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08-0882 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 08-00000882 44760 LIBERTY AVE 604-493-011-30 -24197 - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 10696 Architect or Engineer: 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 Code, and my License is infull 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 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.). (o 1 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 IIaam exempt under Sec. , B.&P.C. for this reason Oate:J c;�'/� D 4�0 Ojner. 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/19/08 Owner: BURGE JAMES G 44-760 LIBERTY LA QUINTA, CA 92253 Other struct info . . . . . C Contractor: fi Owner D I T I ON � _ _ 2�_7� � y �O Lic. No.: ----- -- 1 0® --------------------- - - - - -- —f , r- - - - - - -— WORKER'S COMPENSATION DECLAR 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 NO Policy Number E FOOTAGE 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 C aP, I shall forthwith com f with those provisions. i Dat.5-J/" QG'Appl icant: r WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 buildingj�nstruction, and hereby authorize representatives of this county to enter upon the above-mentioned property 6r ' p etion purposes. Date5'w Signature (Applicant or Agent): Application Number . . . . . 08-00000882 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 126.00 Plan Check Fee 81.90 Issue Date . . . . Valuation . . . . 10696 Expiration Date . 11/15/08 Qty Unit Charge Per Extension BASE FEE 45.00 9.00 9.0000 ---------------------------------------------------------------------------- THOU. BLDG 2,001-25,000 81.00 Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 21.55 Plan Check Fee 5.39 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/15/08 Qty Unit Charge Per Extension - BASE FEE 15.00 187.00 .0350 --------------------------------7------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 6.55 Permit . . . .MECHANICAL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/15/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD : 9.00 -------------------------------------------- Notes and Comments CONVERT 3RD. CAR GARAGE TO OFFICE 187 SQ. FT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 8.19 STRONG MOTION (SMI) - RES 1.06 Fee summary Charged Paid Credited ----------- - - - - ---------------- - - - - ------ - - - - ----- Due ' - - - - - -- Permit Fee Total 171.55 .00 .00 171.55 Plan Check Total 93.29 .00 .00 93.29 Other Fee Total 9.25 .00 .00 9.25 Grand Total 274.09 .00 .00 274.09 LQPERMIT [(log rw -0 tibbo sow( 1�4a4 Lts r Bin # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 17— Project Add er ss %� 7,1,6 Owner's Name: A. P. Number: 'Address: 21 ZM7 , Legal Description: City, ST, Zip: Contracto�:� Address: Telephone: Project Description: City, ST, Zip: Telephone: V� l/ State Lic. # : City Lic. #: Arch., Engr., Designer: Address: 11 00 City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: I V # Stories: # Units: Telephone # of Contact Person: 0, f7g-, -31Y Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets �7 Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctio 4ssu Electrical Subcontactor List Called Contact Person 5 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 J. School Fees vy e / Total Per 'Fees [(log rw -0 tibbo sow( 1�4a4 Lts r CERTIFICATE OF COMPLIANCE o����IEOSI Desert Sands Unified School District 47950 Dune Palms Road° ¢BERMUDA DUNES r RANCHO MIRAGE Cf Date 5/21/08 La Quinta, CA 92253 INDIANWELLS P No. 30045' (760) 771-8515 �' 'A ° IO �y ��IN0 y� 0 Owner Burge APN # 604-493-011 Address 44760 Liberty Ave Jurisdiction La Quinta City La Quinta Zip Permit # Tract # No. of Units 1 Type Residential Addition Lot # No. Street Unit 1 44760 Liberty Ave Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 187 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 187 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 - Eileen Burge Check No. Name on the check Telephone Funding Exempt By Dr. Sharon P. McGehee Superintendent Fee collected /exemp by a c i rey Payment Recd ';fiver/Under'' , Signature f /2� ff' rr� � 11 - NOTICE: Pursuant to Government Code Section 66020(d)(1), this will se+e�o 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 t e uilding 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 without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting CONSTRUCTI -10N HOURS ()(Aober 1st m April 30 T�-km,ochay - Friday: 7:00 a.m. to 5:30 p.m. 8.00 a.m. wpm �P.M. S-wn�lay: None Co vennmc ent Cade 1911days: None a Y I St - September 30th M onal;,y Friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:001 a.m. to 5:00 surlday. None �I a\A-2 FLOOR PLAN.dwg, 5/9/200811:40:16 AM, HP Designjet 110 FLOOR PLAN SCALE 1/4' = V-0" Job Name 0 N 29 � 0 T- L� lvl�f 1 % ' )ON rnara�� w ar��m ��>•� err ., SECTION C - ARCHITECTURAL Construction is NOT PERIAITTro on the following Code Holidays: New dear's Day Dr. Martin Leather King Jr. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day 9 1) Specify 1/2" gypsum board applied to the garage side to separate the garage from the dwelling unit and the dwelling's attic. See Plan for area(s) not in compliance. Provide details and/or notes to folly describe the method proposed. (CBC §406.1.4, Item 1) SECTIONS—ELECTRICAL 1) Note on Plans: "Aluminum conductors are permitted only if size 1/0 or larger, and only to feed main or sub- pancLs. All other wrrnt carrying conductors shall be copper." (LQMC§8.03.030) 2) Telephone jacks sre required in all babitablcrooms crept a Drring area which is finmedi atd7 adjacent to a Rildxn or Living Room. (LQMC §8.03.040) Show all telephone jack locations. or. Piun. 3) Cable Television outlets are requved in all habitable rooms except Kitchens and Diming area (LQMC §8.03.040) Show all television jack locations on Plan 4) Spceify GFCI protection for receptacles in garage. (CEC §210.8(Ax2)) , 5) Note on Plans: "Smoke ahmms shall be 120 -volt with battery back-up." (CBC §907.10.1.2) 6) Provide 120 -volt smoke alarm(s). (CHC §907.10.11) Show all locations ou Plans. Locate no less than 3'-0" from air register. Informational Item: '7n dwelling units, a smoke alarm shall be installed in each sleeping room and at a point centrally located in the corridor a arca giving access to each separate sleeping area. When the dwelling unit has more than one story and in dwcllinga with basements, a smoke alarm shall be installed on each story and in the besemcnt In dwelling units where a story or basement is split into two or more levels, the smoke alarm shall be installed on the upper level, except that when the lower level contains a sleeping area, a smoke alarm shall be installed on each level. When sleeping rooms ate on an upper level, the smoke alarms shall beplacedat the ceiling of the upper level in close proximity to the stairway, in dwelling units where the ceiling height of a room open to the hallway serving the bedrooms exceeds that of the hallway by 24 inches or more, smoke alarms shall be installed in the hallway and in the adjacent room. Smoke alarms shall sound an alarm audible in all sleeping areas of the dwelling unit in which they are located." (CBC §9¢7 103:2) 7) Wham tlx, valuation of m addition, alteration or repair to a Group R Qccupancy exceeds S 1,000 and a permit is required, or when one or more sleeping rooms are added or created in existing Group R Occupancies, smoke alarms shall be installed in accordance with Sections 310.9.1.3, 310.9.1.4 and 310.9.1.5. (CBC §310.9.1.2) m.Smcke alarms may be solely battery operated when installed in existing buildings; or in buildings without (commercial power, or in buildings which undergo alterations, repairs or additions regulated by Section 310.9.11. (CBC §Oft7 Sty ,_) 8) Note on Plans: Provide interconnection so that the activation of any smoke ahem will activate all smoke nlatms in the dwelling." (CBC §9071.10.3) RE—INSPECTION � X130 ttAi� ADEQUATELY SLED DEBRIS CONTAINER 1 DE CHARGED IF THE APPROVED � REOUIR ED ON TIDE JOB SITE DURING° ALL WILL ) "tES OF COr ISTRUOTION AND MUST RE PLANS AND JOS CARD ARE NOT ONs Et,;Ir'TIED AS NECESSARY. FAI�.URE TO DO SO IJ IT FOR � I"1�DDL��i MAY CAUSE THE CITY TO HAVE THE CONTAINERII INSPECTION. o EXCEPTIONS!�EPEXCEPTIONS!D AT THIE EXPENSE OF THE OWNER/. )° M P,EI � ,��� CONTRACTOR.' Burge Existing + Addition/Alteration 44-760 Liberty Avenue La Qu i nta, CA 92253 IS -1r re ev ,e,F 0 L (7 4W ;yam OF LA QUINTA BUILMNIG & SAFETY DEPT. AOR C01\i W� UCTION