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04-3608 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . .. 04-00003608 ! Date �'5/06/04 Property Address 51360 EISENHOWER DR APN: 773-092-002-12 -000000- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation.. 119636 Owner Contractor ------------------------ POWER FINANCE ------------------------ BRAUCKMANN INC P.O. BOX 134 P 0 BOX 517 LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 485-9269 WCC: NONE WC: EXEMPT 07/31/04 CSLB: 781834 07/31/04 CCC: B HIC 07/31/04 -------------------=------ Structure Information ------------------------- Construction Type . . . . .. TYPE V - NON RATED' Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 3:00 FIRE SPRINKLERS NO GARAGE SQ FTG 480.00 PATIO SQ FTG 39.00 NUMBER OF UNITS 1.00 ;-FIRST FLOOR SQ FTG 1918.00 ------------------ --------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 709.50 Plan Check Fee 211.18 Issue Date Valuation 119636 Qty Unit Charge Per Extension BASE FEE 639.50 20.00 3.5000 THOU BLDG 100,001-500,000 70.00 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL Additional desc . '. Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date . . . . Valuation . . 0 Qty Unit Charge Per Extension P JUN 0 9 2004 CITY OF LA QUANTA IV P.O. BOX 1504�� VOICE (760) 777-7012 T-Vf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0A1 31008 Date: 5 -iG • O'y Applicant: Architect or Engineer: Applicant's Mailing Address: IQ 4 V /% Architect or Engineer's Address: ic. No.: BUILDING PERMIT DECLARATIONS 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 2 __,--49Z�ense No._ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 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. , B.& P.C. for this reason Date 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. 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 �y�grl�9re' mpensation m rance carrier and p {�uq�bar are: Carrier f�`�7/�/MM_--Policy Number ��75 7 �_ 1 certify that, in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to the workers' compensation laws of California, and a that, if I should bet lett to the workers' compensation provisions of Section 3700 of the Labor Code, I shall orthwith comply with those pro v' ' ns. Date -6/ plicant WARNIN : FAI URE 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. 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 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 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 inform ' is c rrect. I agree to corn I 'th MI -city and county ordinances and state laws relating to building construction, nd h reby authorize representatives of this county to er upo bove- a property for inspection purposes. Date O Signature (Applicant or Agent): Page 2 Application Number 04-00003608 Date 5/06/04 .Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 106.73 Plan Check Fee 26.68 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1918.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.13 480.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.60 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ------------------------------------ Permit . . . . . . PLUMBING ----------------------------------------- Additional desc . . Permit Fee 129.00 Plan Check Fee 32.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Permit . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE .FEE 15.00 -------------------------------------------- Special Notes and Comments -------------------------------- 1918 S.F. SFD PERMIT DOES NOT INCLUDE Page 3 Application Number 04-00003608 Date 5/06/04 -------------7-------------------------------------------------------------- Special Notes and Comments BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH = ----------------------------------------- Other Fees . . . . . . . . . ---------- 7 ----------------------- ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 46.12 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK'MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 11.96 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ---------- Due Permit Fee Total 1019.23 -------------------- 38.82 .00 980.41 Plan Check Total 284.86 211.18 .00 73.68 Other Fee Total 2563.08 .00 2563.08 Grand Total 3867.17 .00 250.00 .00 ` (2 617.17 1 �,—.� L Date 6/8/04 No. 26006 Owner Power Finance Address City Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street S.F. Unit 1 51360 Eisenhower 1918 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments 4�J�1FI L:L)SO�O Q BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS PALM DESERT y LA QUINTA _O INDIO 1p O APN # 773-092-002 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # No. Street S.F. 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 living, 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: 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 $2.24 X 1,918 S.F. or $4,296.32 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 CCNIB - Mike Brauckmann Check No. 305578 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by n McGilvre)� Payment Recd $0.00 $4,296.32 Over/Under Signature P 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 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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting .01 Certificate of Occupancy: F QU14(rC4(j E ' uIM.3 �4� c OFT1�� Building & Safety Department4% s This Certificate is issued pursuant to the requirements of Section 109 of the California Building �f ` Code, certifying that, at the time of issuance, this structure was in compliance with the Y Y G provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. 1 BUILDING ADDRESS: 51-360 EISENHOWER DRIVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-3608 orf Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RC I Owner of Building: POWER FINANCE Address: P.O. BOX 134 City, ST, ZIP: LA QUINTA, CA 92253, By: STEVE TRAXEL Date: January 7, 2005 Building Official f POST IN A CONSPICUOUS PLACE'; s-'*i'e..wh., w: ixw •.i�✓ru.=�:W.2.c .w -5iw* :�3? - rwiie+M!tyFSuP•;•z=-.,�..s.., a•eiiwt+ie^Py,:.rcx*14+w - a,- • Y.�,W.T..-a+N�-.w�•* .iF!v..x` .�:•aaa3rr * - s.. +�+ -.x - ..-w.. +-t. z.e a+..-�+e� n a