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06-3446 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00003446 54025 AVENIDA VELASCO 774-214-026- - ADDITION - RESIDENTIAL COVE RESIDENTIAL 50000 T4ht 4 4QurHrw Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: 1 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and f 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: It/ 1/2-00 P Owner: CLINSTRUCTION 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: LQPEILIIIT " Owner:. JUSTIN CARTER 53945 EISENHOWER DR LA QUINTA, CA 92253 .Other struct info Contractor: Owner DITION K11 VOICE (760) 777-7012 FAX (760),777-7011 INSPECTIONS (760) 777-7153 ' ®1 Date: 11/01/06 Novoz2oos I�I� 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. j I have and will maintain workers' compensation insdrance, 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 2.00 Policy Number NO 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 subjea to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shal hwith comply v41I4hose provisions. Date: Z / Applicant: WARNING: FAILURE TO SECURE ORKERS' 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 "ACKNi IMPORTANT Application is hereby made to the Director of Build conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is m whose benefit work is performed under or pursuant the owner, and the applicant, each' agrees to, and sf of La Quinta, its officers, agents and employees for performed under or following issuance of this permit 2. Any permit issued as a result of this application becc within 180 days from date of issuance of such perr permit to cancellation. I certify that I have read this application and state that the above city and county, ordinances and state laws relating to building cor of this county to enter upon the above-mentioned property for in: Date: �7 Signature (Applicant or Agent): and Safety for a permit subject to the 3, each person at whose request and for any permit issued as a result of this application, defend, indemnify and hold harmless the City act or omission related to the work being s null and void if work is not commenced or cessation of work for 180 days will subject n is correct. I agree to comply with all and hereby.4uthorize representatives LQPERMIT Application Number . . . . . 06-00003446 i Permit BUILDING PERMIT Additional desc . Permit Fee 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation.50000 Expiration Date 4/30/07 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ----------------------------------------------------- THOU BLDG 25,001-50,000 ---------------- 162.50 ------- Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 46.47. Plan Check Fee-.-. 11.62 Issue Date Valuation . . . . 0 Expiration Date.. 4/30/07 Qty Unit Charge Per Extlensio BASE FEE 15.000 635.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY22:23 462.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.24 Permit . . MECHANICAL Additional desc . Permit Fee 39.00 Plan Check Fee 9.75 Issue Date Valuation 0 Expiration Date 4/30/07 Qty.' Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 --------------------------------------------------------------------- EA MECH EXHAUST HOOD' 6.50 ------- Permit PLUMBING t Y Additional desc Permit Fee 93.00 Plan Check Fee `23.25 Issue Date Valuation 0 Expiration Date 4/30/07 Qty .,Unit Charge Per Extension BASE FEE 15.00 8.00' 6.0000 EA PLB FIXTURE ;48.00 1.00 15.0000 EA PLB BUILDING SEWER -15.00 1.00 6.0000 EA PLB ROOF DRAIN l 6.00 Application Number . . . . . 06-00003446 Permit . . . PLUMBING Qty Unit.Charge Per Extlnsion 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS -6.00 Special Notes -and Comments 635 SF ADDITON WITH 462 SF GARAGE ADDITION, TYPE V -NR, RES -3, THIS PERMIT DOES NOT INCLUDE DRAVEWAY APPROACH, BLOCKWALLS, OR POOL AND SPA. September 29, 2006 12:15:37 PM AORTEGA ---------------------- ---------------------------------------------------- Other Fees ENERGY REVIEW FEE 26.94 STRONG MOTION (SMI) .- RES 4.53 Fee summary Charged Paid Credited Due Permit Fee Total. 592.97 .00 .00 .592.97 Plan Check Total 314.05 :00 .00 314.05 Other Fee Total 31.47 .00 .00 31.4.7 Grand Total 938.49 .00 .00 938.49 t LQPERMIT j . Bin # �.s I City of La uinta Y Q Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and .Tracking Sheet Permit # ID J Project Address: 5' Y 2_51_' Owner's Name: % A. P. Number: 77C� . 2 �(� _ 6.2 Address: - y Legal Description:S Contractor: l City, ST, Zip: CAW X22 s-3 Telephone: • 7CCJ Project Description: Address: s_73 h y f .zl's s ni /yfZ,i City, ST, Zip: G—t- d"_J rye! Teleplione: v g p�_ j'y v ,/_11 - State Lic. # : City Lic. #: Arch., Engr., Designer: 2 Address: ' City, ST, Zip: Telephone: ' . State Lic. #: �. Name of Contact Person:. Constiaction Type: Occupancy: Project type (circle one): New Add'n Alter -Repair -Demo Sq. Ft.: #Stories: '# units: Telephone # of Contact Person: 7&17-- ff% —S. 1 S Estimated Value of Project: 'So a APPLICANT: DO NOT WRITE BELOW THIS LINE, - # Submittal Req'd Recd / TRACKING . PERMIT FEES oC Plan Sets Plan Check submitted 1-Gb Item Amount Structural Calcs. Reviewed, ready, for corrections Wl � L Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance t 'Energy Calcs. Plans picked up` t l Construction Flood plain plan Plans resubmitted Mechanical Gradiug.plan 2nd Review, ready fo correcti)s/issue Aj ' Called Contact Person Electrical Plumbing Subcontactor List Grant Deed Plans picked up M.I. . H.O.A. Approval Plans resubmitted . _Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee ' Planning Approval Called Contact Person A.LP.P.. Pub. Wks. Appr Date of permit issue � l School Fees .Total Permit Fees Vl1 h Pl (%►) l/ mpm 2't cow w �J X66 2�, MN C� CERTIFICATE`OF COMPLIANCE Deset`�Sands' Unified School District 47950 Dune•Palms Road Q BERMUDA DUNES An II RANCHO MIRAGE Date 10/25/06 La Quints, •ICA 92253 E. INDIAN WELLS PALM LA QUINTA y No. 28999 (760) 7714515 `�' �PINDIO T^� Owner Justin Carter ." APN # 774-214-026 Address 54025 Avenida Velasco Jurisdiction La Quinta City La Quinta Zip 92253. Permit # Tract #. Study Area Type Residential Addition No. of Units 1 Lot # No: Street S.F. Lot # No. Street S.F. Unit 1 54025. Avenida Velasco Unit 2 Unit 3 Unit 4 'Unit 5 Comments 635 Unit 6 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 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: `This certifies that -school facility fees imposed pursuant to Ed"ucation Code Section 17620 and Government Code 65995 Et Seq. s n .the amount of - $2:63 X `635 S.F. or $1,670.05 have been paid for the property listed above and that ibuilding permits and/or Certificates of Occupancy for this square footage in this proposed project may now -be issued. sfees Paid By, OC/W611s Fargo - Justin Carter Check No. 0009702325' Name on the check Telephone 899:5954 By Dr, Doris Wilson Superintendent Fee collecte Signature Funding Residential Payment Recd $1,670.05 Over/uiie� �1. L�IfGrf iti:1 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 • 4 Embossed Original- Building Department/Applicant Copy- Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY, First'American Title Company AND WHEN RECORDED MAIL TO: Justin Carter 54025 Avenida Velasco La Quints, CA 92253 A. P. N .: 774-214-026-1 _(COV GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $425.15; CITY TRANSFER TAX $0.00; T r X computed on the consideration or full value of property conveyed, OR `• 1 computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, �14 unincorporated area; [ X.] City of La Quints, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Patrick Fitzsimons and �'. Annette Fitzsimons, husband and wife as joint tenants hereby GRANTS to ]ustin�Carter, , A Single man the following described property in the City of La Quinta, County of Riverside, State of California: LOTS 1 AND 2 OF BLOCK 282 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT 26, AS PER MAP RECORDED IN BOOK 20, PAGE 50 OF MAPS,. IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. Dated: 06114/2006 DOC # 2006-0588435 08/10/2006 08:00A Fee:10.00 Page 1 of 2'Doo T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk 8 Recorder 111111 1111111 111 1111111 1111 11111 111111 111 11111 Illi 1111 S R U PAGE SIZE DA MISC LONG RFD COPY OR rEXAM Mail Tax Statements To: SAME AS ABOVE Cl LbZb6Ea09Lj uigsnC dbb:ao 90 81 400 M A L 465 426 PCOR SMF NCHG Mail Tax Statements To: SAME AS ABOVE Cl LbZb6Ea09Lj uigsnC dbb:ao 90 81 400 A.P.N.: 774-214-026-1. Grant Deed - continued 'File No.:RPS-2422946 (AR) d Date: 06/14/2006 Patrick Fiti-sirndns Annette Fitzsimons STATE OF G� )SS COUNTY OF ) �p On \ before me, �Q��riQ- K. 1. wnw Notary Publil �Pers ally appeared D '(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)4s/are�subscribed to .the within instrument and acknowledged to me that-4 h /they executed the sameJn eytheir authorized capacity(les) and .that by Msf mr/their signature(s) on the instrument the person(s) or the entity, upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal.. DEANNA K. CABANSAG .,Couu.# 1637417 M �� NODWY COYY NOTARYPUBM-MVOWASignaturesn np. coEIRP. 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