05-0585 (SFD)a
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t °f 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: t 05-00000585
Property Address:
APN: 79735 TOM FAZIO LN N
Application description: 766-'032-022- - -
Property Zoning: DWELLING - SINGLE FAMILY DETACHED
Application valuation: LOW DENSIT
Applicant: D Architect or Engineer:
JUN 132005
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.) am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division'3of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 529976
Date -13- 01 Contractor:
4. 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 i 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 1, 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:
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:
LQPERivIIT
W-dsl�a, %
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/31/05
Owner:
---------------------------------
SCHLENDER TOM & SHELLY
774 WILDWOOD AVE
THOUSAND OAKS, CA 91360
Contractor:
---------------------------------
RAM DEVELOPMENT
75161 SEGO LANE, SUITE F-3
PALM DESERT, CA 92261
Lic. No.: 529976
-----------------------------------------------
. WORKER'S 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 STATE FUND Policy Number 0460009059
_ 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
of the Labor Code, I shall forthwith comply with those provisions.
6
Date: � Applicant: J
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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of thiscountyto enter upon the above-mentioned propr$y for inspectio urposes.
Date: u Signature (Applicant or Agent): V r
Application Number 05-00000585
------ Structure Information 6846 SQ. FT. SFD
-----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type .. . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
1261.00
PATIO SQ FTG
2399..00
NUMBER OF UNITS
1.00
7 -----------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
6846.00
Permit . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
2369.50 Plan Check Fee
1540.18
Issue Date . .
Valuation . . . .
609779
Expiration Date
11/27/05
Qty Unit Charge
Per -
Extension
BASE FEE
2039.50
110.00 3.0000
----------------------------------------------------------------------------
THOU BLDG 500,001-1,000,000
330.00
Permit
ELEC-NEW RESIDENTIAL
Additional desc.
Permit Fee . . . .
294.83 Plan Check Fee
73.71
Issue Date . . . .
Valuation-
0
Expiration Date
11/27/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
6846.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
239.61
1261.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
25.22
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE
15.00
Permit GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00
Issue Date . . . .
Expiration Date . . 11/27/05
Plan Check Fee'.
Valuation . . .
Qty Unit Charge Per Extension
BASE FEE 15.00
--------------------------------------------------------------------------
Permit . . . . . MECHANICAL
LQPERMIT
Application Number . . 05-00000585
Permit MECHANICAL
Additional' desc .
Permit Fee . . . . 175.00 Plan Check Fee 43.75
Issue Date Valuation . . . . 0
Expiration Date . . 11/27/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
6.00
9.0000
EA
MECH FURNACE <=100K
54.00
6.00
9.0000
EA
MECH B/C <=3HP/100K BTU
54.00
7.00
6.5000
EA
MECH VENT FAN
45.50
1.00
----------------------------------------------------------------------------
6.5000
EA
MECH EXHAUST HOOD
6.50
Permit
PLUMBING
Additional desc
.
Permit Fee
318.00 Plan Check Fee
79.50
Issue Date .
. . .
Valuation . . .
. 0
Expiration Date
11/27/05
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
28.00
6.0000
EA
PLB FIXTURE `
168.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
8.00
6.0000
EA
PLB ROOF DRAIN
.48.00
4.00
7.5000
EA
PLB WATER HEATER/VENT
30.00
1.00
3.0000
EA
PLB WATER INST/ALT/REP
3.00'
1.00
9.0000
EA
PLB LAWN SPRINKLER SYSTEM
9.00
20.00
.7500
EA
PLB GAS PIPE >=5
15.00
1.00
15.0000
EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
6846 sq. ft.
SFD. THIS
PERMIT DOES NOT
INCLUDE POOL
& SPA BLOCK WALLS OR
DRIVEWAY APPROACH. 3/11/05
8:00:13 AM
jjohnson
----------------------------------------------------------------------------
Other Fees .
. . . .
. . .
. ART IN PUBLIC PLACES -RES
1024.44
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
154.02
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
60.97-
0.97.DIF
.DIFSTREET MAINT FAC -RES
15.00
LQPERAIIT
` J
Application Number
. . . . .
05-00000585
-----------------------------------------------------------------------------
Other Fees . . .
. .
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
----------
Paid
----------
Credited
-------------
Due
- ------
-----------------
Permit Fee Total
3172.33
.00
.00
3172:33
Plan Check Total
1737.14
1250.00
.00
487.14
Other Fee Total
3.644.43
.00
.00
3644.43
Grand Total,
8553.90
1250.00
.00
71303.90
c-
LQPERIMIIT
C •
9 73 S 73/t74
T
AO T .?� Tye Ug��y � �
0. BOX 1504
Building �'/ P CALLLE TAMPICO APPLICATION ONLY
Address 722h9 lz,4ZJ O AZDSP LA QUINTA, CALIFORNIA 92253
-/-- SL/ELL
Mailing
Address 771714 k1
CityZip Tel. ��OS
TyOUSAit/,peutS 9/ ��O Y9
17!/f1.173�/�t�ln�7/�I//��
nflmmnlwupi
State Lic.City
& Classif. g s� Q 5' / .4 1 Lic. #
Designer j
Address Tel.
City lZip State
a2�6 o Lic. # e -a ?5,9 a -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to 'Its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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; 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
Provided that such 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 did not build or improve for the purpose of sale.)
'1
1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
11 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, labor Code.)
Policy No. Company
r'-1 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (E100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 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 city to enter the above-
mentioned property for inspection purposes.
Signature of a0plicant —Date—
Mailing
ateMailing Address
City, State, Zip
BUILDING: TYPE'CONST. OCC. GRP
A.P. Number 742.4 — G' 3oZ do�oZ
Legal Description LOT 39 T� 50L. 0,1009.3
Project Description-51419410pLt%LLG/,f�G-
Sq. Ft.
New 0 Add ❑
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
No.
Stories
Alter ❑
No. Dw.
Units
Repair ❑ Demolition ❑
AMOUNT
�.J
/ 2
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated bv:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Date
6/8/05
No.
27279
Owner
Schlender
Address
U= RANCHO MIRAGE
ti
INDIAN WELLSPALM
City
Zip
Tract #
y�
Type
Single Family Residence
Lot # No. Street
Unit 1 79735 Tom Fazio
Unit 2
Unit 3
Unit 4
Unit 5
CERTIFICATE OF COMPLIANCE
��FS
Desert Sands Unified School District
47950 Dune Palms Road
BERMUDA DUNES O
La Quinta, CA 92253
U= RANCHO MIRAGE
ti
INDIAN WELLSPALM
(760) 771-8515
DESERT
des �NDIOT �y
�o
y�
c
S.F.
6846 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
APN # 766-032-022
Jurisdiction La Quinta
Permit #
Study Area
No. of Units 1
Lot # No.
Street S.F.
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 6,846 S.F. or $15,335.04 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/Provident - Sherman Andrews Check No. 143503
Name on the check Telephone 898-1177
Funding Residential.
By Dr. Doris Wilson
Superintendent
Fee collected /exempted Sh ron MCGllvrey Payment Recd
$15,335.04 OverlUnder
Signature
I
5
NOTICE: Pursuant to Government Code Section 66l)20(d)(1), this Will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original. -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
02/15/2005 10:40 8189912563
RPM.'O,RDING ItEQUES!•ED BY
AND WMN.R$CORDEn MAIL TO:
Tom Schlender
Shelley Schlender
774 W1.lowood Avenue
Thousand Oaks, CA 91360
A.P.N.: 766-032-022 TRA #:
WAREHOUSE ttuVC PAGE 01
20404- 020 2124
SW23/21M 0S:M Fee: ta.00
PaOs i of a 000 T Tar P&4d
Recorded 1n Off1c181 Recard9
County of Riverside
Gary L. Oreo
IAssessor, County Clerk B Recorder
Order No.: Escrow•No.: 242693
GRANT DEED Lb
TI -!L NDERSIGNF,D GRANTOR(,) DECLARE(,) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 962.50 T
f computed. on full value of pro
pertf: liy. conveyed, or
comytrted on. full value leas value oens or entumb.rances remaining at time of Sale,
unincorporated. area; ( y}' City of .[.a OUintA , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
Curt R. Pindler and Geraldine Pindler, Trustees of the Pindler .Family Trust UDT 4-13782
hereby GRANT(S) to Thomas J. Schlender and Shelley K. Schlender, Trustees of The
Schlender Revocable Family Trust dated April 23, 1991
the following described property in. the City of La Quinta, County of Riverside State of California;
See Exhibit "A" attached hereto and made a part hereof.
Curt R. Pindler and Geraldine Pindler,
Trustees of the Pindler R roily Trust
UDT 4-1
By:
C tudler, Trustee
By: .dT e
'Lieraldine Pindler, TRrstec
Document Date: March 5_2004
STATE OF 4�1 ti. 1, 0 r n. a (�
COUNTY OP 1 1r ID 1,. n . n
)5S
On J^ before me,
d
personally appeared , e .Notary Public,
personally known to me (or proved to me on the basis of setiafactory evidence) to be the pereon(s) whose names) is/arc subscribed to the within instrument
and acknowledged to me that 11e/911e/they executed the same in his/her/their authorized capec. y 'e9 a t. b h' t ' u e instnintent
the person(a) or the ntity upnn behalf of which the persons) acted, executed the incttument.
WITNESS my, he and official seal. KENE)ALE MAHAN
Commtsslon p 1386587
Sianat�F� _` •'� - Notory Publlc - Colifornio
River3lde County
My Comm. Expires Nov23, 2006
This arca for official notarial scat,
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
M
M
M
nrr��■�IMMM
limm
■1ra�MMMEM
.
�d
Order No.: Escrow•No.: 242693
GRANT DEED Lb
TI -!L NDERSIGNF,D GRANTOR(,) DECLARE(,) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 962.50 T
f computed. on full value of pro
pertf: liy. conveyed, or
comytrted on. full value leas value oens or entumb.rances remaining at time of Sale,
unincorporated. area; ( y}' City of .[.a OUintA , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
Curt R. Pindler and Geraldine Pindler, Trustees of the Pindler .Family Trust UDT 4-13782
hereby GRANT(S) to Thomas J. Schlender and Shelley K. Schlender, Trustees of The
Schlender Revocable Family Trust dated April 23, 1991
the following described property in. the City of La Quinta, County of Riverside State of California;
See Exhibit "A" attached hereto and made a part hereof.
Curt R. Pindler and Geraldine Pindler,
Trustees of the Pindler R roily Trust
UDT 4-1
By:
C tudler, Trustee
By: .dT e
'Lieraldine Pindler, TRrstec
Document Date: March 5_2004
STATE OF 4�1 ti. 1, 0 r n. a (�
COUNTY OP 1 1r ID 1,. n . n
)5S
On J^ before me,
d
personally appeared , e .Notary Public,
personally known to me (or proved to me on the basis of setiafactory evidence) to be the pereon(s) whose names) is/arc subscribed to the within instrument
and acknowledged to me that 11e/911e/they executed the same in his/her/their authorized capec. y 'e9 a t. b h' t ' u e instnintent
the person(a) or the ntity upnn behalf of which the persons) acted, executed the incttument.
WITNESS my, he and official seal. KENE)ALE MAHAN
Commtsslon p 1386587
Sianat�F� _` •'� - Notory Publlc - Colifornio
River3lde County
My Comm. Expires Nov23, 2006
This arca for official notarial scat,
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
THEQL1AKKYatLAQ01NTA
Hortteowncrs Association
November 8,2005
Mr. & Mrs. Schlender
774 Wilowood Avenue
Thodsand Oaks, CA 91360
RE: 79735 Tom Fazio Lane South
Dear Mr. & Mrs. Schiender:
The Architectural/Landscape Committee of The Quarry of La Quinta Homeowners' Association
has reviewed your revised plans for the addition of an outside shower. The plans have been
approved, as submitted.
Thank you for your patience and understanding during this approval process. If there are any
questions please contact me at (760) 776-5100 ext. 324.
Sincerely,
FOR THE BOARD OF DIRECTORS
THE QUARRY OF LA QUINTA HOA
Grace VonSeggen, CCAM
Association Manager
Enclosure
CC: Board of Directors
Unit File
P.O. Box 13710 Palm Desert, CA 92255=3710
p f Y