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07-2535 (RER)
TA. 4 • ��~ P.O. BOX 1504 - VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/14/07 Application Number: 0,-7770000253T Owner: Property Address: 44355 LAS VISTAS DR LEVY RESIDENCE APN: 604-175-010-246 -23269 44355 LAS VISTAS DRIVE Application description: REMODEL.- RESIDENTIAL LA QUINTA, CA 9225.3 Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 4512 Contractor: Applicant: Architect ol� Engineer: Owner 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 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 70001 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).: ( �) 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 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.). (_) I am exempt under Sec. , BAiP.C. for this reason A Date: '1I Zlfil til Owner: I hereby affirm under penalty of perjury that there is a work for which this permit is issued (Sec. 3097,1Civ. Lender's Name: _ Lender's Address: LQPEILMIT ;AGENCY ) agency for the performance of the 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 2001/2005 Policy Number - - - - - - - - - - - - --- Icertify that, in the performanceof he r which this permit is issued, I shall not employ any person in any manner so as to beco sub' ct to the workers' compensation laws of California, and agree that, if I should become s ject o the workers' compensation provisions of Section /3700 of the Labor de, I shall fon it wose Dat7Applicant: y WARNING: FAILURE TO SECURE W KERS' COMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENALTIES A D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITI THE COS F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTER T, 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 s hat the above information is I. I agree to comply with all city and county ordinances and state laws rel ting building construction d hereb authorize representatives of this county to enter upon the above -menti ed pr party for inspectio purposes. I Date:92�7 gnature (Applicant or Ag t): I Application Number �. . . . . 07-00002535 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 4512 Expiration Date 3/12/08 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 --------------=--------------------------------- THOU BLDG 2,001-25,000 ---------------------------- 27.00 Permit . . . .ELECT - ADD/ALT/REM Additional desc ' Permit Fee . . . . 19.20 Plan Check Fee 4.80 Issue Date . . . . Valuation 0 Expiration Date 3/12/08 Qty Unit Charge Per Extension BASE FEE 15.00 120.00 .0350 -------------------------------------------------- ELEC NEW RES - 1 OR 2 ------------------------- FAMILY 4.20 Permit . . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . 0 Expiration Date 3/12/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ----------------------------------------------------------------------- Special Notes and Comments convert3 rd. garage to office.120 sq. ft. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged ----------------- ---------- Paid -7 -------- Credited ---------- ---------- Due Permit Fee Total 115.20 .00 :00 115.20 Plan Check Total 57.60 .00 .00 57:60 Other Fee Total 5.18 .00 .00 5.18 Grand Total 177.98 .00 .00 177.98 LQPEILN1IT T4h �t 4 4 �`�� Building & Safety Department 78-495 Calle Tampico PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice — (760) 777-7011 fax CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 44-355 LAS VISTAS DR. APN: 604-175-010-248 DESCRIPTION OF WORK: GARAGE CONVERSION TO OFFICE SQUARE FOOTAGE: 120 SQ. FT. OWNER'S NAME: LEVY Coachella Valley Unified School District 83-733 Avenue 55 P 0 Box 847 Thermal, CA 92274 (760) 398 5909 . Desert Sands Unified School District 47-950 Dune Palms Road La Quinta'CA 92253 (760) 771-8515 ``- CITY OF LA QUINTA BUILDING & SAFETY DEPT* APPFIOVED FOR CONST DAT t-N1s-10 B Please Note:. This Letter Verifies Conditioned Square Footage. Please call your School District to Verify School Fees, Requirement for Cashiers Check or Money Order and Hours of Operation. For questions regarding this letter, please call: Building & Safety Counter Technician (760) 777-7012 Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street Unit 1 44355 Las Vistas Dr Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 120 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. 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 120 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 - Warren Levy Check No. Name on the check Telephone Funding Exempt By Dr. Doris Wilson , I' r , Superintendent ° *�'rt` ` ` c Fee collected /exempte y Sron G* Payment Recd -0.00 a° �. ! 1 = ©ver/Und *J; ";Z- ; Signature .y NOTICE: Pursuant to Government Code Section 66020(d)(1), th' will servelo 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 ACich 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 au ed 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 ARE -INSPECTION FEE OF $30 W LL BE CHARGED IF THE APPROVED P S AND JOB CARD ARE NOT ON on z0 "AN { IS R� hsfi,ction is NOT PERMITTEO the following Code Holidays: New Year's Day. Dr. Martin Luther King Jr. Day. President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day :QUATELY SIZED DEBRIS CONTAINER RED ON THE JOB SITE DURING ALL OF CONSTRUCTION AND MUST BE AS NECESSARY. FAILURE TO DO SO SE THE CITY TO HAVE THE CONTAINER. ) AT THE EXPENSE OF THE OWNER/ ,CTOR;." WY—eF t.A Q IN TA BUILDING & SAFETY DEPT. APPROVED FOR CONSTR CTION DATE / BY e CisR i2R pal v -Sff' -V �f L- Q u c IIX7?q e fJ - 9 az -e 5;-3. 2�. s.9 . 2_U ISTAS QR Fi ST op^ G � xrsF �s G(4v2/) G (Joa 12 b�cE-/�oPY Bin # City of La Quinta. Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# 00, �j. i Project Addrtss: A. P. Number: Legal Descritition: Owner's Name: (,j ffUtTrV , S'ff L Address: City, ST, Zip: I A3 LCV Contractor:: Telephone: Address: Project Description: City, ST, Zip, •; Telephone:. State Lic. #.: City Lic. #: Arch., Engr.,Designer.* Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: (,JC�,� L Construction Type:.Occu an P c3': Project type (circle one): New . Add'n Alter Repair Demo . Sq. Ft :Stories: #Units: -Telephone # o Contact Person: 6 `ZiG 4 3 00 Estimated Value of Project: l� p APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACIMG . PERMIT FEES Plan Sets, Plan Check submitted l� Item Amount Structur 1 Calcs.. Reviewed, ready -for correctionsq 1C f Plan Check Deposit Truss Celcs. Called Contact Person Plan Check Balance Energy ales.. Plans picked up Construction Flood pli in Plan Plans resubmitted Mechanical Gradipg, lanV Review, ready for•eorrectionsrssue Electrical Subcont etor List Called Contact Person Plumbing Grant Deed, Plans picked up S.I%I.I. II.O.A. Approval Plans resubmitted Grading IN IiOU E: -" Review, ready for correctionsriissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 1J OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA922 (760)777-7 1 2 FAX: (760) 777 011 1 J— L A r U1.r7An -)/-Z, C 19 au11% � 7 PERMIT NUMBER(S)