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08-1341 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Annlicant- c 08-00001341 80806 VIA PESSARO 772-500-001- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 21500 Tityl BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: v 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 P fessiZl Is Code, and my License is in full force and effect. Lice%e Class: icense No.: 802919 e:actor: 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 _ 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 yeas 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.). (_ 1 I 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/06/08 Owner: KEN SLAMAN 80806 VIA PESSARO LA QUINTA, CA 92253 Contractor: AZURE POOLS SP yr P.O. BOX 10 41, 100 1 t - PALM DESER , 255 (760)322-7 65 CIYOt. Lic. No.:802 �l`N=�� 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 DELOS INS CO Policy Number OIDKRM12002794 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 sho become subject to the workers' compensation provisions of Section .37 of the Labor C e I sha! comply with those provisions. ate: /,�URETO cam: `\ WARNING: FAECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 3708 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 1 have read this application and state that t ve information is correct. I agree to comply with all city and county ordi nces and state laws relating to b ildin ons r i and hereby authorize representatives of this c o,€r5y�r upon th above-mentioned prop y fo pecti u ses. t rte: nature (Applicant or Agent): y Application Number . . . . 08-00001341 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . 225.00 Plan Check Fee 146.25 Issue Date . . . Valuation . . . 21500 Expiration Date 2/02/09 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 180.00 Permit . . MECH POOL Additional desc . Permit Fee . . . . 26:00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 2/02/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 -------------------------------------------------------.-------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date 2/02/09 Qty Unit Charge. Per Extension BASE FEE 15.00 1.00 30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . 33.00 Plan Check Fee 8.,25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/02/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.0.0 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 08-00001341 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due ----------------- Permit Fee Total 329.00 .00 .00 329.00 Plan Check Total 172.25 .00 .00 172.25 Grand Total 501.25 00 00 501.25 •✓!� - � :r✓• ii I✓• 1.4•:i`•''•::.••• � .rte•; _ __ • :i - e•'i: • :•'g: i:.'. •::f;•. •:•J. '';';:; ::;::• �::•: Vii; :;:�:;:: •.•i•:• :!:!:!: :•:•:tip.• ..;•;:; ....... , •: C : :•:•:•• •}:••• �;� :: '?'' ''' :tip:::: �:� ��: :f•:.'. w . .......... ........... Towifiiffimiiam ............ ............. .......... Mama, ............. ........... . X., ...... . ...... z . . ............... lid M, Mill- .00. ■ ff IMF SMno ■ . ........ ............. ■ ■ rrAk■ . .......... Towifiiffimiiam ............ ............. .......... Mama, ............. ........... . X., ...... . ...... z lid M, Mill- .00. ■ ff IMF SMno ■ . ........ ............. ■ ■ rrAk■ Towifiiffimiiam y✓ 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 PP g Permit # Project Address: 67A 0 CJ Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: �/ / Contractor: / ` l i Telephone: . Address:RY,26S-- ID&V Project Description: 12AN / City, ST, Zip: Telephone: an 4 wi • State Lic. # : City Lic. #: Arch., Engr., Designer: , Er l W%r 10 —Y)4- Address:/ ' y AVP 20 State Lic. #: Name of Contact Person: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 8/(� 00 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans bicked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correctionsfiissue Electrical Subcontactor List Called Contact Person 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 School Fees Total Permit Fees TilY 4 4 a" P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CAI.LE TAMPICO LA QUINTA, CALIFORNIA 92253 April 30, 2007 MR THOMAS GEARING 23679 CALABASAS RD 503 CALABASAS CA 91302 RE: Building Permit #04-7847 (80806 Via Pessaro) Dear Mr. Gearing: BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 have reviewed your letter dated April 17, 2007, a copy of which is enclosed. Your building permit for a single family dwelling at the above address was purchased on April 29, 2005. Because no work has commenced nor permit extension granted, the permit was expired as of October 26, 2005. All construction documents have been discarded. Per your request, included herewith is the original'. receipt for payment of your. _school district fees. Please show this letter to Coachella Valley Unified School District as evidence that your permit has been expired by the Building . Department and that no construction: will allowed until a new application has been submitted and approved, including a new receipt from the School District. If questions arise regarding this matter, please contact me directly. at 760-777- 7015 or by e-mail at gbutler ,la-quinta.orq. Yours truly, Greg Butler Building & Safety Manager Enclosures: April 17, 2007 Gearing letter Original CVU.SD receipt dated April 19, 2005 Copy of expired building permit #04-7847 City of La Quinta receipt for additional plan review services Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE, RF.r.RPT- CHF.r..K 8- - INITIALS + CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Resld`ence IsathThe HiY deawa, Date: April 19, 2005 Owner's Name: Thomas Gearing Phone No. Project Address: 80-806 Via Pessaro La Quinta, CA Project Description:- 1 SFD APN: 772-500-001 Tract #: Lot #'s: - Type of Development: Residential XIX Commercial Industrial Total Square Feet of Building Area: 4,464 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: April 19, 2005 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) F Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 4,464 Amount per Sq.Ft.. $ 2.88 Amount Collected $ 12,856.32 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees., Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. t€L,';G;'rtl}'�OCti(ICelilcclC�Ctlhc<lte Of compliance i6mi UiblcsTO U... E.doc 1/16/03 T ' APR 2 0 2007 La" Thomas Gearing 23679 Calabasas Rd #503 CITY OF LA QUINTA Calabasas, CA 91302-1502 BUILDING AND SAFETY . f . April 17, 2007 Greg Butler . City of La Quirts r Building Department 78495 Calle Tampic ' La Quints, CA 92253 + Fax: 760-777-7112 RE: 80806 Via Pessaro Desert Sands Unified School District 47950 Dune Palms Rd. La Quinta, CA.' Dear Mr. Butler, Please be advised that I'm seeking to obtain reimbursement of my school impact fees and need you to return the of the original certificate of compliance to the following address. 23679 Calabasas Rd #503, Calabasas CA 91302. I originally applied for a building permit, the building permit expired and no building was commenced. Th u for your attention to this matter. inicc ly, Tom an g t.