05-3223 (AR)P.O. BOX 1504
7$-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00003223
Property Address: 78391 TALKING ROCK TURN
APN: 770-300-041- - -
Application description: ADDITION - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 35471
Applicant:
Architect or Engineer:
DVaZd.,.and u
------.--=--
DEC LI hereby affirmunder pena y ofinSection 7000) of Division of t
License Class: B . FINANCE DEFTcense No.: t
DatV2-4z/os' Contractor:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT - -
4RATI ON
'Chapter 9 (commencing with
License is in full force and effect.
4091
OWNER -BUILD DECLARATION
I hereby affirm under penalty of perjury that I am exempt from'Me 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 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.).
j ) I am exempt under Seca , 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
VOICE (760) 777-7012 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12./21/05
' Owner:
SIMS M KELLY
1824.THE STRAND
HERMONSA BEACH, CA 90254
Contractor:
SUN VISTA DEVELOPMENT CORPORAT .
P.O. BOX 1144
LA QUINTA, CA 92247
(760)771-4722
Lic. No.: 744091
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 HRH INS. Policy Number 17054605
_ I certify that, in the performance of the work for which this permit is issued, I shallnotemploy 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.
Date/Z 22 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 this county to enter upon the above-mentioned property for inspection urposes.
Dat Z2 Signature (Applicant or Agent): Y
Application Number .
. . . .` 05-00003223
Permit ..
BUILDING PERMIT-.
Additional desc
-..
Permit Fee.
323.50
Plan Check
Fee
210:28
Issue Date . . . .
Valuation
35471
Expiration Date
6/19/06
y.
e Qty: -Unit Charge
Per
Extension
BASE
FEE
252.00
11.00 6:5000
THOU BLDG
25,001-50,000
71.50
C" --------------------------------------------------------------------=-------
Permit . . .
ELEC-NEW RESIDENTIAL
.
Additional desc .
Permit
30.37
Plan Check
Fee
7.59
Date
Issue Date . .
Valuation
. . .
0
Expiration" Date
.6/19/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
439.00 .0350
--------=----------------------
ELEC
---------------------------------------------
NEW RES - 1 OR 2
FAMILY'
15.37
Permit
MECHANICAL
Additional desc .
Permit "Fee . . . .
24.P0.
Plan Check
Fee ..
6.00
Issue Date . . . .•
Valuation
. . . .
0
Expiration Date
6/19/06
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
.439 SQ. FT. ADDITION
TO MASTER
BEDROOMDecember 20, 2005
10:36:24
AM
JJohnson
------------------
Other"Fees
ENERGY.REVIEW FEE
21.03
STRONG
MOTION (SMI)
- RES •
3.54
Fee summary Charged
Paid Credited
Due
Permit.Fee Total
377.87
.00
.00
37.7.87
Plan Check Total
223.87
.00
.00
223.87
Other Fee Total
24.57
.00
.00
24.57
Grand Total
626.31
.00
.00
626.31
LQPERINIIT
LQPER,NIIT
Bin tl — — —
. w
�J
�J •
u 3
s, Ic)5-3
PO. BOX 1504 APPLICATION ONLY
G 8 5 CA LE TAMPICO
Building v LIFORNIA 92253
Address
Owner
^ ' YY1 BUILDING: TYPE CONST. P.
OCC. GR
J Mailing Number
Address x
Cit Zi Tel. Legal De ion
�i� Project Descripti
Con ac r
_i�
�Z[t -� x,1'0112 � 12(Ih�05
Total Pcrmil Fees
OT 15,5vlo i Frerk- 5%a/
6-,5 Pato rzlzd%s
A
Ci ZI T I 2
tate Lic. City Sq. Ft.
No. Dw.
/ Units
& Classit. Lic. # Size
&_0
ries
Arch., Engr. New ❑ Add ❑
Alter ❑ Repair ❑ De olit' 171Designer
UN%ri1 ! �-
ss Tel.
Tip/IktA, MA;%a
I Cit Zi State
�i. Lic. #
'
LICEN D CONTRACTOR'S DECLARATION
O
I hereby affr - that I a ' ed un er provi 'ons of Chapter 9 (commencing with Section
7000) of Division 3 e B mess an Pr fe ons Co e, and my license is in full fort nd
412
effect.
AT
SIGNATU
Ow R I DECLARATION Estimated Valuation
`
I hereby m that'I am em fr the Contractor's License Law for the following
I reason: (Sec.'7031.5, Busin' s and Pro ssions Code: Any city or county which requires a
demolish, or repair any structure, prior to its issuance also PERMIT
AMOUNT
I permit to construct, alter, im rove,
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
License Law, Chapter 9 (c0mmencing with Section 7000) of
thee provisions of the Contractors
s..� WRITE BELOW THIS LINE
It Submittal•
Re9'd Recd
TRACKING'
Plan Sets
PERMIT VEFS
Plan Check submitted 'I
Structural Calci.
item Amount
Reviewed', ready f r corrections
TrusvCalcs. QS
Pfaa Check Deposit
.Called Contact Pers
Title 24 Calcs.. J
Plan Chick Valance
Plans picked up
Flood plain plan
Construction
Plans resubmitted
Grading plan rZ
A4chanicil
2"' Review, ready for corrcctio Ass "
Subcontactor List
Electrical
Called Contact Person
Grant Deed
Plumbing
Plans picked. up
ILo.A. A pproval
S.n tl.
Plans.resubmillcd
IN IIOUSE:-
Grading
'"' Revicn'eidy for corrc ionsrissuc�,
Developer
PlanningA peroral
Impact Fee
Called Contact Person
Pub. Wks. Aper
A.I.P.t.
Date of perntit•issue
School Fees
�Z[t -� x,1'0112 � 12(Ih�05
Total Pcrmil Fees
OT 15,5vlo i Frerk- 5%a/
6-,5 Pato rzlzd%s
Comments
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:
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 439 S.F. or $0.00 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 Exempt - Bill Leddy Check No.
Name on the check Telephone 275-9734
Fanding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by S r McPayment Recd
y 00 T
�bver/Under:: I
Signature
• r (( Ea ti �`V`
NOTICE: Pursuant to Government Code Section 66020(d)(1), this w&/tseootify 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 Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
CERTIFICATE OF COMPLIANCE
N�FIEDS
Desert Sands Unified School District
949:—,
47950 Dune Palms Road
o
< BERMUDA DUNES r"
Date
12/22/05
La Quinta, CA 92253"'INDIAN
Cr RANCHO MIRAGE
WELLS
No.
27973
(760 771-8515
DESERT
dr PALM LA GUINTA
V
QIN0 N��
Q
Owner
Sims
APN #
770-300-041
Address
78-391 Talking Rock Tum
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
78391 Talking Rock
Turn 439 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 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:
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 439 S.F. or $0.00 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 Exempt - Bill Leddy Check No.
Name on the check Telephone 275-9734
Fanding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by S r McPayment Recd
y 00 T
�bver/Under:: I
Signature
• r (( Ea ti �`V`
NOTICE: Pursuant to Government Code Section 66020(d)(1), this w&/tseootify 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 Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting