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04-3609 (SFD)R �Aht 4u�rttcv BUILDING & SAFETY DEPARTMENT ' P:O. Box 11504. (760),777-7012 JUL 6 7P8 LURM CA TAMPICO FAX (760) 777-7011 LA QUINT �A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 C-iTY OF LA QUINTA Ft p=aCF ocPT• BUILDING PERMIT Application Number C04-0.00,03609 Date 6/24/04 Property Address .. . . . . ....51315 CALLE HUENEME APN: 770 -163 -.016 -4 -000000 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning-. MEDIUM DENSITY RES :Application valuation .119636 .Owner Contractor" -------.-----------=-----.., ----------=----------- POWER FINANCE CONTEMPORARY HOMES INCORP P.O. BOX 134 P.O. BOX 1141 LA QUINTA CA 92253 LA QUINTA CA 92253 . WCC: STATE FUND WC: 1576498 07/01/04 CSLB: 736920 .03/31/05 CCC.. B ---'---------------=------- Structure Information ---=--------------------- 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 # BEDROOMS 3.00. FIRE.SPRINKLERS NO GARAGE SQ FTG 480.00 PATIO SQ FTG 39.00. NUMBER OF UNITS 1.00 FIRST FLOOR .SQ FTG\ 1918.00. Permit . . . . .. BUILDING PERMIT Additional desc Permit Fee . . "709.50 Plan Check Fee 461.18 Issue Date- Valuation 119636 Qty Unit Charge Per. Extension BASE FEE 639.50 20.00 3.5000 ----- THOU BLDG 100,001-500,000 70.00 --------------------- Permit . . . . . . ----------------=------------------ MECHANICAL --------------- Additional desc Permit Fee •. . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . 0 Qty Unit Charge Per Extension P.O. Box 1504 • VOICE (760) 777-7012 '4 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153 BUILDING & SAFETY DEPARTMENT Application Number: CA/— Applicant: A/—Applicant: Applicant's Mailing Address: Date: Architect or Engineer:' Architect or Engineer's Address: . 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. ate Contra or / ��O=NER43�UILDER 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.). U 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 Owner 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 insur �nr on 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insur�oae -Tier apolicy Cartier Icy Number I certify that, in theperform the work for which thin it is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws alifomia, and agree that, ff ould become subject to the workers' compensa 'on provisions of Section 3700 of the Labor Code, I shall �i/ forth(w,iitth comply those provisions. �te ' ! / f 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. CONSTRUCTION LENDING AGENCY 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.). Lenders 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. elfthis ap ication is made, each person at whose request and for whose benefit work Is performed under or pursuant to any permit issued as a result s application, t owner, and the applicant, each agrees to, and shall, defend, Indemnify and hold harmless the City of La Ouinta, its officers, a and employees for y actor omission related to the work being performed under or following issuance of this permit. 2. Any p i issued as a result of is application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or ation of work for 180 da will subject permit to cancellation. I cere have read this applicati and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building consn, nd e y authoriz a resentatives of this county to enter upon the above-mentioned property for inspection purposes. to �' Sig ature (Applicant or Agent): / Page 2 Application Number . . . . . 04-00003609 Date 6/24/04 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 106.73 Plan Check Fee 26.68. Issue Date Valuation . . . . 0 Qty Unit.Charge Per Extension BASE FEE 15.00 1918.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.13 480.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.60 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ------------------------------------=--------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00. 6.0000 EA PLB FIXTURE 60,.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE.>=5 4.50 1.00 ---------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . ----------------------------- GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension --------7-----------7------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments 1918 S:F. SFD PERMIT DOES NOT INCLUDE r km Page 3 Application Number . . . . 04-00003609 Date 6/24/04 ---------------------------------------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH. , ---------------------------------------------------------------------------- Other Fees . . . . . . . . . .ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 46.12 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 11.96 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total --------------------- 1037.23 -------------------- .00 .00 1037.23 Plan Check Total 539.36 .00 .00 539.36 Other -Fee Total 2463.08 .00 .00 2463.08 Grand Total 4039.67 .00 .00 4039.67 r km 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 school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,918 S.F. or $4,296.32 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 CC -Valley Independent Bank -Power Finance Check No. 305671 Name on the check Telephone 564-8470 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Beth Schieferstine Payment Recd $4,296.32 Over/Under Signature ZLCI� 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 or 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 ��1FIF-0 Desert Sands Unified School District �Nk, 0 47950 Dune Palms Road Q BERMUDA DUNES r Date 7/1/04 La Quinta , CA 92253 RANCHO MIRAGE d {� INDIAN WELLS No. 26117 (760) 771-8515 PALM DESE �� LA QUINTAT y QINDIO y�� O Owner Power Finance APN # 770-163-016 Address 5 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 51315 Calle Hueneme 1918 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 school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,918 S.F. or $4,296.32 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 CC -Valley Independent Bank -Power Finance Check No. 305671 Name on the check Telephone 564-8470 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Beth Schieferstine Payment Recd $4,296.32 Over/Under Signature ZLCI� 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 or 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