13-1216 (SFD)1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"� &
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00001216
Property Address: 52560 AVENIDA HERRERA
APN: 773-294-003-21 -000000-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: COVE RESIDENTIAL
Application valuation: 102388
Applicant: Architect or Engineer:
CO N Y RA C� o �L_ N 1,�_
------------------
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.: 926128
Date' t-1 —)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).:
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 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.).
(_ 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 _ 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:
Owner:
FOREMOST HOMES
70600 COUNTRY CLUB DR.
LA QUINTA, CA 92253
(760)537-1502 06
Contractor:
DANTOR MARTINEZ CONS
81057 AVENIDA ROMERO
INDIO, CA.92201
(760)702-6209
LiC. No.: 926128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/13
U
�2013
Of CA d A
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 WESTCO INS CO Policy Number QWCA1970514
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
3700 of the Labor Code, I shall forthwith comply with those provisions. t,
Date: \'1APpricagt: —6y.PNn o L (`6 �2 S' U t7�vt to
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.
I certify that I have read this application and state that the above information is c rrect. I agree to comply with all
city and county ordinances and state laws relating to b ing construction, and reby authorize re esentatives
of this county to enter upon the above-mentioned prop — for impecti purpos
Date: —1 Signature (Applicant or Agent):
.z55uE� t,16ga, ¢ �t t1i : SFE NEW - 'SCEs JW/ 4-1 Z5a
11
1
LQPERMIT
Application Number . . . . . 13-00001216
Structure Information
Construction Type . . . . TYPE V, UNPROTECTED
Occupancy Type . . . . . DWELLG/LODGING/CONG <=10
Other struct info . . . . . CODE EDITION 2010
# BEDROOMS 3.00
FIRE SPRINKLERS YES
GARAGE SQ FTG 424.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1585.00
----------------------------------------------------------------------------
Permit. . . BUILDING 2013
Additional desc . .
Permit Fee . . . . •495.04
Issue Date . . . .
Expiration Date . . 5/06/14
Plan Check Fee .00
Valuation 102388
Qty Unit Charge Per Extension
.BASE FEE 431.86
78.00. .8100 THOU BLDG $25,001-$200,000 63.18
--------------------------------------------------------------------=-------
Permit . . .
Additional desc .
Permit Fee
Issue Date . . . .
Expiration Date .
ELECTRICAL 2013
178.99 Plan Check Fee . . .00
Valuation . . . . 0
5/06/14
Qty
Unit Charge
Per
Extension
1.00
23.8300
EA
ELEC TEMP POWER POLES
23.83
1.00
143.0000
LS
ELEC NEW RES, FIRST 1 KSF
143.00
1.00-
----------------------------------------------------------------------------
12.1600
EA
ELEC NEW RES, ADD'L 1 KSF
12.16
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 131.10
Issue Date . . . .
Expiration Date . 5/06/14
Plan Check Fee . . .00
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
1.00
35.7500
EA.
MECH
FURNACE
35.75
1.00
35.7500
EA
MECH
CONDENSER/COMP
35.75
4.00
11.9200
EA
MECH
VENT FAN
47.68
1.00
----------------------------------------------------------------------------
11.9200
EA
MECH
EXHAUST HOOD
11.92
Permit . . . . . . PLUMBING 2013
Application Number
Permit
Additional desc .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . . 13-00001216
PLUMBING 2013
166.88 Plan Check Fee
Valuation . .
5/06/14
.00
0
Qty Unit Charge Per
Extension
10.00 11.9200 EA PLBG FIXTURE/TRAP
119.20
1.00 11.9200 EA PLBG BUILDING SEWER
11.92
1.00 11.9200 EA PLBG WATER HEATER/VENT
11.92
1.00 11.9200 EA PLBG WATER INST/ALT/REP
11.92
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
1585SF SFD.(GARAGE LFT)R-3 TYPE V -B
W/FIRE SPRINKLERS. **PERMIT DOES NOT
INCLUDE BLOCK WALLS, FENCES, SWIMMING
POOLS, SPA, BBQ'S, AND DRIVEWAY
APPROACH** 2013DIF, TUMF. ARCHITECT:
KEVIN CROOK C. $500.00 pc retainer
collected on permit # 13-1216 per bh
November 14,.2013 8:27:35 AM jjohnson.
---------------------------------------------------------------------=------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
5.00
DIF COMMUNITY CENTERS -RES.
129.00
DIF CIVIC CENTER - RES
942.00
DIF FIRE PROTECTION -RES
433.00
HOURLY PLAN CHECK
280.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
531.00
PLAN CHECK, ELECTRICAL
68.88
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
71.51
PLAN CHECK, SFD GRADING
143.00
PLAN CHECK, PLUMBING
174.02
DIF PARKS/REC = RES
2048.00
BLDG PC 25001-200K
458.23
STRONG MOTION (SMI) - RES
10.24
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 972.01 .00 .00
972.01
Plan Check Total .00 .00 .00
.00
Other Fee Total 10473.32 .00 .00
10473.32
Grand Total 11445.33 .00 .00
11445.33
LQPERMIT
+^ vJ
Building
Address
Address
i1' Zi4
i Z
TWT
P.O. BOX 78-495 CALLE TAM TAMPICO
QUINTA, CALIFORNIA 92253
State Lic. City
& Classif. I Lic. #
Arch., Engr., " / ► _ L
Designer /Q&
IL
360
�H`V i Zlp l State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code, and my license is in full force and effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
(Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for
such permit to file a signed statement that he is licensed pursuant to the Provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, or that he 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).
01, 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds or
improves thereon and who does such work himself or through his own employees, provided that
such 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 did
not build or improve /or the purpose of sale).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the
project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who contracts /or such projects with
a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Dat Own
ORK CO SATION D LAR
I hereby affirm t t e a certi to of consentldrsgI1,111sure, or a certificate of Worker's
Compensation Insurance, or a certi d copy thereofdoW.3800, Labor Code.)
Policy No. Company
❑Copy is filed with the city. ❑Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (5100) valuation
or less).
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 Workers' Compensation Laws of California.
Date Owner
NOTICE TO APPLICANT.. If, after making this Certificate o/ Exemption you should become
subject to the Workers' Compensation provisions o/ the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I 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 city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
APPLICATION ONLY
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 3 — — OO
Legal Description Aon' Z/
Project Description
I
SFt.
Siziz e i OJ
%
StoNo'ries f
Stories
No. DIN.
Units
Ne Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
eR!1)
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
bw [IV IL
Infrastructure
'INANCE DEPT
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line —
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line —
FINAL DATE
Issued by: —
Validated by:
Validation: —
INSPECTOR
Date Permit
NE�� WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE
*9 A
.CERTIFICATE OF COMPLIANCE 4���lFIEDSC�O
Desert Sands Unified School District
47950 Dune Palms Road ¢ BERMUDA DUNES O
q RANCHO MIRAGE (�
Date 11/22/13 La Quinta, CA 92253 N INDIAN WELLS
P
No. 31888 (760) 771-8515 d%LA OU �y
�INDIO yp
Owner
Foremost Homes LLC
APN # 773-294-003
Address 52-560 Avenida Herrera
Jurisdiction La Quinta
City
La Quinta Zip
Permit #
Tract #
No. of Units 1
Type
Single Family Residence
Lot # No. Street S.F.
Lot # No. Street S.F.
Unit 1
52560 Avenida Herrera 1585
Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for Irving, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Addition of Sq. Ft to New Construction
This certifies that school facility fees imposed pursuant to
in the amount of $3.20 X 1,585 S.F. or $5,072.00 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 California Bank & Trust/James Fortson Check No. 379432
Bank Name/Recipient of CertWicate Telephone
Funding Residential
By Dr. Gary Rutherford
Superintendent
Fee collected /exempted by pe Lara Payment Recd $0.00
$5,072.00 Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this Will serve to notify you that the 9D -day approval period in which you may protest the fees
or other payment identified above Will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
..
Tdf 4 ZP k9wev -
Building & Safety Department
78-495 Calle Tampico
PO Box 1504
La Quinta, CA 92253
(760) 777-7012 voice — (760) 777-7011 fax
To: Greg Butler, Building Official To PD: July 15, 2013
From: Les Johnson, CDD Director Due date: ASAP
Permit # - 13-856 Status: Jst� Review"
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Division has reviewed the Building Plans for the following project:
Description: New Single Family Detached
Address or general location: 52-560 Avenida Herrera
Applicant Contact: James Fortson (760)537-1502
The Planning Division finds that:
❑ ...these Building Plans do not require Planning Division approval.
these Building Plans are approved by the Planning Division.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached correcti ns to the applicant. When the corrections are made
pleas return th m to the Planning Division for review.
Les Johlqson, ($`ominWity Development Director Date
Note: PLEASE RETURN PLANS WITH GREENSHEET TO THE BUILDING
DIVISION.