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12-0509 (AR)�.414 L P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000509 Property Address: 78405 COYOTE CANYON CT APN: 770-240-005- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 100000 T-ity 4 XP Qulkl BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed unde ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and�es.nalice, and my License is in full force and effect. License Class: B se No.: 958992 X.. Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 (S500).: _ 1 _ 1 1, 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 Contramow State LlcenSe LaW 060S h6t 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.). (_ 1 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 contractors) licensed pursuant to the Contractors' State License Law.). I—) 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: LQPERMIT Owner: MICHAEL BALMUTH, 78405 COYOTE CANYON LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/09/12 Contractor: ` .4V(j F/ \ PREMIER BUILDERS G�jS1 J P..O. BOX 1329 INDIO, CA (760)296-1726 02 ���cF•4�G/ ,? D1 Lic. No.: 958992- - 58992 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. 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: Carrier EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this per is issued, I shall not employ any person in any manner so as to beco ubject o the wo r compensation laws of California, and agree that, if I should become b' ct t works' mpensation provisions of Section 3700 of the Labor Code, I shall rt ith o ly w' se provisions. Date: /L Applicant: IL WARNING: FAILURE TO SECURE WORKVEI ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALALTIES 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 info a on ' c rrec I a ree to comply with all city and county ordinances and state laws relating to building cons cti n, nd er y au orize representatives of this county to enter upon the above-mentioned property for ins act' n rp se F Date: �� 2 Signature (Applicant or Agent): Application Number . . 12-00000509 ------ Structure Information 300SF DWELLING+182SF GARAGE ADDITION ----- Other struct info . . . . . CODE EDITION 2010 GARAGE SQ FTG 182.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 300.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 639.50 Plan Check Fee 415.68 Issue Date . . . . Valuation 100000 Expiration Date 2/05/13 Qty Unit Charge Per Extension BASE FEE 414.50 50.00 4.5000 ------------------------------------- THOU BLDG 50,001-100,000 --------------------------------------- 225.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee . .. . . 29.14 Plan Check Fee 7.29 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/05/13 Qty Unit Charge Per Extension BASE FEE 15.00 300.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 10.50 182.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 3.64 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . .45.50 Plan Check Fee 11.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/05/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MFiCH VENT INET/ DUCT ALT 1.50 4.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 26.00 Permit . . . PLUMBING Additional desc . . . Permit Fee . . . . 48.00 Issue Date . . . . Expiration Date . . 2/05/13 Qty Unit Charge Per LQPERMIT Plan Check Fee . 12.00 Valuation . . . . 0 Extension Application Number . . . . .. 12-00000509 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 .5.00 6.0000 EA PLB FIXTURE 30.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 300SF MASTER BATHROOM AND 182SF CART GARAGE ADDITION/VB/RES-3/CLASS A -FR [ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, RELOCATION OF EXISTING MECHANICAL EQUIPMENT OR CONDITIONING OF GARAGE. 2010 CALIFORNIA BUILDING CODE. August 9, 2012 3:54:43 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 4.00 ENERGY REVIEW FEE 41.57 STRONG MOTION (SMI) - RES 10.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 762.14 .00 .00 762.14 Plan Check Total 446.35 .00 .00 446.35 Other Fee Total 55.57 .00 .00 55.57 Grand Total 1264.06 .00 .00 1264.06 LQPERMIT Bln. # + City. of - La Quin to Building 8r Safety Division P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Q �D`'t Project Address: 71 ib 40,5 CD pre- Ca ON G Owner's Name:. � tG � Yvl 4L7 A. P. Number. Address: .1 $'40r t (AN- o 11,, Legal Description: t tva(-T 0 ZSq?D _( City, ST, Zip: I.& I N J,04- q L2 Contractor: � - �rCrYl1e V- (2Dulders � Telephone: (/ Address: PQ �j-:oC t - 2A . Project Description: City, ST, Zip: [ VL d P c� "myoGt tl1,-f bp, �- Telephone:, (Ott 7% <r. � I7,0 4. u A State Lic. # :' . 'l S . 2 City Lie. #; Arch., Engr., Designer. WQ,t Address: S O cl v L,I' City, ST, Zip: (A� lhr- LJc/dj cam- u(a Telephone: (o O ZS O ' ' ° w� K. . - Construction Type:. (&W �JAI Occupancy: State Lic. #: % project type (circle one): New CA-dj;7 Alter Repair Demo Name of Contact Person: � yq.A-1 (eVjj-4&j Sq. Ft.: y Qj Z # Stories: # Unit;: Telephone # of Contact Person:-? bo 2i7 7j7 H '7 S" Estimated Value of Project)00,000 `�- APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd Recd TRACIMG PERMIT FEES Plan Sets p� Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Trues Cates. Called Contact Person Plan Check Balance. Title 24 CA& Plans picked up 5 25 Construction Flood plain plan Plans resubmitted Mecbatilcal Giading plan 7' Review, ready orrec ' �ssu nI Electrical Subcoutaetor List Called Contact Person Plumbing Grant Deed l Plans picked up k!/f y S NLL H.O.A. Approval Plans resubmitted 1114Gradlag ER HOUSE:- Review; ready for corned ussne Developer Impact Fee Planning Approval Called Contact Person .P.P. / Date of permit Issue p Pub. Wks. Appr School Fees Total Permit Fees 5/2 2 ecc,. 5113 �tts -71--%q ocz 1? Date 7/16/12 No. 31330 CERTIFICATE OF COMPLIANCE 4G'� Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDADUNES O RANCHO MIRAGE d La Quinta, CA 92253 N INDIAN WELLS {fi PALM DESERT y (760) 771-8515 LA IDOU O 11 1 a O y3 0 Owner Michael Balmuth APN # 767-240-005 Address 78-405 Coyote Canyon Ct Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # No. of Units Type Residential Addition Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 78405 Coyote Canyon Ct 300 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 collect fees on garagestcarports, 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 300 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 - Gonzalo Guzman Check No. Name on the check Telephone Funding Exempt BY Dr. Sharon P. McGehee Superintendent' .. Fee collected /exempted by Patricia Barbuzza Payment Recd lf ,i',.Over/Undqr ; Y Signature P•Q.� Il JO(d)(1), NOTICE: Pursuant to Government Code Section this will serve 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 DistrictCs) behalf, whi �V'r lvEn NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting JUL 2 4 "912 BY:--- _- Tradition June 30, 2012 Mr. Michael Balmuth 1372 Broadway, F1 10 New York, NY 10018 Re: Lot 47, Tract 28470-1, 78405 Coyote Canyon Remodel — Room Addition/Final Construction Documents (Email Response) Dear Mr. Balmuth The Tradition Architectural Design Review Committee (ADRC) previously approved the final working drawings for your residence on Coyote Canyon. The conditions listed on. the last review letter were further clarified by Kevin Leonhard of Walling & McCallum. Thank you for this additional information. Please contact Brook Marshall at (760) 219-8057 or by email at ira;4."_t1-,;c1 �,.i=�� with any questions or to schedule a Pre -Construction Meeting in the field Prior to starting any remodel work at your. residence. Sincerely, Tradition Architectural Design Review Committee cc: John Walling ADRC File RFS`; IVSD DESERT RESORT MANAGEMENT POST OFFICE Box 14387 - PALM DESERT, CALIFORNIA 92255-4387 42-635 MELANIE PLACE, SUITE 103 - PALM DESERT, CALIFORNIA 92211 TELEPHONE (760) 346-1161 - FAx (760) 346-9918 February 9, 2011 City of La Quinta Department of Building and Safety 78495 Calle Tampico La Quinta, CA 92253 Re: Balmuth Residence 78-405 Coyote Canyon Tradition Golf Club La Quinta, CA 92253 Gentlemen, WALLING & MCCALLU M / LTD ARCHITECTURE • PLANNING E N G I N E E R I N G 45-190 CLUB DRIVE WALLINr3ARCHnQAOL.COM INDIAN WELLS, CA 92210 FAX (760)360-0786 .760) 360-0250 I have reviewed the truss calculations, and have found them to be in compliance with the drawings. Yours truly, John G. Walling, A.I.A. JGW/jls RECEIVEI ) JUN 25 2012. %IM CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS 13`�d� t_ny trf` Caht(dr C'f, PERMIT NUMBER OWNER Mtunael d-SA��� IJmv±-6 BUILDER. Pe'ejuter 13�c Arr-r This form shall be posted on the iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work 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 work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade /Cas sification "Contractor', ontracto >":':::'::::::S ate:: :.::> t .. Contractot .s License_ . satiou.,.. Workeis.Corrt e� n :Ins ranee::::: ;;.. :: ;::.:: City Busine s License::::..`. y Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp, Date (xx/xx/xx) EARTHWORK (C-12).: ;• ' CONCRETE IC-8)'::.'IAle r L 9-tl Fc to cS 47 b 30 I 31 (3 0111 1 l to va- If 12 Z(P'lO (o �I POOL (C-53)