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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 ®�� � kv 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