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HomeMy WebLinkAbout04-5807 (SFD)V 'o X1511®r� LA f�416C1�n �'- P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number 04-.00'005807 Date 8/04/04 Property Address . . . . . . 81150 SHINNECOCK HILLS APN: 762-340-007- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 335607 Owner Contractor WEISKOPF PARTNERS 1, LLC SOUTHERN HILLS DEVELOPMENT INC 55161 SOUTHERN HILLS 81070 CHANTICLEER DR -LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-3497 WCC: EXEMPT WC: EXEMPT 05/31/05 CSLB: 838041 05/31/06 CCC: B -------------------------- Structure Information ------------------------- Construction Type . ... . TYPE.V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG .826.00 PATIO SQ FTG 803.00 NUMBER OF UNITS 1.00 ----------- FIRST FLOOR SQ FTG 3821.00 --------------- Permit . . . . . . ---------------------------------- BUILDING PERMIT ---------------- Additional desc Permit Fee . . . . 1465.50 Plan Check Fee 238.15 Issue Date . . . . Valuation . . . . 335607 Qty Unit Charge Per Extension BASE FEE 639.50 236.00 3.5000 --------------------------------7------------------------------------------- THOU BLDG 100,001-500,000 826.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 126.00 Plan Check Fee 7.86 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 • ��/�n/ VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04, 580 7.� Date: 41 Applicant: I )Alhlchitect or Enaineer: Applicant's Mailing Address: or Engineer's Address: No. �2 EEal�r BUILDING PERMIT DECLARATIONS 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 ss Lic is in full force and effect. / L �icense Class icensejNfo. —,.—Dateo' oo( �Jmg JF OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 do'lars ($500).): U 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 or 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.). U 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 4onlractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 Policy Number 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate — �Kpplicant( 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. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construct.on lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lenders Address N 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 relate to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes nu 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 canc I ion. I certify that I have read this application and. state that the above info tion is wm agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to n �bo eJaeafierted property for inspection purposes. ate �L �ture (Applicant or Agent): Page 2 Application Number . . . . 04-00005807 Date 8/04/04 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 5.00 6.5000.EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -------------- =-------------------- Permit =---------------------------------------- ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 165.26 Plan Check Fee 10.33 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3821.00 .0350 ELEC NEW,RES - 1 OR 2 FAMILY 133.74 826.,00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.52 ---------=------------------------------------------------------------------ Permit PLUMBING Additional desc . . Permit Fee 182.25 Plan Check Fee 11.39 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE .FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102-.00 1..00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT. 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 11.00 .7500 EA PLB GAS PIPE >=5 8.25 .1.00 15.0000 EA PLB GAS METER 15.00 ------------------- Permit' -------- -------------------------------------- GRADING PERMIT ---------'-- Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------'------------------------------------- Special Notes and Comments SFD - LOT 15, PLAN 7. PERMIT DOES NOT 0 ., Page 3 Application.Number . . 04-00005807 Date 8/04/04 ------------------------------------------------------------- Special Notes and Comments --------------- INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ----------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC.PLACES-RES 339.01 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 23.82 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK.FEE 00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 33.56 DIF. STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 1954.01 ------------------------------ .00 .00 1954.01 Plan Check Total 267.73 .00 .00 267.73 Other Fee Total 2801.39 .00 .00 2801.39 Grand Total' 5023.13 .00 .00 5023.13 0 ., � f Coachella Valley Unified Scnool District P.O. Box 847, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA. AMOUNT LEVEL ONE AMOUNT : LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/rND. AMOUNT: DATE RFCFTPT- C"F.CK9 VNTTTATS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: The Summit Date August 9, 2004 Owner's Name: Weiskopf Partners 1, LLC Phone No. Project Address: Shinnecock Hills La Quinta, CA 5 SFDs APN: 762-330-008 29147-1 8 762-340-002 - 007 Tract Lot #'s: 10,12,13.15 Type of Development: Residential X Commercial Industrial Total Square Feet of Building A e 19,105 sq. ft. Certification of Applicant/Owners: The person signing certjf s that t tion is correct and makes this statement under penalty of perjury and further represents that he/she is o ' to 1 o half o e owner/developer. Dated: August 9, 2004 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee Note: Number of Sq.Ft. Amount per Sq.Ft. 19,105 $ 2.68 Amount Collected $51,201.40 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Builder: Southern Hills Development, Inc. Certificate issued by: Elvira Mattson, Office Technician Signature: 4&7- NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School 1 District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project .�/ that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. , �/ i � 7z i3 5 —t p OF BUILDING 8 SAFETY DEPARTMENT 760-777-7012 BUILDING PERMIT FEE SUMMARY Date: August 4, 2004 Owner: Weiskopf Partners 1, LLC Builder: Southern Hills Development, Inc. 81-070 Chanticleer 81-070 Chanticleer La Quinta, Ca 92253 La Quinta, Ca 92253 Project: 5 SFD The Summit T 29147-1, Lots 8,10,12,13.15 Lot Plan S . Ft. Address Assessor's Parcel Number Permit # Fees 8 7 3,821 81-080 Shinnecock Hills 762-330-008 04-5802 $5,897.80 10 7 3,821 81-100 Shinnecock Hills 762-340-002 04-5804 $5,023.13 12 7 3,821 81-120 Shinnecock Hills 762-340-004 04-5805 $5,023.13 13 7 3,821 81-130 Shinnecock Hills 762-340-005 05-5806 $5,023.13 15 7 3,821 81-150' Shinnecock Hills 762-340-007 04-5807 $5,023.13 TOTAL AREA: 19105 3/y/ply TOTAL PERMIT FEES: $26,990.32 *Denotes full fee permit. Remaining permits reflect 75% reduction to plan check fee due to multiple issuance of same plan type.