06-2411 (AR)4
a_v
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
i,
cea "4'4 Q"
Application Number: 006-00.002411
Property Address: 53777 AVENIDA VILLA
APN: 774-173-025-3 -000000-
Application description: ADDITION - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 103782
Applicant: 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 in full force and effect,
License Class: B License No.:. 66
16at-q__,2S-M 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).:
(_ I 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 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.).
(_ I 1 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
Owner:
LAWSON DAVID
P O BOX 1028
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/25/06
� a o
Contractor:
WISE MAINTENANCE & TR SEP 25 2006
P.O. BOX 1767
LA QUINTA, CA 92253 CITyOF
(760)564-0821 FINANCE QUINTA
Lic. No.: 664238 SEPT.
WORKER'S COMPENSATION DECLARATION a
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 Sectionf3,700 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 EXEMPT Policy Number EXEMPT
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 ,
i'33700 of the Labor Code, I shall forthwith �Ipwith thos visions. ,
r'Datef 11!& Applicant• ' o
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.
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..
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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection
Date Signature (Applicant or Agent): "
LQPERMIT ,
Application Number•
06-00002411
Permit . . .
BUILDING PERMIT
Additional desc ..
Permit Fee . . .
653.50 Plan Check
Fee ..
424.78
Issue Date
Valuation
103782
Expiration Date .
3/24/07
` Qty Unit Charge
.Per
Extension
BASE FEE
639.,50
4.00, 3.5000
THOU BLDG 100,001-500,000
14.00
Permit
ELECT - ADD/ALT/REM
Additional desc .
` Permit Fee . . . .
79.26 Plan Check
Fee
19.82.
Issue Date
Valuation
0
Expiration=Date
3/24/07
,
S
Qty. Unit `,Charge
Per
Extension
_
BASE FEE
15.00 w
' 1836.00 ':035.0
ELEC NEW RES = 1 OR 2
FAMILY.
64.26,
- - - - -.- - - - - - - - - - - - - - - -. - - -
T-
-.- - - - - - - - - - - - - - - - - - - - - - - - - -.-
- - - - - - - - ---
- - - - - - - - -
Permit ,
MECHANICAL
' Additional desc` r
~ Permit Fee
70.'50.. Plan
Fee .•
17.63 "
Issue Date....
,Check
Valuation
0
Expiration Date .
3/24/07
�.
Qty Unit Charge
Per
Extension
BASE FEE
15.00
,•: ' 2.00' 9:0000
EA MECH, FURNACE '<=100K
18.00
_ a 2.00 9.0000
EA' MECH'B/C <=3HP/100K BTU'
18.,,00
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000
-----,-------------------------
EA MECH EXHAUST HOOD
--------- -------------------------
------------
--------------
6'.50 y.
.:
Permit
P ermit
PLUMBING
Additional desc .
• Permit Fee . . . .
49.50 Plan Check
Fee
12.38
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
3/24/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00. 6.0000
EA PLB FIXTURE
24.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
_y 1.00 3.0000
EA PLB WATER.INST/ALT/REP
3.00
r
LQPERMIT ,
LQPERMTT
Application Number . . . . . 06-00002411
----------------------------------------------------------------------------
Special Notes and Comments
DEMO. AND REBUILD 759 SQ. FT. CONVERT
GARAGE AREA TO LIVING SPACE 452 SQ. FT.
NEW ADDITION OF 625 SQ. FT. WITH 359
SQ. FT. PATIO ADDITION.TOTAL NEW LIVING
AREA 1836 SQ. FT.September 21, 2006
`11:59:02 AM JJOHNSON
------------------------------------------------------------
Other Fees . . . . . . . . ENERGY REVIEW
FEE
42.48
STRONG MOTION
(SMI) - RES
10.37
Fee summary Charged Paid
Credited
Due
----------
Permit Fee Total 852.76 .00
----------
.00
852.76
Plan Check Total 474.61 .00
.00
474.61
Other Fee Total 52.85. .00
.00
52.85
Grand Total 1380.22 .00
.00
1380.22
LQPERMTT
i
'City
Z
of La Quinta
Buildin & Safety afety Dlvlslon
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
PPrmit# ' ''
.
2o+
Project Address: — 7 7 7 A U� 17A
Owner's Name: � AUS o 1
A. P. Number:
Address: 7
Z_Z AVE OU
Legal Description:
City, ST, Zip: [ 2 -2, ,5- 3
Contractor: i
Telephone: 766
Address:
Project Description:
City, ST, Zip: 6 2
e ),I
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer: '
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: wl L q S
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG . PERMIT FEES
2
Plan Sets
IZ
Plan Check submitted �Z Item Amount
.211
Structural Calcs.
6 Z
Reviewed, ready for corrections Z ( . Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
21
Energy Calcs.
6 12
Plans picked upConstruction .
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2"" Review, readyf rcorrections/ sue �5 Electrical
Subeontactor. List
Called Contact Person `t ( Plumbing
Grant Deed
Pla rc ed up 711;10,6 S.M.
H.O.A. Approval `
Plans resubmitted] Grading
IN HOUSE:-
_-enew,ready for eorrectio ►s a Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
O ��
ermit
6 281OCo 57Z' R FC
6 sem. 9F 7C,
kFC
CERTIFICATE OF COMPLIANCE JF?s�,
Desert Sands Unified School District ��- g Ir
47950 Dune Palms Road Q BERMUDA DUNES O
/� `w q Gn RANCHO MIRAGE d
Date 9/25/06 La Quin a, CA 92253 A INDIAN WELLS
P
No. 28923 (760) 771-8515 ��' LA QUIN �y
INDIO
0
Owner David Lawson APN # 774-173-025
Address 53777 Avenida Villa Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # Study Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 53777 Avenida Villa 1836 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments CC #4978875381 in the amount of $2832.51 plus cashof $1,996.17 to equal amount due.
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:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.63 X 1,836 S.F. or $4,828.68 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/Altura Credit Union - Ed Wise Check No. 4978875381
Name on the check Telephone 250.8334
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sh n MCGilvrey Payment Recd $0.00
'Over/Under, ,
$4,828.68 r
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this 'II a 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 wh 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