Loading...
04-6798 (AR)`r - BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04-00006798 ® Date 11/03/04 Property Address . . 45095 SUMMERBROOK CT APN:. 604-413-009-18 -23995 - Application description . ADDITION RESIDENTIAL Property Zoning . . . LOW DENSITY RESIDENTIAL Application valuation . . . 400.00. - Owner �Contractor- - STOCKWELL HOUSEWRIGTSUSAN AVILA CONSTRUCTION 4509545-095 SUMMERBROOK, .82567 AVENUE 48, #50 LA QUINTA 22,3 INDIO CA 92201 (760) .793-2728 WCC : ' EXEMPT WC: EXEMPT, 08/31./05 CSLB: 412506 10/31/05 oF��O� CCC: B ------ Structure Inf m P� 90 SQ.. FT. REM / ADD ----- Construction Type TYPE V.- NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00' FLOODZONE NO. FIRST FLOOR SQ FTG 590.00 ----------------------------------------------------------------------------.. Permit . . . BUILDING PERMIT Additional desc Permit Fee . . 349.50 Plan Check Fee 227-18 Issue Date . . . .Valuation 4.0000 Expiration Date 5/03/05 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 THOU BLDG 25,001-50,000 97.50 -------------------------------------------------------------- -------------- Permit . . . . . ELECT.- ADD/ALT/REM Additional desc Permit Fee . . 35.65 Plan Check Fee 8.91 Issue Date Valuation . . . 0 Expiration Date . 5/03/05 Qty Unit Charge Per. Extension BASE FEE 15,00 590.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 20 65 ----------------------------------------------------------------------=_----- N Permit . . GRADING PERMIT °- Additional desc P.O. BOX 1504 C&f 4 44" 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: O Applicant: Applicant's Mailing Address: Architect or Engineer: iw VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 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 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and -my Licena 's ' full force and effect. License Class) "-`' _ � ? U _ Lic_ense No. i Date. Contractor_ 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 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 Policy 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 '� JJ forthwith comply with those provisions. Dat C` plicant Q, 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 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 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 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 flays 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, a d hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ®Date naturr4`(ApplicanI or:Agent): P;'� _ r Page 2 Application Number 04-00006798 Date 11/03/04 Permit Fee 15.00 Plan Check,Fee .00 Issue Date Valuation 0 Expiration Date 5/03/05 Qty Unit - Charge. Per. Extension BASE FEE .15.40 Permit . . . . MECHANICAL Additional desc Permit Fee 37.00 Plan Check Fee 9.25 Issue Date Valuation . . . . 0 a Expiration Date 5/03/05 _. Qty Unit Charge Per Extension BASE FEE 15.00 1..00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 2.00 6.5000 EA MECH VENT FAN 13.00 -------------7--------------------------------------=------------------------ Permit PLUMBING Additional desc Permit Fee 54.00 Plan Check Fee 13.50 Issue Date Valuation 0 Expiration Date .5/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 .6.0000 EA PLB FIXTURE 36.00 1..00'.' '3.0000 EA PLB WATER INST/ALT/REP 3.00 Special Notes and Comments 590 SQ. FT. REM ADD11/3/04 11:26:36 AM JJOHNSON Other Fees . . . . . . . . . 'ENERGY REVIEW FEE 22.72 - STRONG MOTION (SMI) - RES 4.00 Fee summary Charged Paid Credited Due Permit Fee Total 491.15 .00 ..00 491.15 Plan Check Total 25.8.84 .00 .00 258.84 Other Fee Total 26.7'2 .00 .00 26.72 Grand Total 776.71 .00 .00 776.71 �J x x Bin # Permit # -1 b Project Address:�� S A. P. Number Legal Description: Contractor: Address: g City of La Quinta Building S Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet er's Nae:% Address: �� �� _qCity. ST. Zip: m � FTelc ho _ Project Description: X City, ST, Zip: Ce, . Cfo��O X Telephone- State Lic. # > City Lic. #: Arch., Engr., Designer: Address: 7 5 / j 5 Q City. ST. Zip: ' 0. 06W r Telephone:'-� _ Construction Occupancy: State Lic. #: Project type (circle one): New A ? n Iter Repair Dcmo 1C Name of Contact Person: �. S � q. Ft.: - ' o #Stories: X Telephone # of Contact Person: #Units: —,3L 7a.8 IXEstimated Value of Project: 412©or(�" APPLICANT: DO NOT WRITE BELOW THIS LINE p Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submined Item Structural Cales. Reviewed, ready for corrections Amount Plan Check Deposit Truss Calcs. Called Contact Person �%.� Plan Check Balance Energy Calcs Plans picked up ] p - f___ Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2W Review, ready f • r correction ss Electrical Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up /] 5.1.1. H.O.A. Approval Plans resubmitted �� 2— Grading IN HOUSE:- E3"Review. ready for correctio issue oper Impact Fee Planning Approval Contact Person f l A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under 5 00 square feet,. detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, 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 590 S.F. or $1,321.60 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. O/C -Wells Fargo & Co. - Fred Avila Check No. 0737704237 Name on the check Telephone 793-2788 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exe ted by Patdcia Barbuzza Payment Recd $1,321.60 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 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 ���� Desert Sands Unified School District o �� - C 47950 Dune Palms Road BE MUDA DUNES r Date 11/4/04 La Quinta, CA 92253 Cr RANCHO MIRAGE INDIAN WELLS No. 26600 (760) 771-8515 C'✓ PALM DESERT LA QUINTA �'�o,ND,D a Owner Susan Housewig APN # 604-413-009-18 Address 45-095 Summerbrook Ct. 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 45-095 Summerbrook Ct. 590 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 garagestcarports, covered patiostwalkways, residential additions under 5 00 square feet,. detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, 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 590 S.F. or $1,321.60 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. O/C -Wells Fargo & Co. - Fred Avila Check No. 0737704237 Name on the check Telephone 793-2788 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exe ted by Patdcia Barbuzza Payment Recd $1,321.60 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 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