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05-2776 (SFD)j P.O. BOX 1504 78-495 CALLE TAMPICO ,• . LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002776 Property Address: 5219-5 AVENTD ELASCO APN:773-224-021-10 -000000- Application description: DWELLING - SINGLE FAMILY E Property Zoning: COVE RESIDENTIAL Application valuation: 122224 Applicant: T-iht 4 4aul�rw Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Lic. No.: OOR SQUARE FOOT 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 P ofessionals Code, and my License is in full force and effect. License Class: B License No.: 816725 Date:f� l? O Contractor: OWNER -BUIL DECLARATION . I hereby affirm under penalty of perjury that I am exempt from a 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 asigned 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.). (_ 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 1 I am exempt under Sec. , B.&P.C. for this reason ate: 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.). I Lender's Name: Lender's Address: LQPERMIT Owner: EVENEL MERVILUS 52-195'AVENIDA VELASCO LA QUINTA, CA 92253 Contractor: GK CONSULTING GROUP INC P O BOX 1014 LA QUINTA, CA 92247 (760)322-2522 Lic. No.: 816725 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/09105 WORKER'S COMPENSATION DECLARATION 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 STATE FUND • Policy Number 1828069-2005 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 sA.ubjact to the workers' compensation provisions of Section 3700 of the Labor Codgrf.sha Miii(h,4ith comply with those provisions. . WARNING:. FAILURE TO SECURE WORKfRSJ COMPENSATION CQ),WRAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL AEVALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$1 00,000). 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 fora 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 coun ordinances and state laws relating to'building construction, and hereby authorize representatives of thi%s c unty tenter upon the above-mentioned property for ins eco r o s. ate' f%J gnatere fApplicantror AgenU: �Application Number. 05-00002776 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 720.00 Plan Check Fee 468.00 Issue Date . . . Valuation . . 122224 Expiration Date 3/08/06 _ Qty Unit Charge Per Extension BASE .FEE 639.50 23.00 -------------------- 3.5000 --------------------------------------------------------- THOU BLDG 100,001-500,000 80.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 106.00 Plan•Check'Fee 26.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1901.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 66.54 473.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.46 1.00 15.0000 ----------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 Permit . . . MECHANICAL Additional desc . Permit'Fee . . . . 52.50 Plan Check Fee 13.13 Issue Date Valuation . . . 0 Expiration Date 3/08/06 > 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 LQPERMIT Application Number . . . . . 05-00002776 Permit . . . . . PLUMBING Additional desc . Permit Fee 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/08/06 ` Qty Unit Charge Per Extension BASE FEE 15.00 9.00' 6.0000 EA PLB FIXTURE 54.00 1.00 15.0.000 EA PLB BUILDING SEWER 15.00- 1.00 7.5000 EA PLB•WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4:50 1.00 15.0000 EA PLB GAS METER 15.00 ----------------------------------------------------------- ----------------- Special Notes and Comments 1901 S.F: SFD PERMIT DOES NOT INCLUDE BLOCK WALL,•POOL/SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . .. ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY'CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 46.80 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 12.22 DIF STREET MAINT FAC RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 1016.50 .00 .00 1016.50 Plan Check Total 538.38 250.00 .00 288.38 Other Fee Total 2484.02 .00 -.00.. 2484.02 Grand Total 4038.90 250.00 .00 3788.90 LQPERMIT At the present time, the Desert Sands Unified School -District does not collect fees on garages/carports, covered patiostwalkways, 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: 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 $2.24 X 1,901 S.F. or $4,258.24 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/Guaranty Bank - Joseph Gary check No. 3086110 M CERTIFICATE OF COMPLIANCE Telephone 219.4830 Funding Residential Desert Sands Unified School District �J�� q�L� Superintendent io.�h,` 47950 Dune Palms Road < BERMUDA DUNES O Date 10/6/05 La Quinta, CA 92253 RANCHO MIRAGE CJ r INDIAN WELLS No. 27734 760 771-8515 PALM DESERT `yY LA QUINTA �' INDIO Owner Evenel Mervilus APN # 773-224-021 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52195 Avenida Velasco 1901 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 patiostwalkways, 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: 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 $2.24 X 1,901 S.F. or $4,258.24 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/Guaranty Bank - Joseph Gary check No. 3086110 Name on the check Telephone 219.4830 Funding Residential By Dr. Doris Wilson Superintendent io.�h,` Fee collected /exempt rs hl cGllvrey Payment Recd r$0.00 $4,258.24 ;(.Aver/Unaer� Signature NOTICE: Pursuant to Government Code Section 66020(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 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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting F