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08-1269 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001269 Property Address: 79345 STONEGATE APN: 772-040-015- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:. 107000 Tdy 4- 44ur«rw Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: B License No.: 917333 Date`. �� Contractor: - OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the 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.). 1 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Coritractors' 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.). (_ I I am exempt under Sec. , B.&P.C. for this reason r 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: — I Lender's Address: LQPEn11T Owner: BOONE 79-345 STONEGAT LA QUINTA, CA 9 253 Contractor: ! STEVENS CONS 76047 VIA FI INDIAN WELLS, (760)399-6887 Lic. No.: 917333 VOICE,(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 " - T1110 y� • Vryi nn dO,( I INC, % �Jd3S ------------------ WORKER'S COMPENSATION DECLARATION Date: 9/12/08 I- 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' comp-3nsation, 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 EXEMPT Policy Number EXEMPT 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 fort it comply with those provisions. / �% Date: 7 �J ;0 Applicant: - 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. 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 ofthis/c�ou ty to enter upon the above-mentioned propert or.inspecti� Date: 7 %��Q Signature (Applicant or Agent): 0 Application"Number . . . . . 08-00001269 . .Permit . . . . . . anILozmo PERMIT Additional deoo . ' � Permit Fee . . . . 664.00 Plan Check Fee 4�1.60 Issue Date . . . . Valuation. 107000 Expiration Date 3/11/09 ' i C�a Qty Unit Charge � Per ' Extension BASE FEE 639.50 . 7.00 ` 3.5000 ----------------------- --------------_---------------_-----------�-------- THOU BLDG 100,001-506'000 � 34.50 Permit . . . . ELECT - ADD/ALT/REM Additional deoo . . Permit Fee . . . . 25.50 Plan Check nee . . 6.38 issue Date . . . . Valuation . '. � . V Expiration Date � . 3/11-/09 Qty Unit Charge ger Extension ' BASE FEE ' 15.00 300.00 .0350 ---------------------------------------- oLEC NEW RES - 1 OR 2 FAMILY ---------------------------_----- . 10.50 ---- 'Permit . . . _ . . MECHANICAL ' ' Additional deoc Permit Fee . . . . 33.00 Plan Check Fee . ' 8.25 Issue Date . . . . Valuation O �;xpizatimo Date . . 3/11/09 ' ' Qty nnit,Cbazge Per Extension ' BASE FEE 15.00 `z.nO 9.0000 Eu MECH FURNACE <~100K 9.00 1.00 9.0000 ----_---_----_-----'_'-----------_---------------_---------'-_-------- EA mECa B/C ^~3HP/100K BTU ` 9.00 Permit . . . . . . PLUMBING Additional deoc . Permit Fee . . . . 43.50 Plan Check Fee ' . 10.88 ' Valuation O Expiration Date ' .3/11/09 ' Qty Unit Charge Per Extension . BASE FEE � 15'00 2.00 6.0000 Eu PLB FIXzURE l%.00 1.00 6.0000 Eu pLB aooF oeAzm 6.00 1-00 7.5000 EA eLo WATER 7:50 . 1.00 . 3.Ooo0 Ba PLB WATER zm8r/ALz/sEp 3.00 -------------------'--------'--------------------------------------- Special Notes and commento . � ----- aoo Sr. ADDITION To EXISTING STRUCTURE, LQPERMIz LQPERAIIT Application Number . . . . 08-00001269 Special Notes and Comments INSTALL NEW ENTRY _DOOR, OUTDOOR .SHOWER, - - EXERCISE ROOM. ----------------------------------------------- Other Fees ,------------------------------- ENERGY REVIEW FEE 43.16 STRONG MOTION (SMI) - RES 10.70 Fee summary Charged*.. Paid Credited ---:------ --- Due ----------------- Permit Fee Total' ---------- 766.00 766.00 .00 .00 Plan Check Total 457.11 457.11 .00 ..00 Other Fee Total 53.86 53.86 ..00 .00 Grand Total 1276.97 1276.97 .00 .00 LQPERAIIT Bin # v Per . mit #P.O. t City of La Quinta. Building ex Safety Division Box 1504; 78-495. Calle Tampico La Quinta, CA 92253 - (760) 777-7012 •Building Permit App I lication and Tracking Sheet Viect Address: 3 4S'-5i6j i (A;Ti-Uouitj Owner's Name: ' Old C; 66 6 P,j e, A. P. Number: -0 40 US-- Address: 34S Sro A) C&& M Le al De 9 scription: i: ntr ac% T..­_5rt0 �JS & Sta(4e_f �-Ad &ess. Vct -City, ST, Zip: w ra Telephone: Description: Pipie pre, r114 -city, I ST, Zip: TijNV43LL'S rL) JL..ti App "Y 30D Sq Telephone: 'A W City Lin- fi. 1194Y-73 5tA-LL _&r2 609— State Lic. # : J17 333- Arch., Engr.,.Designer: WAIL 110 G 4-/A&b-LLwA'4 LrLb' Address: 4SIqo d-wf) UIVii, ,City,ST, Zip: itAIA-K) WULS 1114phone: �D, 34et) L075 -t) State Lic. #: f4 4 Z4- 4 Name'ofContact Pero e I T p 0 P( lephone #1 of Contact Person: 7constru'ction Type: Lk)6o J) Occupancy: Project type (circle one): New CAd!LD� Alter Repair Demo # Stories: # Units: Estimated Value 01 of Project: 6 APPLICANT: DO NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd I - ). m n q C ' m PERMIT FEES' Plan Sets •Itcm, , L�. U L" U Li Plan Check submitte Me Amount Structural Calcs. r �1,toU 24 Reviewed, ready L y I I I cdonU JS 2 In" U Plan Check Deposit Trus . s Calcs. - Called Contact Perso Elk Plan . Check Balance Energy Calcs. Plans Picked up e I k Construction Flood plain plan Plans resubmitted Mechanical Grading, plan 2°" Review, ready forcorr&tions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O. A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person' A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE �v�N Desert Sands Unified School District • 47950 Dune Palms Road ¢ BERMUDA DUNES t, Ln RANCHO MIRAGE b Date 9/15/08 La Quinta, CA'92253 Nr INDIANWELLS Vi PALM DESERT . y No. 30203 (760)771-8515 v> LA QUINTA QINDIO y� Owner Boone APN # 772-040-015 Address 79345 Stonegate Jurisdiction La Quinta City La Quinta Zip Permit # Tract # No. of Units 1 Type Residential Addition Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79345 Stonegate 300 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 300 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 - Steve Espinosa Check No. Name on the check Telephone. 399-6887 Funding Exempt By Dr. Sharon P. McGehee Superintendent ��'• • 1,i, Fee collected /exem by S ilvrey Payment Recd Over/Underf`r° • Fay' ,. . • (.. �' Signature (J<<LiCIC.CT� NOTICE: Pursuant to Government Code Section 66020(d)(1 t s 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 Districtfs) behalf, whichever is earlier. , NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting L