HomeMy WebLinkAbout04-5804 (SFD).,i
Y
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�i'PY�$l,eUl�3P BUILDING & SAFETY DEPARTMENT
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P-OAMOB
( 60).777-7012
�Vv78-495 CALLE TAMPICO s
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .
: . . . 04-000"05804
Date 8/04/04
Property Address . .
. . . 81,100 SHINNECOCK HILLS
APN:"
762-340-,002-
Application description.
;.DWELLING --SINGLE FAMILY
DETACHED
Property Zoning
LOW'DENSI'TY RESIDENTIAL
Application valuation
. . . . 335607
Owner
Contractor
------------------------
WE.ISKOPF PARTNERS 1,
----------------=-------
LLC SOUTHERN.HILLS DEVELOPMENT
INC
.5516 .1 SOUTHERN HILLS
81070 CHANTICLEER
DR
LA ,QUINTA .
CA 92253 LA QUINTA .
CA 922.53
(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 . .
I.
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
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
W VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
or
C,
Date: 4"e—
rd!lrc��►�A,LWiIiaffa3J
Itzlel
..
BUILDING PERMIT DECLARATIONS'
t '
LICENSED CONTRACTOR'S DECLARATION
I*hergby affirm under�enalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
• -' Code; and my UcCi 6 is in full force and effect.
cense Class _� •I_r1_C.nse No.� .
Datentractor ��1 �' A" �/ � 1'tQ1,r .fel /,J � • 4 • '
OWNER-QUILDER 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 eiempf 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).): _
U I, as owner of the property, or my employees wifh 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 rsiosale.).
U �, es 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 projecs with a contractors) licensed pursuant to
tie Contractors' State License Law.),
U :I am exempt under Sec: B.& P.C. for this reason
Date Owner I `• •
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: �' '
�arier �PtSlicy Number
r' ` . I certify that, in the performance of the work for which this permit is issued,l shall not employ an
p y y person in any manner so as to become subject to the workers'
t • 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. I i
DARNING: 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
C SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY -
I hereby affirrrunderpenalty of perjury that there is a construction lending agency. for t 1. he performance of the work for which this permit is issued (Sec. 3097; Civ. C.).
Lenders Name fi
C, �pnder's Address
IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT aCKNOWLEDGEMENT
~
Safety Apermit 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,behefit 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 Ouinta, its
0 ; i : F officers, agents and employees for any act or omission rel ted tothe work beihrg performed under or following issuance of this permit.
2: Any permit issued as a result of this application.becomes ull and void if work is not commenced within 180 days from date of issuance of succi permit, or
cessation of work for 180 days will subject permit to can Ilation. ,r , .,
certify that I have read this application and state that the above i ation is I ree to c ` it l l
construction, and hereby authorize representatives of this county t n po > b0 ntion roy writ all city and county ordinances and state laws relating to building
,, f petty for inspection purposes.
y e ignature (Applicant or Agent):
r
Page
2
Application
Number .
. . 04-00005804 Date
8/04/04
Qty
Unit Charge
•.:' Per.":
Extension
_ BASE FEE -
15.,00
4.00"
9.0000
EA MECH FURNACE <=100K
.16.00
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
6.500.0
EA MECH EXHAUST HOOD
---------------
Permit
-----------
,ELEC=NEW
---------------------------------------
RESIDENT -IAL ..
------ - - - - --
:Additional
desc
:Permit•" Fee
165...26: Plan: Check Fee
i0 .33
I:.
ssue Date
. . . .
Valuation
;:. 0
` Qty, .:'Un
i t Charge
Per ....,.Extension
"
BASE FEE
15.00
3:821: 0:0 .'
.03-50
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
i 11.39
__Issue Date
..
Valuation
0
Qty
Unit Charge
Per
Extension
BASE, FEE
15.00
..17.00 .
6. 00.0b
. 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.,
9.000'0
EA., PLB., LAWN,SPRINKLER SYSTEM,-'
9.00
:.11.-00
7500
EAPLB 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
.
BAS E::FSE,"
15.00
Special Notes
and Comments ,..:
....
S"FD - LOT
10, PLAN .7.
,FERMI T;<<DOES - NOT :'
Page
3
Application.Number
. . .
04-0000,5804 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
26.7.73
.00 :00
267.73
Other Fee Total
2801.39
.00 .00
2801.39
Grand Total
5023.13
.00 .00-
5023.13
r
� 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.