the Request you submitted for Approval. Please follow the plan you submitted or submit an additional Request form ifyou cannot follow the original plan. Your approval is conditional with the stipulation of the following: You must follow all local building codes and setback requirements when making this change. A Building Permit may be needed. This can be applied for at the City offices. Our approval here is only based on the aesthetics of your proposed change. This approval should not be taken as any certification as to the construction worthiness or structural integrity of the change you propose. If applicable, please be aware that you are responsible for contacting the appropriate utility companies before digging. Thank you for submitting your application and we look forward to receiving your notice of completion upon commencement of completed work. For your convenience a "notice of completion" document has been attached. We appreciate your cooperation in submitting this Request for Approval. 'An attractive Community helps all of us get the full value from our homes when we decide to sell. Sincerely, Citrus Course HOA Encl. l P.O Box 12920 Palm Desert, CA 92255 41-865 Boardwalk, Suite 101, Palm Desert, CA 92255 760.346.9000 ` FAX 760.346.9997 = www.citruscoursehoa.com ;