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07-1313 (AR)P.O. BOX 1504- ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 7-00001313-- 07-00001313-- Property Address: Property 79740 NORTHWOOD APN: 762-022-024- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 60000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TED & VICKI MARTENS 79-740 NORTHWOOD LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: Architect or Engineer. BRAUCKMANN INC .50855 WASHINGTON EET, #227 LA QUINTA, CA 92 53 4111, (760) 485-9269 Lic- No.: 781831 cO'44z sei��C�� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am r under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Busines d Professions , n my License is in full force and effect. , License Class: a o.: 781834 Date: C actor: O W NER-BUILDER. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the fallowing 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 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 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.). ' (_) 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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: Lender's Address: LQPERAI[T Date: 8/10/07 pj� 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. 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 E] EMPT Policy Number EXEMPT 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 should become subje rkers' compensation provisions of Section /QQ3 0 of the Labor Code, I shall f co /= o 'Artt st't a provisions. DO fJ 0 pp"Cant: WARNING: F [LURE 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. 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 laws relating to building const r cx4errJ!ItMereby authorize representatives of.tt�,cout to n r upon the above-mentioned property fo i prr� e n purp " t< Bate: /3 `''� ature (Applicant or Agent . 'Application Number . . . . . 07-00001313 "- -----= -Structure Information 223SF ADD W/REMOD/548 PATIO/V-NR/RES-3 ----- Other struct info ., CODE EDITION- 2001/2005 # BEDROOMS .00 FLOOD ZONE NO PATIO SQ FTG 548.00 1ST FLOOR SQUARE FOOTAGE 223.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 459.50 Plan Check Fee 298.68 Issue Date . . . . Valuation . . . . 60000 Expiration Date 2/06/0'8 Qty Unit Charge Per Extension BASE FEE 414.50 10.00 4.5000 THOU 'BLDG 50,001-100,000 45.00 Permit . . . ELECT - ADD/ALT/REM' Additional desc - Permit Fee. . 22.81 Plan Check Fee,. 5.70 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/06/08 Qty Unit Charge Per Extension ' BASE FEE 15.00 223.00.0350 ELEC NEW RES - 1 OR 2 FAMILY 7.81 " Permit MECHANICAL Additional desc . Permit Fee" . . . . 55.50 Plan Check Fee 13.'88 Issue Date . . . Valuation . . . . 0 - Expiration Date 2/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 " 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 9.0000 EA MECH.B/C <=3HP/100K BTU 18.00 Permit PLUMBING Additional desc . Permit Fee 36.00 Plan Check Fee '. 9.00 Issue Date . . . Valuation 0 LQPERMIT Application Number . . . . . 07-00001313 Permit . . . . . . PLUMBING Expiration Date 2/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------- Special Notes and Comments ----------------------- 223SF ADDITION TO RESIDENCE [EXPANDED KITCHEN AND ENCLOSED ATRIUM] 548SF ADDITION TO PATIO COVER [EXPANDED EXISTING ADDED FIREPLACE AND COUTERS] V-NR/RES-3. [ENGINEERED] August 10, 2007 2:08:27 PM AORTEGA ----------------------------------- ---------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 29.87 STRONG MOTION (SMI) - RES 6.00 Fee summary Charged Paid ----------------------------------------------- Credited ---------- Due Permit Fee Total 573.81 .00 .00 573.81 Plan Check Total 327.26 ..00 .00 327.26 Other Fee Total 35.87 .00 .00 35.87 Grand Total 936.94 .00 .00 936.94 LQPERMIT T•I' r � '�. Bin # _ City. of La Quints = :. Building & Safety Division P.O. Box 1504, 78=495 Calle Tampico r La Quinta, CA 92253 - (760) 777-7012 ' Building,,Permit Application<a'nd Tracking Sheet ` Permit-# Project Address: 6 Owner's Name'A4 AS A. P. Number: 74pz . d>zz- Address: Legal Description: Contractor: City, ST, Zip: L* fah &M �• ct 'S Telephone' Address: Project Description: City, ST, Zip: Telephone: State Lic. # : City Lic. #: - ' Arch., Engr., Designer: L SC �l e►!� Address: ? C> - .City, City, ST, Zip: �..�. V t `-'�-•� �l ' .. Telephone:760 . S 1 State Lic. #:Project Name of Contact Person: A -ti . 1"bL- 10 &60k-4 Construction Type: Occupancy: type (circle one): New(1-din Alter Repair Demo Sq. it.: v #Stories: f #Units: Telephone # of Contact Person: `%W • E' • 19.6c (p • - Estimated Value of Project: ' APPLICANT: DO NOT WRITE BELOW THIS LINE - 1 Submittal Req'd Recd TRACK NG PERMIT FEES Plan Sets Plan Check submitted i Item • ' �. Amount n Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs: Plans picked up WA Construction Flood plain.plan .Plans resubmitted �Iro/p'J Mechanical Grading.plan 2"" Review, ready correc sue �jp �, Electrical Subcontactor List Called Contact Person b T Plumbing Grant Deed Plans picked up S.M.L. H.O.A. Approval Plans resubmitted Grading • INHOUSE:- ' Review, ready for correctio ss Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. ub. Wks. A r Date of permit issue &.Sch0olFe Total Permit Fees' r. 5151 Q KIS. Ric, _ t A t CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 8/1/07 La Quinta, CA 92253 No. 29614 (760) 771-8515 Aar%-'-�Cco) .� Q BERMUDA DUNES r In RANCHO MIRAGE d INDIAN WELLS ffi+, PALM DESERT .y V LA QUINTA %INDIO y� Owner Ted & Vicki Martens APN # 762-022-024 Address 79740 Northwood Jurisdiction La Quinta City La Quinta Zip Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79740 Northwood 223 Unit 6 Unit 2 Unit 3 Unit 4 Unit 5 Comments 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 patioshwalkways, 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 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 223 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 Brockman Check No. Name on the check Telephone 485.9269 Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempt y of C ey Payment Recd Over/Undpr; Signature",.' ., {efr',cft Itti NOTICE: Pursuant to Government Code Section 66020(d)(1), this will erve 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 dat on ' 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 en 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 CITY OF LA .4WINTA SUIS -CONTRACTOR [._IST JOB ADDRESS _ .ERMIT NUMBER 0-7- l 3 t3 OWNED. Wdet� I .p�ER� This form shall be Dosted on the iob with the Building Inspection Card at all times in a Conspicuous12lace. Only persons appearing on this list or their—employees are authorized to wort on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will .result in a stoppage of building permit. For each applicable trade. all informatinn ranivactn.l knl-- —..-* I-. ____�_._� p y . ppage of work and/or the voidanc( Trade /Classification .. EARTHWORK IC -121 CONCRETE (C78) FRAMING. ` :: :. :::.. STRUCT. STEEL- .... C-51) ::. Contra clot " Company Name _._ n .� V c�-Q' Z Ai rL �D�Ct( i"Iok.ty L�� 1 ��O N rL : •.:. :..:.:. ..:.:.:.::.::...:.>:>• Stat e..Contractor Classification (e.g. A, B, C-8) A G — Z l ) - - - -- .s Lacertse License N=umberExp. (xxxxxx/xx) 71'3"4 � j �� � � � ( / (D ��•►- �•�� - ' - Date 1//3a 01-7I//c'�' t 7 ,°0 3 �a+ ° O �y applit atlt. t✓il me is not an acceptable response. :...: :... ::: �-..::;.:.:• :• :.•: ; :. Wo kei.Co ensatio';lisu�ance:..: ' .. .: City. Biis�e5s. Li$erisa':.:: Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number " Exp. Date (xxxx) (xx/xx/xx) ' 5-7 1.3. �� i"y-� w(P t� • � Wt u- s c�Ko • 0,-- qA S f ,�)� Co u t. P 2-Z1 - o,1/92 -I-) Uj S 00196?y.�1 of . 1 i C>0/5787- / �1 z./1/`79 Y (C-29) W L PLUMBING (C-36) LATH; PLASTER (C-35) DRYWALL (C-9) • ::.. :. W1 C-0 CaIA5f rVVi-IQ✓4 t, (= T. �'} g 4 tLi+ ?tt� LA4�f e .Cov�S rc�t� � 9 jai , . �} t �{ li-t� G-3 - J'IS, 1(9 3 q,7 491. % Z O ! $%�/ 3 q13,o/pg 3 3l�O� 5�-A-e_ o 5/"�}.iE"C.4=Eta � t.�. 5 t',y- e. Lo �•'raE e.Avw � 0yy-00z -7l Z:. ®� ogi8 � ; ,h a , 3- ► og J I �0 9 ©t{,-0:i`LS� Z / dog Hyc(c-2o)...;:::::..: ':: :..: :.. ` ELECTRICAL. L,^r011+-l'` A¢(2\ A—d L'3 -O C -/ 0 %�9 3q 1- g J / S-3 I �.3/�p� R0QFING`1C=391:.::;::.:: :SHEET METAL-(643) FLORING P n s O�iWE'�S �Or3t�� to.t?OyI� Z� .5 g 7 0�Q1 S2Li II SF�l►_ � y�07� 3%3110 Jg/ 1�.�E 0.6 ,9 9 j� 0i0-0�f -rc47v3111002S8es' 3/ i�1. 7 / 99 .-`�1M . �9 .3�/ 5 GLAZING IC-1)7.. :77—f�irf�- INSULATION:`(G-2) . SEWAGE.DISP: (C-42). 5y(pLl i t� . �chv�tld �tg. _C-� . _ H 3 /s%7 oiMt` 990 PAINTING (C-33) CERAMIC TILE (C-54)1 rr�� CABINETS (C-6) �N FENCING (C-13) O .omav v/i !41d �,£Z �.A/���`�. G- 3Y.7� �t Ls -1 yl 30 6.1jj Cr l . aa376 Z 3 19 .''ft? a 0 :. `7 9 Z1/1O 8^ /O/ -3 24b 1 ro 3 08 9� ,s 08 - � e'og 1� ; LANDSCAPING M-27 POOL (C-53) W ' PF06�A C'.3 CJ� 1 8,So o1. 11 Isa 311 y� 60 W1 P �, 1?0 yy0b Iz 13� Z- 3 S"7 10 C"!