10-1297 (SFD)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:. 2/17/11
Application Number: 10-00001297 ' Owner:
Property Address: 80534 VIA PESSARO LEDEDA Q
APN: 777-180-001- - - 55075 MONROE STREET
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL O
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Application valuation: 461472 �ri
Applicant: Architect or Engineer:
Ml
--------------------------------------------------
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.
Licepse Class: B icense No.: 744091
Date: ontractor:
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 1$500).:
1 _ 1 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 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.).
(_) 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 contractors) 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Contractor: i
SUN VISTA DEVELOPMENT CORP r_;a Ogft
P. U. BOX 1144 i �t�'1t'�
LA QUINTA, CA 92247 1S.
(760)771-4722
Lic. No.: 744091
------------------
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 STATE FUND Policy Number 0000179-2009
_ 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
n/ 3700 of the or C de, s 11 forthy'th comply with those provisions.
ate} plicant•
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OVERAGE 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.
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 ounty ordinances and state laws relating to building construction, and hereby authorize representatives
oft I /County to enter upon the above-mentioned propert ori spection purpq s.
ate;�i// / / /(_ Sig ure (Applicant or Agentl:
Application Number . . . . . 10-00001297
------ Structure Information 5,309SF DWELLING/VB/RES-3/CL A -FR [ENG] -----
Other struct info . . CODE EDITION 2007/2008
# BEDROOMS 4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 843.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE .00
----------------------------------------------------------------------------
Permit
Additional desc .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BUILDING PERMIT
1906.50
8/16/11
Plan Check Fee . . 1239.23
Valuation . . . . 461472
Qty Unit Charge Per Extension
BASE FEE 639.50
362.00 3.5000 THOU BLDG 100,001-500,000 1267.00
----------------------------------------------------------------------------
Permit
Additional desc .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
MECHANICAL
193.00
8/16/11
Plan Check Fee . . 48.25
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
BASE
BASE 'FEE
15.00
4.00
9.0000
EA
MECH FURNACE <=100K
36.00
1.00
4.5000
EA
MECH VENT INST/ DUCT ALT
4.50
4.00
16.5000
EA
MECH B/C >3-15HP/>100K-500KBTU
66.00
10.00
6.5000
EA
MECH VENT FAN
65.00
1.00
----------------------------------------------------------------------------
6.5000
EA
MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
ELEC-NEW RESIDENTIAL
233.32 Plan Check Fee .
Valuation . . .
8/16/11
58.33
0
Qty
Unit Charge Per
Extension
BASE
FEE
15.00
5309.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
185.82
875.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
17.50
1.00
----------------------------------------------------------------------------
15.0000 EA
ELEC
TEMPORARY POWER POLE
15.00
LQPERMIT
Application Number
Permit . . .
Additional desc
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . . 10-00001297
PLUMBING
257.25 Plan Check Fee . .
Valuation . . . .
8/16/11
64.31
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
29.00
6.0000
EA
PLB
FIXTURE
174.00
1.00
15.0000
EA
PLB
BUILDING SEWER
15.00
2.00
7.5000
EA
PLB
WATER HEATER/VENT
15.00
1.00
3.0000
EA
PLB
WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
15.00
.7500
EA
PLB
GAS PIPE >=5
11.25
i.UU
----------------------------------------------------------------------------
i5.000U
EA
PLE
VAS METER
15.00
Permit . . .
Additional desc .
Permit Fee
Issue Date . . . .
Expiration Date . .
GRADING PERMIT
15.00
8/16/11
Plan Check Fee .00
Valuation 0
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Special Notes and Comments
5,309SF DWELLING/VB/RES-3/CLASS A -FR
[ENGINEERED) THIS PERMIT DOES NOT
INCLUDE BLOCK WALLS, POOL, SPA, WATER
FEATURES OR BBQ. 2007/2008 CALIFORNIA
BUILDING CODES.
February 2, 2011 10:30:12 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 19.00
ENERGY REVIEW FEE 123.92
GRADING PLAN CHECK FEE 15.00
MULTI -SPECIES (MSHCP) FEE 1284.00
STRONG MOTION (SMI) - RES 46.15
Fee summary Charged Paid Credited Due
Permit Fee Total 2605.07 .00 .00 2605.07
Plan Check Total 1410.12 750.00 .00 660.12
Other Fee Total 1488.07 .00 .00 1488.07
Grand Total 5503.26 750.00 .00 4753.26
LQPERMIT
TWT 4 4 "
P.O. BOX 1504
Building 495 LE TAMPICO
AddressSo_53 W5t5AM9;;NTA, CALIFORNIA
92253
I I"00
I�4v�4Z�e�\ee-
Mailing
Address 550% so �1`RO� Saes
City
ress
Zip
State Lic. City
& Classif. Lic. #
Arch., Engr.,` t,
Designer `-1Pi��on1 1�6
Address Tel.
1Z(.\ N �ii s :
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name: Hideaway
Owner's Name: Mark Ladeda
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Address: 80-534 Via Pessaro, La Quinta CA 92253 -
Project Description: Single Family Dwelling
Date: February4, 2011
Phone No. 760 578-3491
APN: 777-180-001 Lol #'s:
Type of Development: Residential XX Commercial
Total Square Feet of Building Area: 5309
Industrial
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 be of the owner/developer.
Dated: Signature:
+******
/* /*
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEAN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
17620
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
Gov. Code
65995
5309
$2.97
$15,767.73
Project Agreement Existing Not Subject to Fee
Approval Prior to 1/1187 Requirement
Building Permit Application Completed: Yes/No
By: Jamie T. Brown, Asst. Supt., Business Services
Note:
Certificate issued by: Marcela Valdez, Construction Analyst Signature:
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this,District provide (1) a 1
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of L>e 90 -day period to protest the
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code a nd other applicable law, this
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with thr payment of the fees or pert,
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, w e
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.
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cruse, as determined bthe SI
to three (3) such extensions may be granted.
t citr•yc c: s cl see;: ces s,I :,.rc sof c:ornl limlcc fbry. upd,.Ied :i i)i1? 11/2010
On notice to the
osition of these
ce shall serve to
ice of any other
r payable at this
is Certificate of
District, and up