06-1785 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
r. Application description:
f Property Zoning:
Application valuation:
06 - 000017 85
78815 VIA CARMEL
646-430-031- - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
107833 -
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
-44
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
hereby affirm under penalty of perjury that I am licensed under provision f Chapter 9 Icommencing with
Section 7000) of Division 3 of the Business and Professionals Code, my License is in full force and effect.
License Class: B cert . 52
Date:' 2� 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 _ 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, 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
1
- 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:
1 � `
LQPEILNIIT
l
VOICE (760) 777-7012
FAX (760) 777.7011
INSPECTIONS (760) 777-7153
Date: 6/23,/06
Owner:
SANDRA YOUNG
78815 VIA CARMEL
LA QUINTA, CA 92253
---------------------=------------------ - - - - - —
WORKER'S COMPENSATION DECLARATION
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 STATE FUND. Policy Number 1090480-2006
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' ompensation laws of California,
and agree that, if I should become subject to the workers' pensation provisions of Section
3700 of the Labor Code a ort wit cc y with se isigns.
f f�
Date: fe'- r -i -4C6 Applican
i
WARNING: FAILURE T 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 agreelio comwith all
city and county ordinances and state laws relating to building const ion, and hereby aut ize r sentatives
of this county to enter upon the above-mentioned property for 'N n pur S. 10
Date Signature (Applicant or Agent).
L
Contractor:
KIRK CONSTRUCTION INC,
I
JUN 2 9
fY J
2006
U .
72677 BEAVERTAIL STREET
PALM DESERT, CA 92260
CITY OF LA QUANTA
(760)346-1820
FINAivCE DEPT.
Lic. No-: 521890
---------------------=------------------ - - - - - —
WORKER'S COMPENSATION DECLARATION
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 STATE FUND. Policy Number 1090480-2006
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' ompensation laws of California,
and agree that, if I should become subject to the workers' pensation provisions of Section
3700 of the Labor Code a ort wit cc y with se isigns.
f f�
Date: fe'- r -i -4C6 Applican
i
WARNING: FAILURE T 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 agreelio comwith all
city and county ordinances and state laws relating to building const ion, and hereby aut ize r sentatives
of this county to enter upon the above-mentioned property for 'N n pur S. 10
Date Signature (Applicant or Agent).
L
` Application Number .
. . . . 06-00001785
Permit . . .
BUILDING PERMIT•
_ Additional desc .
Permit Fee
667.50" Plan Check Fee
433-.88 -
Issue Date . . . .
Valuation . .
107833
Expiration Date
12/20/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
8.00 3.5000
--------------------------------------
THOU BLDG 100,0.01-500,000
--------------------------------------
28.00
�' Permit . . . .ELECT
- ADD/ALT/REM
Additional. desc
" Permit Fee
_
61.45 Plan Check Fee
15.36
Issue Date
Valuation
0
Expiration Date
12/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1327.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
46.45
------------------------------=--------
--------------------------=----------
\
Permit ..,MECHANICAL
Additional desc .
Permit Fee
39.50 Plan Check Fee
9:88
Issue Date . .
Valuation . . . .
0
Expiration Date
1.2/20/06
' 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 VENT FAN
6.50
Permit
PLUMBING
Additional desc .
Permit Fee
55.50_ Plan Check Fee
13.88
Issue Date
Valuation
0
Expiration Date
12/20/66
Qty Unit Charge
Per
Extension
/
BASE FEE
15.00
4.00 6.0000
EA PLB FIXTURE
24'.00
1.00 7.5000
EA 'PLB WATER HEATER/VENT
7.50
1.00 3.0000
'EA- PLB WATER INST/ALT/REP
3.00
2.00 1.0000
EA PLB GAS PIPE 1-4'OUTLETS
6.00
LQPERMIT
Application Number
. . . . .
06-00001785
----------------------------------------------------------------------------
Special Notes and
Comments`'
" 310 sq. ft.STUDIO,
1017 CASITA.June 19,
2006 11:41:15 AM
jjohnson
----------------------------------------------------------------------------
Other Fees.
. . . .
ENERGY REVIEW
FEE
43.39
STRONG MOTION
(SMI) - RES
10.78'
Fee summary
.Charged
Paid
Credited
Due
Permit Fee Total
82'3:95
.00
.00
823.95
.-Plan Check Total
473.00
.00
.00
473'.00
Other Fee Total
54.17
.00
00
54.17
Grand Total
1351.12
.00
.00
.1351.12
B
ill City o f La
Quinta
/ G 3��
- Building U- Safety Divisioni
P.O. Boa 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495, CALLE TAMPICO (760) 777-7000
LA QUINTA,' CALIFORNIA 9.2253 FAX (760) '777-7101
June 12, 2006
Mr. Mike Kirk
Mike Kirk Construction Inc.
72-677 Beavertail St. .
Palm'Desert, CA 92260
SUBJECT:. MINOR'USE PERMIT 2006-799 .
78-815 VIA CARMEL
Dear Mr. Kirk:
Your request for approval of Minor Use Permit 2006-799, allowing the construction of a
casita/guesthouse at 78-815 Via Carmel in La Quin'te, is hereby approved., You may
now contact the Building & Safety Department for yourtbuilding.permit.
Enclosed is the approved original Deed Restriction.for thi-:-Minor Use Permit. It must. be
signed by the owner in front of a Notary Public. The original approved documents are
then to be recorded.with the County Recorder, with a recorded copy given to the City for
our files.
The Community Development Department will sign the job card when the recorded copy.
is received, which°would provide our clearance to the 611.ilding & Safety Department to
issue the building final inspection. Until the recorded copy is received by the Community
Development Department, your Minor Use Permit is not complete and a final inspection
will not be conducted by the Building & Safety Department'.
Should you have any questions, please call me at (760) 777-7125
Assistant Planner
Attachments
c. Building and Safety Department
r
[,9;w
. OWLES D. UILAN11 ARCHITECT
Architecture, Interiors, Space and Land Planning, and Structural Diiign.
Principle: Charles D. Garland, Architect
Associate: Efrain Cardenas, Engineer In Training , r„
14 August 2006.1 F
The Cityof La Quints r
Department of Building and Safety r
78:495 Calle: Tampico
La Quinta, CA 92253 ,
Project: The Single Family. Residence for:
Sandra Young at: '
78-816 Via Carmel
La Quinta, California
Regarding: Structural Construction Observation
To Whom It May Concern, ,
. M
I am a licensed Architect in the State of California and the structural design professional of record for the noted
projects structural system.
On this date, 14 August 20061 visited the noted project site to perform code mandated structural observations prior
to City's final framing inspection. hfound the structure to be in substantial conformance with the structural design .
intent of the structural construction documents of record. '
I hereby state therefore, that the project is ready to wrap.
If you have any further questions regarding his`project please do not hesitate in contacting me.
Sincer
No. C11991
10!31/2007
Charles D. Garland Z
EVor�r P,
Architect
CAL�F�Q�`
^ 74-_854 Velie Wav_ Suite 5 n Palm De..wrf_ CA 92260 n Phone- (760) 340-3528 n Farcimile: (760,1.340-3728
JHA ENGINEERING, INCORPORATED
CIVIL EN.GINEERTNG DESIGN • LAND PLANNING • SURVEYING
EN VIRON MENTAL, SERV ICES
June 26, 2006
City of La Quinta .
78-495 Calle Tampico
La Quinta, CA. 92253-1504
Building Department
ATTN: Building Inspection Supervisor
RE:, Lot 75 — Tract No. 28343 MB 260/40
Site Address: 78815 Via Carmel. La Quinta, Ca'
Builder: Mike Kirk Construction
s
i.
Gentlemen,
This shall serve as a pad certification letter stating that the grading for said lot has
been done for the above mentioned property. A field inspection has been done and shows that
the pad elevation has been graded as noted,
Elevations
Existing Finish Floor Elevation 100.00
As -Built Pad Elevation 99.45
As -Built Form Elevation 100.00
These elevations fall within the standards for grading practice and tolerances.
Sincerely,AN
Q�pFESSION�
John . Hacker R.C.E. 14614 w =;,`��
xp. 3/31/07 a ,03.3t.g� '
t
JHH/agv/063449 OFC �FO�
41921 BEACON MILL • SUITE A • PALM DESERT, CA. 92211
(760) 779-0657 FAX (760) 779-5143