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04-3520 (AR)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 Property Address . . . . . APN: Application description . Property Zoning . . . . . Application valuation . Owner ------------------------ GATTI RICHARD D 79-305 STONEGATE LA QUINTA CA 92253 04=00003520 Date 8/09/04 79305 STONEGATE 772-040-016- ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 109614 Contractor OWNER D Q � -u-- MG 11-Z��4 CITY OF LA QUINTA FINANCE DEPT. ------• Structure Information FAMILY ROOM AND GARAGE ADDITION ----- Construction Type TYPE V - NON RATED Occupancy Type '. . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FLOOD ZONE - NO GARAGE" SQ . FTG ..860..00 - .860 .00FIRSTS;F"LOORSQ"FTG'.. FIRSTS -.FLOOR SQ'-FTG,.,; 1148,,.00 ---------------------------------------------------------------------------- Permit . . . ... . BUILDING PERMIT Additional desc Permit Fee 674.50 Plan Check Fee . 438.43 Issue Date . . . . Valuation . . . . 109614 Qty Unit Charge Per Extension BASE FEE 63.9.50 10.00 3.5000 THOU BLDG 1;00,00;1-500,000 35.00 ----------------------------------------------------------------------------- ------------ ------ -------=----- .Permit . . ELECT .Permit - ADD/ALT/REM _. Additional desc Permit Fee . . . . 72.38 Plan Check Fee 18.10 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1148.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 40.18 860.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL = 17.20 --------------------------------------------------------------------------- Permit . . MECHANICAL Additional desc Permit Fee . . 39.50 plan Check Fee 9.88 N P.O. BOX 1504• f 4 4 �����j rV VOICE (760) 777-7012 78-495 CALLE TAMPICO TFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ©y — 3,5 Date: I' t' App ICan . Applicant's Mailing Address: Architect or Engineer: 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 License is in full force and effect. License Class License No. Date Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from :he 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 ;he 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' Stats 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.). Qst 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. B.& P.C. for this reasoi DateO� wner ­" 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 wh.ch 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. ant dC AfJ �( WAR UNG: FAILURE TO SECURE WORKERS' COMPENSA—ION 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 construct.on 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 Safely for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is nade, 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 up the above-mentioned property for inspection purposes. �at� �� Signat pplicant or Agent): P 4A Page 2 Application Number . . . . . 04-00003520 Date 8/09/04 Issue Date Valuation 0 Qty Unit Charge Per Extension - BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH EXHAUST HOOD, 6.50 --------------------------- Permit .. . . . . -------- --------------------------------------- PLUMBING Additionald esc Permit Fee 33.75 Plan Check Fee 8,.44 'Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 67.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP' 3.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 ------------------------------------------------------------------------- Special Notes and Comments 1148 SQ. FT. FAMILY ROOM ADDITION AND 860 GARAGE ADDITION - - - - - - - - - - - - - - - - - - - - - - - - - - .Other Fees. . . . . - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - . . . . ENERGY REVIEW FEE - - - - - - - - - - - - - - - 7 43.84 STRONG MOTION (SMI) 7 RES 10.96 Fee summary Charged ----------------- ---------- Paid Credited Due Permit Fee Total ---------- ---------- 820.13 .00 .00 ---------- 820.13 Plan Check Total 474.85 -.00 .00 474'.85 Other Fee Total 54.80 .00 .00 54.80 Grand.Total 1349.78 .00 .00 1349.78 Date 8/11/04 No. 26304 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms.Road La Quinta, CA 92253 (760) 771-8515 Q BERMUDA DUNES rn RANCHO MIRAGE INDIAN WELLS , PALM DESERT y LA QUINTA 101 010 O Owner Richard Gatti APN # 772-040-016 Address 79305 Stonegate 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 79305 Stonegate 1148 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 schoo[facility fees imposed pursuant, to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,148 S.F. or, $2,571.52 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 Cash - Richard Gatti Check No. N/A Name on the check Telephone 760-771-5881 Funding Residential By. Dr. Doris Wilson Superintendent Fee collected./exempted by Juanita Green Payment Recd $O. —o $2,571.52 Over/Under Signature Z 7� NOTICE: Pursuant toJ�l ment 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 identive 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 phe 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 i