04-7137 (RER)a
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 Number . . . . . C04=0=0_0_07137 _Date 2/22/05
Property Address . . . . 49750 ENTRADA CIR D e� a
APN: 646-230-008- -
Application description REMODEL - RESIDENTIALIIi
Property Zoning . . . . . LOW DENSITY RESIDENTIAL FEE -3 9 ) 2005
Application valuation . . . . 8333 CITY OF LA QUINTA
FINANCE DEPT
Owner
Contractor
KAISER JAMES L
GRAY CONSTRUCTION,
DON
5229 WHISPERWOOD LANE
P 0 BOX 131
INDIANAPOLIS
IN 46226 LA QUINTA
CA 92247
(760) 564-3255
WCC: EXEMPT
WC: EXEMPT
02/28/06
CSLB: 756174
11/30/06
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type
DWELLG/LODGING/LONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
.00
----------------------------------------------------------
Permit . . . . . .
------------------
BUILDING PERMIT
Additional desc
Permit Fee . . . .
108.00 Plan Check Fee
70.20
Issue Date . . . .
Valuation
8333
Qty Unit Charge
Per
Extension
BASE FEE
45.00
7.00 9.0000
THOU BLDG 2,001-•25,000
63.00
----------------------------------------------------------------------------
Permit . . . .
ELECT - ADD/ALT/REM
Additional desc
Permit Fee . . . .
19.52 Plan Check Fee
4.88
Issue Date . . . .
Valuation . .
. 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
129.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
4.52
----------------------------------------------------------------------------
Permit MECHANICAL
Additional desc
Permit Fee . . . .
19.50 Plan Check Fee
4.88
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
P.O. BOX 1504�� VOICE (760) 777-7012
TWY
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 014- —713% Date: of ' •2 ' 0
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm under penalty of perjury that I am I' ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
C and my Li i m full force and effect.
icense Class.. icense No. Jr—
ate ' S' Contractor
ER -B ER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ntractors' a 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 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 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. , BA 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.
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' compensatio acarrier and policy number are:
mer icy Number
I certify that, in the performancFffthe work for which this pe d, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califolfriia, and agree Shat, if I sho become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those royisions. /
Date r7�' � pplicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT 0 O ERAGE
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS %000), IN AE
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
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.).
Lenders Name
Lenders 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, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission rel the work 'being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becom 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 c ncellation.
I certify that I have read this application and state that the above Information is correct. /1a e to co ply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this count o enter up n the aboentione �propeRy for inspection purposes.
Date/o-Pol- S�tgnature (Applicant or Agent):
Page
2
Application Number .
. . . . 04-00007137
Date
2/22/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA MECH VENT
INST/
DUCT ALT
4.50
-------------------------------------"---------------------------------------
Special Notes and Comments
RESIDENTIAL CONVERSION
OF PATIO TO HOME
OFFICE. 129 SQ.FT. R-3
OCCUPANCY, TYPE
V -N CONSTRUCTION, 2001
CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . ENERGY
REVIEW
FEE
7.02
STRONG
MOTION
(SMI) - RES
.83
Fee summary Charged
---------------------------
Paid
----------
----------
Credited
----------
Due
Permit Fee Total
147.02
.00
.00
147.02
Plan Check Total
79.96
.00
.00
79.96
Other Fee Total
7.85
.00
.00
7.85
Grand Total
234.83
.00
.00
234.83
Line c
V`�
?'e* dor e%J' ,M atoe(s
FLOOR PLAN
rr'j A
11 k *it
Remove existing sliding glass door &
threshold and recase opening
Existing exterior walls
New. plastic laminate desk top
Level existing concrete patio deck
and provide pad & carpet at floor
?rovide new fourplex and duplex
1 Ov elect. outlets
?x6 studs @ 16" o.c. on wolm }sill
w/ shot pins @ 32" ox. Insulate
w/ R-19 batts -
No .John
Stani
ME Arch
73-350 EL PASEO, SU
PALM DESERT, CA. 9
(760) 776.8471
FAX (760) 776-84
k A PROJECT FOR:
DR. & CONNIE K.
CONSULTANTS
PROIEO ADDUM
49-750 ENTRADA
LA OUINTA, CA.
PROIECL SEAMS
PHASE
C_.P_l
P.Ivim
C-.-�
ch.n oda
Rm
FLOOR PLAN
DIMENSIONED
SCALE : 1/4' =1'-0°
SHEET
a
Al
PLOT DATE:
NOT -FOR CONSTRU
'ng in
FRONT ELEVATION
111
ff, I D
I -
• LEFT SIDE ELEVATION
' a
1
Existing roof tile
Existing plaster fascia
New dual pane glazing in
aluminum frame with anodized
mill fini"sh
New 2=;x6 stud wall witK'exterior
plaster., in. to match existing
C`�-_
{
-Existing roof &-.:overhang 4..
s
New dual pane glazing in
aluminum frame with anodized
mill finish
a r
4, t
Wrap post with break metal r:
� Y
to match windrow frames }
�r
New tempered dual pane glazing in
aluminum frame with anodized
mill finish
Existing wall
No John
Stanford
EM Architect
73.350 EL PASEO, SUITE 207
PALM DESERT, CA. 92260
(760( 776.8478
FAX (760) 776-8477
rDRA PROJECT FOR:
. & CONNIE KAISER
CONSULTANTS
PROJECT ADDRESS
49-750 ENTRADA
LA OUINTA, CA.
PROJECT STATUS
PHASE DATE ISSUED
Cmc.pNal
Pnli.inory 5/24/04
Dago Ne bpm
Pb. ch.A
Bid
Addend..
c_�_
Ch�Odm
Re. D..
PROJ.: KAISER ADDITION
ELEVATIONS
SCALE: 1/4' =1'-O'
SHEET
A2
Of
PERT DATE:
NOT FOR CONSTRUCTION
Date 1/21/05
No. 26799
Owner Dr. & Connie Kaiser
Address 49-750 Entrada Circle
City La Quinta Zip 92253
CERTIFICATE OF COMPLIANCE
vNr�so
Desert Sands Unified School District
4Zr
47950 Dune Palms Road
BERMUDA DUNES O
La Quinta, CA 92253
RANCHO MIRAGE d
V, INDIAN WELLS
(760) 771-8515
LA OUINTA
�o RT
TPAL ND OE ti
t y�
APN # 646-230-008
Jurisdiction La Quinta
Permit #
Tract # Study Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F.
Unit 1 49750 Entrada Circle 129 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Conversion of patio to office
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, 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:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995'Et Seq.
in the amount of $0.00 X 129 S.F. or $0.00 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_ exempt - John Standford Check No.
Name on the check Telephone
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharon MC ilvp ey Payment Recd,,. o.00
Over/Under
Signature CZ4�
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