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07-1518 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001518 Property Address: 79980 .TANGELO APN: 772-230-024- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6015 Ti& ,t44Q" Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: 13 License No.: 873958 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).: (_) 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.). (_ ) 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: 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.). Lender's Name: Lender's Address: LQPERMIT Owner: BENOWITZ BARRY 79980 TANGELO LA QUINTA, CA A 92253 Contractor. TMC COMPANY INC 23382 MADERO STREET #F MISSION VIEJO, CA 92691 (949)600-7020 Lic. No.: 873958 WORKER'S COMPENSA- I hereby affirm under penalty of perjury one of the following dec _ 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 t� issued. V� 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 FiJND Policy Number 0000904-2006 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 Labo5Codeorthwi th c ,lyy/wh those provisions. te: f W O � ?. plicant:/ C. WARNING: FAILURE TO SE RPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6,l 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. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS. (760) 777-7153 Date: 10/08/07 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hrrPhy 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 coun to enter upon th above-mentioned property for ins ection p p D . Lr 'I.0 7,Si lure (Applicant or Agent): r :.Y_ Application Number . . 07-00001518 ------ Structure Information_ 30SF RES/270SF PAT/V-NR/RES-3/ENGINEERED----- Other.struct--info . . . CODE EDITION 2001/2005 FLOOD'ZONE NO PATIO SQ FTG 270.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 30.00 Permit BUILDING PERMIT . Additional desc . Permit Fee 90.00 Plan Check Fee-. 58.50 Issue Date Valuation 6015 Expiration,Date 4/05/08 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 ------------------------------------------------------------------------------ THOU BLDG 2,001-25,000 45.00 Permit . . . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 30•.45 Plan Check Fee 7.61 Issue Date . . . . Valuation 0' Expiration Date 4/05/08 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER "ELEC DEVICE/FIXTURE 1ST 20 15.00 1.00 .4500 ---------------------------- EA' ELEC'DEVICE/FIXTURE >20 ----------------------------------------------- .45, Permit . . . MECHANICAL Additional desc . Permit Fee . . .26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 ..Expiration'Date 4/05/08. Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 6.5000 -7 --------------------------------------------------------------------------- EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc . Permit Fee 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation 0 Expiration Date 4/.05/08 LQPERMIT 9 ` Application Number . . . ... 07-00001518 Permit o. . . . PLUMBING. �. Qty Unit Charge Per Extension " BASE FEE i 15.00 3.00 6.0000 EA PLB'.FIXTURE 18.00 .1.00 3:0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1 -4 -OUTLETS 3.00 ----------------_-------------------- Special Notes and Comments 305F ADDITION TO RESIDENCE WITH.270 SF PATIO, COVER/V--NR/RES-3.(ENGINEERED) SCOPE OF WORK INCLUDES BATHROOM ADDITION WITH BEDROOM CONVERSION. 2001. CBC, ,CPC, CMC, 20.04 CEC, 2005 ENERGY. August.22, 2007 8:51:50 AM AORTEGA '- -----------------------------------------------------------------=-=-------- Other Fees . . . . . . ENERGY.REVIEW FEE .• 5.85 STRONG MOTION (SMI) - RES .50 _ Fee summary Charged. Paid Credited Due ------------------------------- --------- Permit-Fee PermitFee Total 18.5.45 .00 .00 185.45 Plan*Check Total 82.36.- 00 - 82.36 .00 Other Fee Total 6.35. .00 .00 4 6.35 Grand Total. 274.16 .00 .00 y 274.16 Bin #t City .of La Quin'ta Building & Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �' Project Address._ 80 Owner's Name!JDGUHZ A. P. Number:. 2 ► �� i� Address: 7 7 80 j Legal Description: Contractor: ,�� �rS T� City,.ST, Zip: ' Telephone: '3/Q - (p -' Address: 7/!57j 7 14 Project Description: City, ST, Zip: �C,l/✓1 !fr' "Q06,1l t Com' rbaA r06 Telephone: _ � / -� r77"I.GCC( rter - S # 7a So City Lic. VCid �%0 Arch. Eng ., Designer. �G(z"n OOW! Address: - City, ST, Zip: i Telephone: ag-737 Construction Type: 'Occupancy:` State Lic. #: 1� Project type (circle one): Newdd'n Alter Repair Demo Name of Contact Person: r Sq. Ft.: # Stories: # Units: Telephone # of Contact Persoq• o"? -% - q v' rEstimated Value of Project: 8 Ll `APPLICANT: DO NOT WRITE'BELOW THIS LINE # Submittal Req'd .Rec'd TRACKING . �. PERMIT FEES Plan Sets Plan Check submitted ,' Item Amount Structural Calcs.' Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person b Plan Check Balance Energy Calcs. Plans picked up Construction + Flood plain plan, Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections sue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval' Plans resubmitted Grading IN HOUSE:-, 3rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of perm' �ssu 8 n M �nn School Fees i ' T Al 4W Permit Fees ° MM CERTIFICATE OF COMPLIANCE Desert Sands Unified School District oc�o 47950 Dune Palms Road ¢ BERMUDA DUNES O Date 8%1/07 Cn RANCHO MIRAGE (7 La Quinta, CA 92253 NJ INDIAN WELLS 1 Vi PALM DESERT No. 29679 (760) 771.-8515 QUINTA _ �QINDtO Owner Barry & Gail Benowitz APN # 772-230-024 Address 79-980 Tangelo 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 79980 Tangelo 30 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 Sand's 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 mobib 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 30 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy fogy this square footage in this proposed project may now be issued. Fees Paid By N/A - Barry Benowitz Check No. N/A Name on the check Telephone 310-619-1831 Funding Exempt By Dr. Doris Wilson Superintendent{'"'�� Fee collected /exempted by Yolanda Garcia Payment Recd ''f`' $0.00 ` `Over/Under Signature' ~ f ;� �� r .r � ' • - '' 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 whi,.h 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 DepartmenU#pplicant Copy - Applicant/Receipi Copy- Accounting Z0/Z0 March 14, 2007 Bany and Gail Benowitz 695 Town -Ce dter.Dr;; Ste 250 Costa 1Resa,I CA 92626 RE: Citrus; Course HOA 79960 Tangelo Dear Mr. and Mrs. Benowitz, The rnambers. of the Architeo;iunal Committee rt.viewed your application and plan submitted for the addition of a guest balhroam, pati0 structure and barbecue. The Committee granted approval to that project with the following conditions: 1.- City of La Quinta requirements are complied with and the proper pPtmit_S ire c�k�tairn�d. :2. Location of mist system purn,p is noted. I An additional $2,500.00 security deposit is received..�*J`'� Enclosed please find a "Notice of Completion" that must be submitted when all the projects; are completed so that the; Committee can perform their tinal inspection. Should you have any questions please feel free to contact our office. Sincerely, i On behalf of the Citrus Course IAOA Architectural Committee 1J Maryann Hoss Assistant Asauc ation ovlanager. D MAY 3 20,67 By PO. Box 12920: alm Dcscrt, CA 42255 • 75461 IbMedit mlltCan, Suite B, Palm Desert, California 760.346.9000 • FAX 760.346.0997 Wm1wcitruscoursehoa.com 39Gd 1ID-IIG9 CZ18VCVOTLT 6Z:5i L00Z/b0/b0 a