04-5933 (SFD)�F�Q�rw
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application.Number04-00005933 Date 12/28./04
Property Address . . . . . 513 0-AVENI'DA DIAZ
APN: 773-044-011- - -
Application description DWELLING - SINGLE FAMILY DETACHED
Property.Zoning . . . . . . . MEDIUM DENSITY RES
Application valuation 118182
Owner
---------------------------------
EICHEL STEPHANIE MARIE
PO BOX 1243 ,!
LA QUINTA, CA,`92253
t -IAN 07 2005 IL
CITY OF LA QUINTA
Contractor
A & M CONSTRUCTION
P.O. BOX 366
LA QUINTA, CA 92253
(760) 564-4832
WCC: STATE FUND
WC: 0460009232 01/01/05
CSLB: 746198 02/28/06
CCC: B -C10
P.O. BOX 1504• �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Date:
Architect or Engineer.
Architect or Engineer's Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed unde .provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my�ice is in utl force and effect.
License Class ��`— � Lic nse No. l f7 _L O
- ,tt41 q,(.
OWNER43UILDER 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 1, 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 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.).
U I am exempt under Sec. , B.& 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 m intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the -performance of the work for which this permit is
}{eta w els Gg�n ensation insurance_ca er and
I certify that, in the performance of the work for which this permit i3 issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California.find agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those proyisions.
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
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
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, indemnity 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 cane ation.
1 certify that I have read this application and state that the above inf 'tion is correct. 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county nter upon the above-mentioned property for inspection purposes.
Date It ture'(Appl cant
Ir A`gent):
-------------------------------------------------------------=--------------
-Appi'ication Number .
----------------------------------------------------------------------------
. . . . 04-00005933
------ Structure Information
1893 SQ. FT. SFD
-----
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
474.00
PATIO SQ FTG
46.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1893.00
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
706.00 Plan Check Fee
458.90
Issue Date . . . .
Valuation . . . .
118182
Qty Unit Charge
Per
Extension
BASE FEE
639.50
19.00 3.5000
----------------------------------------------------------------------------
THOU- BLDG 100,001-500,000
66.50
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
105.74 Plan Check Fee
26.44
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1893.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
66.26
474.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
9.48
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE
15.00
Permit GRADING PERMIT
Additional desc . .
Permit Fee
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit MECHANICAL
Additional desc . .
Permit Fee . . . .
59.00 Plan Check Fee
14.75
Issue Date . . . .
Valuation . . . .
0
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
3.00 6.5000
EA MECH VENT FAN
19.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit .. . . . . . PLUMBING
----------------------------------------------------------------------------
--ApplAcation Number .
----------------------------------------------------------------------------
. . . . 04-00005933
Permit . . . . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
122.25 Plan Check Fee
30.56
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9.00 6.0000
EA PLB FIXTURE
54.00
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
5.00 .7500
EA PLB GAS PIPE >=5
3.75
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
1893 SQ. FT. SFD. THIS
PERMIT DOES NOT
INCLUDE POOL & SPA ,
BLOCK WALLS OR
DRIVEWAY APROACH.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
45.89
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
d
COVE PRECISE PLAN FEE
100.00
STRONG MOTION (SMI) - RES
11.81
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
------------------------------
1007.99 .00 .00
1007.99
Plan Check Total
530.65 250.00 .00
280.65
Other Fee Total
2562.70 .00 .00
2562.70
Grand Total
4101.34 250.00 .00
3851.34
Date 1/6/05
No. 26769
Owner Stephanig Eichel
Address 51-380 Ave. Diaz
City La Quinta Zip 92253
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
`jNFIEDSC'
BERMUDA DUNES r
Cr RANCHOMIRAGE
v, INDIAN WELLS �.
d� PALM DESERT y
LA GUINTA
cr " yr'
773-044-011
Jurisdiction La Quinta
Permit #
Tract # Study Area
Type Single Family Residence No. of Units 1
Lot # No. Street
Unit 1 1 51380 Avenida Diaz
Unit 2
Unit 3
Unit 4
Unit 5
Comments
S.F.
1895 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 patiosANalkways, 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:
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 1,895 S.F. or $4,244.80 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/PDNB-Rick Morris Check No. 091818
Name on the check Telephone
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Yolanda Garcia
Signature
Funding Residential
Payment Recd 0.00
$4,244.80 Over/Under
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 o
r 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
/07/2005 12:51 5642926
ell jjrOT-05 10 -Un fror%D KPISLIC TITLE
f a .COLD" REONEsM IV-
t 'Fide8ty Nstlaaa<Tim COMOSAY
pa+W MIS. 4aas7c8
Thio Oft Mb.
When Recorded MO Doonomt
a . bred Tax 89"WRallt Tall
Mr. and Mrs. Jason D. E''s"
LOREALTOR
PAGE
T60TT8211I
MOT P.08/03 F-120
o......
prlia
........0 - --
sa:abA Pwf,;7.N
ninoerwed Area Cky of La flnlints
I 1 Uper
of 1 Oat T TU P&Ld
N
In Offs 444 "WOR
Op
PAV of R&O&M Ilk
-
-N
Orn L. 9rM
MrMrar
OsvMv C.terb a 00~1"r
in the Offlc6 W file County fOscwdw of Said C *Unty.
11101111111111
rapt aR
Y%e ►n►dwdgreed rainudaadedwvk)
/
DOM fr, My OW41sr tart b 42 CAD
i X ) computed oa flA VA.46 of pmparty oolWW", of
I ) computed on fns vdus ins value of Somor enaumbranc'es remains v at time If cels,
'�
ninoerwed Area Cky of La flnlints
I 1 Uper
N
FOR A VAWAN S CON>11DMAT", f«dpl of gelid k bmby OAROv6a
"WINER
IN,
-
-N
rapt aR
Y%e ►n►dwdgreed rainudaadedwvk)
/
DOM fr, My OW41sr tart b 42 CAD
i X ) computed oa flA VA.46 of pmparty oolWW", of
I ) computed on fns vdus ins value of Somor enaumbranc'es remains v at time If cels,
'�
ninoerwed Area Cky of La flnlints
I 1 Uper
FOR A VAWAN S CON>11DMAT", f«dpl of gelid k bmby OAROv6a
8Wft I At% A Married Man
b reby Owls) to Jam D. tush end t3taptwhls Marla 0", "UNW d i WIN as Jaunt Tenarm
die feaswlng damn" led W600ty be *9 CWf at La OwnM
cow" of Riverside, Buse of t:d' wda;
lot 16, Block 48 of Santa Cu ne fta st Vale Le OUPOR, unit #4, as per map rewiidsd In OR 9 18, Pago 6? of MOPS,
in the Offlc6 W file County fOscwdw of Said C *Unty.
DATED: August 13, 2002
TFIN
ri
♦.�
.. .f:�ra+ytitl�-
posonatly known to me (or prOvstl 170 aro an the bWN
of sltfiafWuWy en+lfasneb to be Lha Preen(e) Whefa
narno(af istwe wloeta W in Lha whhln (rlaOlmmm and
aclaaw%dgW le no that h*A**Id y mecutod the
ons in hW%Whdn(r eaftelissd eapacj 0v*, and that
by Na/f101/thok aignttt►llala) all the klnnMrlant the
perseMal, or the errllty upon 000 - at Whidn Ola
persons) ectad, sumused die Instrument,
wh w* Any Mand and o{
ffW seal.
$gnature � t n • a.�,. .
Oftft%com
Oak�w
MAIL TAX MATB&W& AS OT1D
3&aiPftn Rlhrefat&,CA DocwfWWLY@W.DM)WD 2M **765 FWp: f & f
02/04
`LDJ LU/YL�Q/'C
Ceniticate of Occupancy
o
�if. ;r ��Ivicear.etrtn 4- .
OF �w Building Y p & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building.
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 51-380 AVENIDA DIAZ
Use classification- SINGLE FAMILY DWELLING Building Permit No.: 04-5933
Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RC
Owner of Building- STEPHANIE MARIE EICHEL Address: 51-380 AVENIDA DIAZ
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date- 06-08-2005
Building Official
POST IN A CONSPICUOUS PLACE
;O,