Loading...
04-3330 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA,`CALIFORNIA 92253 INSPECTION REQUESTS ('760) 777-7153 BUILDING PERMIT Application "Number. 04-0_0.0.0.3.3.3.0 Date 4/07/04 Property Address . . . 78690 AVENIDA TORRES APN: 770-171-011- Application 70-171-011 Application description . . DWELLING - SINGLE FAMILY DETACHED Application valuation . . . . 168593 Owner Contractor EPIC ENTERPRISES ADDINGTON, DAVID 52775 AVENh6T-k-hLEJO 4.1760 HERMITAGE DRIVE LA QUINTAO CASNO\ INDIO CA 92201 LA QUINTA\Nj. _1CA92253 0 WCC: STATE FUND WC: 2290019787, 01/01/C5 `J QQ GAO CSLB: 682901 12/31/C5 CCC: B --------- -------------- Structure Information ------------------------- Const ction Type . . . . . TYPE V - NON RATED Occupancy%Type . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . FLOOD ZONE AO Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 740.0.0 PATIO SQ FTG 494.00 NUMBER OF UNITS 1.00 FIRST.FLOOR SQ FTG 2579.00 Permit' . . . . . BUILDING PERMIT-" " Additional desc Permit Fee . . . 881.00 Plan Check Fee 322.65 Issue Date . . . . Valuation 168593 Qty- Unit Charge Per Extension BASE FEE 639.5.0 69.00 3.5000 THOU BLDG 100,001-500,000 241.50 ---------------------------------------------------------------------------- Permit MECHANICAL Additional desc . Permit Fee . . . 105..00 Plan Check Fee 22.50 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNANCE <=100K 18.00 4 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04 - 333D Applicant: Applicant's Mailing dress: �q -i -, f�-�1�� o �� Date: Architect or Engineer: Architect or E gineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my LiceW is in full force and eff n License Class l `S License No. C� Date ` © C tractor 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 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 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 of sale.). U 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.). U I am exempt under Sec. , B.& P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I her SMpn under penalty of perjury one of the following declarations: 1 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 p ,ssyyed��. htY-vorkers mpensation insurance cameo d polic�numbe are- Gr Cartiery ka C 1. 1) r\L?� Policy Number _L%�1 ( \" p I certify that, in the perforant of the work for which t is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calif a, and agree that, if I hould me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall �j k forthwith comply with those i ' ns. Date4 Lo WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION 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 underpenaltyof p(eerjury 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 C�1`/j—, ` ��11 �+ —� 1 IS(G�Z� Lender's Address I, —L J Com— 1`��y 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 su=Agent): cellation. I certify that I have read this application and stateration is correct. I a e to comply with all city and county ordinances and state laws relating to building construct; ,and ,h-erce�b/b authorize representativeme upon the above boned o erty for inspection purposes. Date `� 1 Signature (Applican b Page 2 Application Number 04-00003330 Date 4/07/04 Qty` Unit Charge Per Extension 2.00. 16.5000 EA •MECH B/C >3-15HP/>100K-500KBTU 33.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -----------=---------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL "Additional desc Permit Fee . . . . 135.07 Plan Check Fee 33.77 Issue Date Valuation 0 Qty Unit Charge Per Extension. BASE FEE 15.00 2579.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.27 740.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.80 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 -.-,----------------------------------------------------- Permit . . . . . . PLUMBING --------------------- Additional desc . Permit Fee . . . . 202.50 Plan Check Fee 50.63 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 5.00 6.0000 EA PLB ROOF DRAIN 30.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee :OC" Issue Date . . . . Valuation C Qty Unit Charge Per Extension_ ------=-----------------------------7--------------------------------------- BASE FEE 15.0C Special Notes and Comments SFD - LOT •154, 2579 S.F. PERMIT DOES Page 3 Application Number . . . . . 04-0000.3330 Date 4/07/04 Special Notes and Comments NOT INCLUDE BLOCK WALLS, POOL, SPA OR- RDRIVEWAY DRIVEWAYAPPROACH ----------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 32.2.7 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 16.'85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total. 133.8.57 .00 .00 1338.57 Plan Check.Total 429.55 00 .00 429.55 Other Fee Total 2454.12 .00 .00 2454.12 Grand Total 4222.24 .00 .00 4222.24 Date 4/2/04 No. 25764 Owner Epic Enterprises Address 52-775 Avenida Vallejo City. La Quinta Zip 92253 Tract '# Type Single Family Residence Lot # Unit 1 154 - Unit 2 Unit 3 Unit 4 Unit 5 Comments CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 No. . Street S.F. 78690 Avenida Torres 2579 4����FIEDSc�o Q BERMUDA DUNES RANCHO MIRAGE (� r�J INDIAN WELLS ti PALM DESERT y LA QUINTA QINDIO y� O At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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 in the amount of $2.24 X 2,579 S.F. or $5,776.96 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 C/C- VIB, Riley Lebrun Check No. 305441 Name on the check Telephone 774-1127 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGilvrey Payment Recd $0.00 $5,776.96 Over/Under Signature A 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 Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy'- Applicant/Receipt Copy - Accounting APN #. 770-171-011 Jurisdiction La Quinta Permit # 0401-223 Study Area No. of Units 1 Lot # No. .Street S.F. Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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 in the amount of $2.24 X 2,579 S.F. or $5,776.96 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 C/C- VIB, Riley Lebrun Check No. 305441 Name on the check Telephone 774-1127 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGilvrey Payment Recd $0.00 $5,776.96 Over/Under Signature A 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 Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy'- Applicant/Receipt Copy - Accounting 78-495 CALLE TAMPICO LA QUINTA; CA 92253 (760) 777-7075 APPLICATION FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE "AO" - DEPTH 1 COMMUNITY- PANEL NUMBER f% C / trT / U— b ( 0: \/e_vxtO^� Toy -,re S 060709 0005 B Map Revised: 8/19/1991 - APPLICANT INFORMATION SECTION APPLICANT NAME DA -V/ _ PrUN146-r tN APPLICANT Q • ��� �3. . ADDRESS THE BUILDING (MAILING ADDRESS, NOT SITE) DAYTIME TELEPHONE NO. 0 INSTRUCTIONS 1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the PFecise Grading Plan is submitted,to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by' the checklist shown on the back of this application. 3. Documentation. required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building &Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate" form to the Engineering. Department. •. Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL The Precise Grading Plan submitted for this has been STEP 2 OF 2 APPROVAL' I p, ® QUINTA All have been. FThis Fl application requirements satisfied od"Pla ' reviewed and found to contain all data required to satisfy the `Development Permit isla�0,pPe v qNG & SAFET T. DEPT. requirements of LQMC 8.11 The proposed dwelling is eligible to building upon satisfying Building &�;.t PROVED.' �9/ED receive a permit all other Safety Department r quirements. Fl -', t CONS-j•PDCTION 3 M�--�Jt f r r r r} — BY - AUTHORIZED riGNATURE DATE La Quinia'Engineering Department AUTHORIZED SIGNATURE -"--'DATE La Quinta Engineering Department FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant F090 REV -2 7/00