06-1429 (AR)• P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 ' BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
4/19/06
Application Number: 06-00001429' Owner:
D 4
Property Address: 51195 AVENIDA VELASCO CARRILLO MARIANO SALI
APN: 773-064-018-8 -000000= P 0 BOX 272 APR 2 0 1006
Application description: ADDITION - RESIDENTIAL THERMAL, CA 92274
Property Zoning: COVE RESIDENTIAL' Other struct info
Application valuation: 20149 �I1yQFLAQUJNrA
Contractor:
Applicant: Architect or Engineer: Owner
---------------------------------------------------
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: E FOOTAGE License No.:
" 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
a�lpplicant 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 herselfthrough 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 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. , BAP.C. for this reason _
Date: Owner:(-T--,rri 11c)
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.I.
Lender's Name:
Lende'r's Address:
LQPFFMIT
DITION 2001 CBC
—-—————————————————————————————————————————————
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 3.00 Policy Number NO
. - 1 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 subject to the workers' compensation provisions of Section
337/00 of the Labor Cod I shall forthwith comply with ns.
Date: Applicant: Z \ A'f�`j
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.
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 construction, and hereby authorize representatives
of this coungtty folenter upon the above-mentioned property f r' spection purposes.
Date: V r/ Signature (Applicant or Agent):
V?:
Application Number .
. 06-00001429
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
216.00` Plan Check Fee
140.40
Issue Date . . . .
Valuation . . . . .
20149.
Expiration Date..
10,/16/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
19.00. 9.0000
THOU BLDG 2,001-25,000
171.00
Permit . . . MECHANICAL
Additional desc .
Permit Fee
19.50 Plan Check Fee
4.88
Issue Date
Valuation
0
Expiration Date,.
10/16/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.500'0
EA MECH VENT INST/ DUCT ALT
4.50
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
27.25 Plan Check Fee
6.81
Issue Date . . . .
Valuation
0.
Expiration Date_
10/16/06
QtyUnit,, Charge
Per
Extension
BASE FEE
15.00
350.00 .0350
ELEC NEW RES -'l OR 2.FAMILY
12.25
Permit
PLUMBING
Additional desc
Permit Fee . . . .
37.50 Plan Check Fee-.
9.38
Issue Date
Valuation
0
Expiration' -Date
10/16/06 .
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12..00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000• --EA .PLB GAS PIPE.1.-4 OUTLETS
3.00
---------------------------------------- ------------------------------------
Special Notes and Comments
350 SF. ADDITION WITH
86 SF. PATIO COVER
r
LQPERMIT
0
Application
Number
06-00001429
Other Fees
ENERGY REVIEW
FEE
14.04
STRONG MOTION
(SMI) - RES
2.01
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee
Total
300.25
.00
.00.
300.25
Plan Check
Total
161.47
00
.00
161.47
Other Fee Total
16. 05-
.00
.00
16.05
' ----A m..a -, l
A '7'7 '7'7
A A
r%A
A -7'7 '7'7
Bin #
City of La Quinta
-Building & Safety Division L,Q
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
`j
Project Address: 5 I R5
U•E1A-S C D
Owner's Name: WILJA NO UI L L 0
/-AVEM13A
A. P. Number: 7 `' 3 ' D bLt O 15
Address: 51 S .k(f '—'_PI()A VELA S Ca
Legal Description: Li)T ( K 70 MPS CAAMe.\ .
City, ST, Zip: (AL)1 �',� S3
Contractor: 0u w_A_ 1(1 Ui l.Qfe/L
Telephone: —7/60 1-M (q— ;;'i �`'�%•''}%;?e>" ,ice?`'
Address:
Project Description:
City, ST, Zip:W
13 Zo CA ST 010 S ,. % 350 SQ fl—, A06.
Telephone:EN
' `:s:;• l �"f
State Lie. # :
City Lie. C
/I!19S U93 rT baU/U D
Arch., Engr.,
Gr p eA`j t0
Address: 16106 -fl\rgA1(0A _0CS' CAJ s (�
City., ST, Zip: DJ CA 97240
Telephone: �6c0 272 5183
State Lie. #:
� � • •�<" '�•< . �'�.
k:1 •.Yf:•:,y1.
'
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft : '3 rjQ #Stories: # Units:
a
Name of Contact Pers on: ..
Telephone # of Contact Person: 76o 27Z �j (g3
Estimated Value of Project: 20 1v
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG
PERMU FEES
Plan Sets
Plan Check submitted
7
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales. ?
Called Contact Person
Plan Check Balance
Title 24 Cales.."
Plans picked up
Construction
Flood plain pl"
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor 61t
Called Contact Person
Plumbing'
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approxi
Plans resubmitted
Grading
IN HOUSE:-
7rd Review, ready for co
Developer Impact Fee
Planning Approval
Called Contact Person S ,x/021✓
y�l
A.I.P.P.
Pub. Wks. Appi
Date of permit issue
School Fees j
J
Total Permit Fees
3= a5c•r�/FloO2 fo(,gj �R- A-4aegs�
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, 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 350 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 -Claudio Carrillo Check No.
Name on the check Telephone 564-3714
]blinding Exempt
By Ar. Doris Wilson
Superintendent
Fee collected /exempted by Patricia Barbuzza
Signature il'
tiL�(�ctterUYJ�
Payment Recd _42.00 : y
Y --r
i- ,zOver/Undesv
d V'V it •, `✓ V4
k
NOTICE: Pursuant to Government Code Section#020(d)(1), this will serve 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 rur/ om 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 Districts) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting
CERTIFICATE OF COMPLIANCE
�N�FSc
Desert Sands Unified School Districto
47950 Dune Palms Road
'� < BERMUDA"DUNES DUNNESES o
BERr
Date
4/2o/O6
La Quinta, CA 92253
RANCHO MIRAGE
INDIAN WELLS
No.
28395
C
(760) 771-851 5
DESERT
d� F LIVILA QUINTA �y
OINDIO y7ti
p.
Owner
Claudio Carrillo
APN #
773-064-018
Address
51-195 Avenida Velasco
Jurisdiction
La Quinta
City
La Quinta Zip 92253
Permit #
Tract #
Study Area
Type
Residential Addition
No. of Units
Lot # No. Street
S.F. Lot # No..
Street S.F.
Unit 1
51195 Avenida Velasco 350 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 garages/carports, covered patios/walkways, 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 350 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 -Claudio Carrillo Check No.
Name on the check Telephone 564-3714
]blinding Exempt
By Ar. Doris Wilson
Superintendent
Fee collected /exempted by Patricia Barbuzza
Signature il'
tiL�(�ctterUYJ�
Payment Recd _42.00 : y
Y --r
i- ,zOver/Undesv
d V'V it •, `✓ V4
k
NOTICE: Pursuant to Government Code Section#020(d)(1), this will serve 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 rur/ om 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 Districts) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting
r
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253.
TELEPHONE (760) 777-7012 FAX (760) 777-7011 y
OWNER/BUILDER INFORMATION
Dear Property Owner:.
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For -your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies foe the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades -that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such person's are not licensed ascontractors or
subcontractors, then you may be an employer. ,
If you are an employer, you must register with the State' and Federal Government as an employer and you are subject
to several obligations include 'State and Federal income tax withholding, federal social security taxes, wo'rker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these 'risks are especially serious with
respect to worker's compensation insurance.
Y .
For more, specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own' work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 777-7011
OWNER'S SIGNATURE/DATE '
PROPERTY ADDRESS
,06, AW q
PERMIT NUMBER(S)
BUILDING & SAFETY DEPARTMENT
January 19, 2007
Mariano Carrillo
51195 Avenida Velasco
La Quinta, CA 92253
RE: Building Permit Extension Request — 51195 Avenida Velasco.'
Dear Mariano:
I have reviewed your recent letter, requesting a time extension for the residential
addition and patio cover being constructed at the above address under.Building
Permit #06-1429. Our records indicate the following status on. this project.
Inspection status:
Permit issued: 4/20/06
Last successful inspection: 7/26/06 (Roof Nail) .
180 -day expiration date: .1/22/07
1.80 -day extension date: 7/23/07
Under the provisions of California Building Code Section 106.4.4, your request
is hereby granted.
Because the Building Code specifies that'no permit shall be extended more than
once," please be'advised that unless the project -passes its next required
inspection on or before Monday, July 23, 2007, your building permit will expire
automatically.
Yours truly.
Greg Butler
.Building & Safety Manager
P.O. BOX 1504 • LA QU.INTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO • LA QUINTA, CALIFORNIA 92253
(760) 777-7012 • FAX (760) 777-7011