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04-3904 (SFD)4 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 . . . . . 04-00003904 Date 5/20/04 Property Address 79720 TOM FAZIO LN S APN: 766-045-002-64 -27728 - Tenant nbr, name . . . . . . . $2000 PC RET. CREDITED Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 707288 Owner Contractor ------------------------ WADE FRANKC ------------------------ KG CONSTRUCTION 79690 S TOM FAZIO LN 73416 SILVER MOON TRAIL LA QUINTA CA 92253 PALM DESERT CA 92260 WCC: EXEMPT WC: EXEMPT 05/31/05 CSLB: 819174 04/30/05 CCC: B ------ Structure Information *SFD WITH SUBTERRANEAN GARAGE ----- -Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone .. . . . NON -AO FLOOD ZONE Other struct info . . . . . .CODE EDITION 2001 # BEDROOMS 3..00 FIRE.SPRINKLERS NO GARAGE SQ FTG 1725.00 PATIO SQ FTG 1045.00 NUMBER OF UNITS 1.00 ----------------------------------------------------------------- FIRST FLOOR SQ FTG, 8467.00, Permit BUILDING PERMIT Additional desc Permit Fee. 2663.50 Plan Check .Fee 97.23 Issue Date Valuation . . . . 707288 Qty Unit Charge Per Extension BASE FEE 2039.50 208.00 3.0000 ---------------------------------------------------------------------------- THOU BLDG 500',001-1,0-001-00,0 624.00 Permit ... . MECHANICAL Additional desc Permit Fee an Check .Fee . 00 Issue Date i&L���Igluation 0 Qty Unit. Charge eV MAY 20 2004 10 'Extension CITY OF L 61(AU1 TA D " P.O. BOX 1504 • 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:?� �-¢ I Date: -5 20 • p� ' Applicant: �— Architect or E Applicant's Mailing Address: nglnVVI 9 Architect or Engineer's Address: Lic. No.. bUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions ohapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is . full farce and effect. License Class W- ! License No. OAtA .� _ A. O 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 dollars ($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 sate. 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, 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 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: Cartier '11Policy 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�./. Dates-- a _0 Z/ Applicant d��s 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 t ere 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 V 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, indemnity and hold harmless the City of La Ouinta, 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 corecL 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 above�nentioned roparty for inspection purposes. Dat 0 ' 0 / Signature (Applicant or Agent): Application Number SYS . 04-00003904 Page 2 Date 5/20/04 Qty Unit Charge Per Extension. BASE FEE 15.00 7.00 9.0000 EA MECH FURNACE <=100K 63:00 7.00 9.0000 EA MECH B/C <=3HP/100K BTU 63.00 10.00 6.5000 EA MECH VENT FAN 65.00 2.00 6.5000 EA MECH OTHER MECH EQUIPMENT 13.00 ------------=-- Permit ----------- ---- ELEC-NEW ---------------------------------- RESIDENTIAL ------------ Additional desc Permit Fee- 318.51 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 --_.._•. W Qty Unit Charge Per Extension BASE FEE 15.00 8467.00 .0300 ELEC NEW RES - MULTI FAMILY 254.01 1725.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL. 34.50 .1.00 -------------------------------------=----------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . . . PLUMBING --------------------- Additional desc . . Permit Fee . . . . 246.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 27.00 6.0000 EA PLB FIXTURE 162.00 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 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 13.00 .7500 EA PLB GAS PIPE >=5 9.75 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 Page 3 Application Number . . . . . 04-00003904 Date 5/20/04 ---------------------------------------------------------------------------- Special Notes and Comments SFD- 8,467 SQ.FT. LIVING, 1725 SQ.FT. SUBTERRANEAN GARAGE, 1045 SQ.FT. COV:PATIO. EXCLUDES WALLS/POOL/DRIVEWAY APPROACH/ R3/UI OCC TYPE VN 2001 CODES --------------=------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES 1268.22 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 DIF FIRE PROTECTION-RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 70:72 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION— RES 1098.00 Fee summary Charged Paid Credited Due'. --------------------------- Permit Fee Total 3462.76 ------------------------------ .00 .00 3462.76 Plan 'Check Total 97.23 .00 .00 97.23 Other Fee Total 3743.94 .00 .00 3743.94 Grand Total 7303.93 .00 .00 7303.93 'L 41, P.O. BOX 1504 ing78-495 CALLE TAMPICO ass `A�QQ��7p2�0/rr``��% iJ4N�LAOUINTA,CALIFORNIA 92253 "ailing Ad�d�r�es�s���� IT Contractor Address Y ^tea V ` 2Gq Z8iZ2G00 T( '7V (5 4 -?:>go �- APPLICATION ONLY BUILDING: TYPE'CCONST. V OCC. GRP. FF\—.75() I 'C f � ` `' A.P. Number cc( CAG — C 0 __15t_ 6` jI Legal Description `'` t ,60 4- 9-112S 10S11 ) State Lic. City & Classif. I Lic. q Arch., Engr.,Mc �_ „ f ln�,T�Jts�A Designer ���/ Adreq... 1 Tel.` �.cr.A/ Zip•�„2`�2F+�'•� Lictq�Q,�3�l / 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 Contractors License Law for the following reason: (Sec. 7031.5,8usiness 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). 1-; 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.) (I I, 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.) I'! I 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 [l Copy is filed with the city. G Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the pemrif is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thip 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 it work thereunder is suspended for 180 days. 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT Prooje\ct Description G �� '{"" ,\ n A n Sq. Ft. We ! / No. Size 7 N� Stories No. Dw. Units New Add 0 Alter ❑ Repair ❑ Demolition ❑ �;D g. �� 19 Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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 by: Validation: YELLOW = APPLICANT PINK = FINANCE Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. 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 7,834 S.F. or $17,548.16 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 OF/Southwest Bank of Texas -Ken Schmale Check No. 593519475 Name on the check Telephone 760-346-6639 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Yolanda Garcia Payment Recd 1$0.00 $17,548.16 Over/Under 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 or 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 Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE Desert Sands Unified School District ��1Fisc 47950 Dune Palms Road Q BERMUDA DUNES r Date _ 5/19/04 La Quinta, CA 92253 Q0 RANCHO MIRAGE t7 No. 25927 760 771-8515 ( ) �� INDIAN WELLDESERT PALM DESERT � LA :QINDIO ,� QUINTA �y Owner Frank Wade APN # 766-045-002 Address 79720 Tom Fazio Lane South Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 64 79720 Tom Fazio Lane South 7834 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 Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. 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 7,834 S.F. or $17,548.16 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 OF/Southwest Bank of Texas -Ken Schmale Check No. 593519475 Name on the check Telephone 760-346-6639 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Yolanda Garcia Payment Recd 1$0.00 $17,548.16 Over/Under 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 or 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 Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting ', Kenneth'R. Schmale ' KG CONSTRUCTION Phone: (760) 3as�639 s 73416 Silver Moon Trail Fax: (MO)836-0286 s Palm Desert, CA 92260 „ Cell: -'(760) 275-4920' September -22, 2004 ` CITY OF =_A QUINTA . City of La ,Quinta • :" '7-'REC0. Department of Building -and Safety BUILDING AND SAFETY 78495 Calle Tampico La Quinta, CA 92253- Re:' 2253Re:• Building Permit No: -043904 for the Wade Residence 79720 Tom"Fazio Lane South, La Quinta, California, ' Dear Sirs: On September 7th, I delivered'a letter to you regarding the cancellation of -the above- " referenced permit under.the name of. KG Construction for the Wade residence in -La Quinta: To facilitate the homeowner and to keep the project moving forward,,( would now like „ to request that you keep this permit in place until further notice., I apologize for any inconvenience this may cause: : If you have any questions regarding this matter, pleased don't'hesitate to contactme. Thanking you in advance for your cooperation. = Sincerely, Kenneth R: Schmale KG Construction ' KRS:cgs - ` Kenneth' R. Schmale KG CONSTRUCTION Phone: (760) 346-6639 73416 Silver Moon Trail Fax (760) 836-0286.. . Palm Desert, CA,92260 • cell: (760)275- 4920 September 7., 2004'. City of La Quinta :. Department of Building .and .Safety , 78495 Calle Tampico = ; La.Quinta, CA 92253 Re: ' Building Permit No: 043904 for the Wade Residence, 79720 Tom Fazio Lane South, La Quinta, -California Dear Sirs: As you know, -the above-referenced.permit'.was pulled -reflecting KG Construction as the builder/general contractor for this project. Due to recently diagnosed medical difficulties, I am unable to,continue.as the ,contractor on this project. ..I have given notice of my,resignation asthe general contractor for this project to, Bobbi and Frank Wade, the project -owners. Additionally, I have'given notice to each of the trade subcontractors on. the job who have contracted with Mr; and Mrs. Wade for•construction of the residence.. Due to my resignation as the'general contractor, please revise your records to reflect that I am no longer associated with the Wade residence. Thank you for your prompt attention to this,matter. Sincerely; A ,r Kenneth R. Schmale KG.Construction KRS:cgs :. CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS _�g %j, ' 7° ZWPERMIT NUMBER 'S1 Of OWNER B I DER Moa�—✓ 2�31e;Z?F This form shall be posted on the fob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list. or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work.. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On•File" is not an, acceptable response. da:>;::Clasn :::::::: . �oht _�sf�ca e.s 1a..m arc.S X. ..................... bus -M ................ Nm Classification eA BC -8 .9. Number xx xxx) Ex Exp. 1xx xx xx) Carrier -Name e.9.State Fund CalComP Polis Number (Format Varies) Ex .DateLicense 1xx/xx/xx1 Number xxxx1 Ex_. a t o 1xx xx xx 1 l C"K(G. �� I 006S 3 1 b� - i - - �OG4f 3-a - CG cr�L .0^ -�L a� � w�. o. CW 0 �oI - 31D S 1 � 7 �D oU � ::.::.::::::.:.�:: Chtn..�.^. v� �-rc.� �,i� � Lo � I _. - a o t 1 G 3 1 1 t (-- 3 G 5 05 L t S G�S 1 U i G S D ON C - -v 5 1 �� � s� 4 � U G a 3 a� -3 S 1 4S a C 3 ` >» t r NCING:<<.;:.:.; Xxx