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06-2043 (DSF)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUIN.TA, CALIFORNIA 92253 Application Number: 06-00002043 Property Address: 78815 VIA CARMEL APN: 646-430-031- - - Application description: DEMO - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 0 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Codeg.4nd my License is in full force and effect. License Class:.- 13 Lice e l 521890 '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, 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.). I—) 1 am exempt under Sec. 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 Owner: SANDRA YOUNG 78-815 VIA CARMEL LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/16/06 Contractor: KIRK CONSTRUCTION INC, MI ��� `� �UtDU 72677 BEAVERTAIL STREET PALM .DESERT, CA 92260. (760)346-1820 T4 No.: 521890 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 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' compensation laws of California, and agree that, if I should become subject to the workers' on•}p smion provisions of Section_ 37000 of the Labor Co"shallshall orthwit mply wit>offios ovisions.' - Date: 15--I(C!N 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. I' 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 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 authors rep entatives of this county to enter upon the above-mentioned property for i e ec on purp Date")�• Signature (Applicant or Agent): Application Number 06-00002043 Permit .. . . DEMO PERMIT Additional desc . Permit Fee 45.00. Plan Check Fee .00 Issue Date. Valuation 0 Expiration Date 11/12/06 Qty Unit Charge Per Extension BASE FEE 45.00 ------------------- Special Notes and Comments -------------------------------- DEMO TO BARE GROUND OF EXISTING 300 SF CASITA IN PREPARATION FOR NEW CASITA Fee.summary. Charged. Paid Credited Due Permit.Fee Total 45.00 .00 :00 45.00 Plan Check Total .00 .00 00 .00 Grand Total 45..00 .00 .00 45.00 Bin # City- of La Qui nta Building u Safety Division Perrfii(# V.0. Box 1504,78-495 Calle Tampico La Quinta, CA, 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number: -03 Address: Legal Description: City, ST, Zip.. /.4t– Contractor: -Address: -72, 0-7 City, ST, Zip:, Telephone: State Lic.#: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic Lic. #: Name of Contact Person: /N Telephone # of Contact Person: # Subm!tW 12� Plan Sets Structural Calcs. Truss C-aics. Energy C.Ics. Flood plain plait.. Grading. plan. Subcontador List Grant Deed H.O.A. Approval IN IIOUSE:- Planning Approval Pub. Wks. Appr School Fees 9 Telephone: 7— -P(9jectDescf1ption: City1ic. Construction Type: occupancy: Project type (circle one): N6Y Add`n Alter Repair Demo 1/4 r"" dtd? A' Sq.. FL: Stories: # Units: 14 13 "Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE I'd kte!d TPACIMG Plan Check.submitte4 Reviewed, ready for corrections 'PIETIUr FEF�S, Item Amount Plan Check Deposit Called contact Person Plan Chick Balance Plans Picked up p Construction Plans lans resubmitted Mechanical - 2"' Review, ready for 'e.ort-cc(ions/iss uc Electrical Called ContactPersonPlumbing Plans, picked up S.M.I. Plat's resubmitted Review, ready for corrections/issue Grading Developer Impact Fit Called Contact Person Date ot permit issue A.I.P.P. Total 'Permit 1iii " ' H To the City of La Quinta, My name is Sandra R Young and I am the legal owner of the property at 78-815 Via Carmel (Rancho La Quihii) , I -have given my authorization to Mike Kirk ( Mike Kirk Construction) to teak ' ' 'f ` the existing guest house, then build a new design to replace it. Thank you, Sara'idi) R Young 0 CITY .OF LA QUINTA .- PUBLIC WORKS/ENGINEERING. DEPARTMENT GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING PERMITS Form updated & effective 8/2512005 Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works/Engineering Department until ALL requirements listed below -'are complete. Incomplete applications or applications which cannot be processed will be returned to Applicant. Green Sheet approvals will be forwarded to the Building. Department directly by Public Works. Date: Developer: f f JE IKON Tract No.: Tract Name: Lot No.(s): Address(s): 13-hcf��(2 5 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building/Safety Department. CUSTOM HOMES:, PROVIDE ITEMS #2, #3, #4 AND #5 BELOW: TRACT HOMES: PROVIDE ITEMS #1, #2, #3, #4 (AS APPLICABLE) AND #6 BELOW COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3 AND #5 BELOW. 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must. be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance. (C-00-1 R"7.I r___S_r -I-� 3. Attach recorded final map showing proposed building locations are legal lots. 't=0 eco 4. Attach a completed <1 acre per lot or infill project Fugitive Dust-Controlprojectmatron P P P j S � _. form, PM10 plan & agreement or provide alternative & valiq City approved PR10-plarr.set reference. number or hard copy plan. PM10 plans for commercial a{id residentialdevelopments (beyond '. lot) are submitted separately with grading plans and are subject to additional .requirements. MAY 1 6 %20 0 E ' 5. Attach an approved precise grading plan for the building location(s). AO flood zo%e developments will require an approved flood plain development plan:: .... .....i 6. Attach an approved rough grading plan for the building location(s)- _- ..:: I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed building(s)/structure(s). on the subject lot(s). PursuanLLO my findings the abpve pro*. may be released for building permit issuance. Recommended by: Dated: S1i FROM : April 12, 2006 Sandra Young 78-815 Via Carmel La Quinta, CA 92253 PHONE NO. I�.ANCHO..LA QUINTA' MASTCv ASBOCIA`riQ--\I Jun. 08 2005 12:04PM P1 FAX: Mike Kirk. Construction 346.1820 Re: 78-815 Via Carmel ARC approval. Dear Ms. Young, The Rancho La Quinta Architectural Committee on April 12, 2006 has reviewed and approved your second submittal of plans for a room addition and Casita at 78-815 Via C4rmel,.with.the.fdllowing conditions: 1).. All work is to be done in accordance with.all applicable requirements of governmental.entities, including the. of La Quinta, and• in accordance w;th all Homeowners Association arch itectural'ggidelines. and' governing documents. . When the work has-been finished,, please fill out and return tome the Notice of Completion. Theassociation's architectural,consultarit will perform a final inspection after receipt of that notice to Verify. installation according to. the approved plan, and then. the.deposit.can berocessed'for a refund. Sincerely. i:3-55(1 .ALgtisr.nuRu, $lilrF. 6 • FAL M T) -A l.l� 9?)6�l • 760.346-ti61 I'P„t7l(1.:94G.y9lg