06-2968 (AR)P.O. BOX 1504
78-495 CALL'E TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
1 Applicant:
/'0'_6----0 0-0 0-2 796_8
79735 TOM FAZIO LN N
766 -032 -022 -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
6383
Architect or Engineer:
' uulcrw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-----t---------------------------------------------
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: B License No.: 529976
Contractor_
OWNER -BUILDER DECLARATION
I hereby affirm under penalty ofperjury 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, 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.).
(_ 1 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:
LQPERMIT
Owner:
TOM & SHELLEY SCHLENDER
30621 CANWOOD ST
AGOURA HILLS, CA 91301
�,_ �f*l�r-a
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/10/06
Contractor:
RAM DEVELOPMENT AUG l g 2006
75161 SEGO LANE, SUITE F
PALM
DESECA 92261 C1� LA(760)568-9335
Lic. No.: 529976 t `�
------------------
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury oneof 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 CNCLD 07/20/06 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
J 3700 of the Labor Code, I shall forthwith comply with those provisions.
Applicant: \.
A ti
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 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 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 county to enter upon the above-mentioned property for inspection purpose
Dater Signafure:(Applic� a�nt-or Agent): —� J
I
LQPERMIT
Application Number . . . . . 06-00002968
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 90.00 Plan Check Fee 58.50
Issue Date . . . . Valuation 6383
Expiration Date 2/06/07
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 . . 17.77 Plan Check Fee 4.44
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/06/07
Qty Unit Charge Per- Extension
BASE FEE 15.00
79.00 .0350 ELEC NEW RES - 1 OR'2 FAMILY 2.77
------------------------------------------------------- --------------------
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . Valuation 0
Expiration Date 2/06/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00
----------------------------------------------------------------------------
Special Notes and Comments
ENLARGE MASTER BEDROON AND THEATHER.
TOTAL 79 SQ. FT. August 10, 2006
11:04:51 AM jjohnson
------------------------------------------------------------ -----------------
Othe-r Fees . . . . . . . . ENERGY REVIEW FEE 5.85
STRONG MOTION (SMI) - RES .63
Fee summary Charged- Paid Credited Due
---------------------------------------------------------
Permit Fee Total 131.77 .00 .00 131.77
Plan Check Total 68.94 .00 .00 68.94
Other Fee Total 6.48 .00 .00 6.48
Grand Total 207.19 .00 .00 207.19
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City of La Quinta
Building 81 Safety Division
F' P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit .#
Project Address:9-7 � Ta A D �N , "l
Owner's Name:
�� {
A. P. Number: 3 -$
Address: 3 p G ZJ Q,4WU W 0L)S Y
Legal Description:
Contractor: 12p.V
City, ST, Zip: A-C� P—A
Telephone: 222
Address:. _-�Zp rlAN U-rAL LJ(z IN(r 2�0A
Project Description:
City, ST, Zip: A 9 zZ (A
O VLzr Q L;T--'� ma- '1�,4r-t
Telephone:'?bO— 34+
State Lie. # L9 '?
City Lic. #:
S ,q /%i� 13
Arch., Engr., Designer:CW-AOA- Mg -oe-_
"13_�2�
Address:44
City, ST, Zip: Ak-m WzoatLr- CA
Telephone: P '7(0 � _'l7 3 � (o (p pfj � I
State Lic. #: C—L O z
Name of Contact Person: S fav w
Construction Type: Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
Sq. Ft.: G # Stories: [ # Units:
Telephone # of Contact Person: -7(n p- gcw— (1 -7-7
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING. PERMIT FEES
2
Plan Sets
Plan Check submitted
% Item
Amount
Z
Structural Calcs.
Reviewed, ready fo corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs. — (Jf
L? r6
Plans picked up
Construction
Flood plain plan
Plans resubmitted
(1j Mechanical
Grading. plan
2°" Review, ready for correctio /issu
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval,
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
-7 1-7 10 o ---:> UDvE: 7�9�CYo
506 67K 1LFC
8 18 16(o 97ie fl P)9KOvE1D
CERTIFICATE OF COMPLIANCE 4�'S�F>So
Desert Sands Unified School District
47950 Dune Palms Road Q lERMUDA%OUIES
0
(In RANCHO MIRAGE
Date 8/18/06 La Quinta, CA 92253 � INDIAN WELLS
PALM LA QUINTAT
No. 28849 (760) 771-8515 `�'
d�PIND10
0
Owner Schlender APN # 766-032-022
Address 79735 Tom Fazio Ln. North Jurisdiction La Quinta
City La Quinta Zip Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street S.F.
Unit 1 79735 Tom Fazio Ln. North 79 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Re: Ram Development
Lot # No. Street S.F.
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
in the amount of $2.63 X 79 S.F. or $207.77 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 Bank/Sherman Andrews
Check No.
168785
Name on the check
Telephone 898-1177
Funding
Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Espe ray
Pa ment Recd
- ' $0.00 i
:;— ""
$207.77
"'over/Uhde-,K
Signature
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
Embossed Origirial - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Ochoa Design
- 73-626 Highway 111
Palm Desert, CA 92260
PLAN CHECK NO. 05-585
August 4, 2006
SECOND CHECK/FINAL( STRUCTURAL
ONLY)
ADDRESS 79-735 Tom Fazio Ln OCCUPANCY R -3/U-1
SCOPE OF WORK- Revision TYPE -OF -CONST. V -N
91 SF Bath Add + Theater Add.
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY -OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY.RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by:
Quynh Nguyen
VCA CODE GROUP.
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext. VCA File No. LQ -18794
. 1