05-5314 (SFD).�r,�.. 10 . /(,0(,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 050.0.0053_ 14
Property Address: 51365 EISENHOWER—DR
APN: 773-091-018- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: COVE RESIDENTIAL
Application valuation: 125487
Applicant: Architect or Engineer:
Lic. No.: OOR SQUARE FOOT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business nd Professionals Code, and my License is in full force and effect.
License Class: B Livens o.: 736920
bateau ►/ o
WNER-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, 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 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.).
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:
LQPERMIT
Owner:
POWER FINANCE
P.O. BOX 134
LA QUINTA, CA 92247
Contractor:
CONTEMPORARY HOMES INC
75271 STARDUST LANE
INDIAN WELLS, CA 92210
(760)568-1404
Lic. No.: 736920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/17/06
D
JAN 17 2006
CITY OF LA QUINTA
FINANCE DEPT.
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: -
1 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 1576408-2005
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 beco a subject to the workers' comp sation provisions of Section
3700 of the Labor Code, I sh forthwith comply with those p visions.
WARNING: FAILURE TO SECUREWORKERS' COMPEiQSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,000). 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 abo information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildingotonstruction, and hereby aut raze representatives
of this county to enter upon the above-mentioned propertr inspection purposes. ,�
(Applicant 6r Agent):
ii
LQPERMIT
Application Number . . . . . 05-00005314
Permit .
. .
BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
730.50
Plan Check Fee
474.83
Issue Date . .
. .
Valuation . . . .
125487
Expiration Date
. .
7/16/06
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
26.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
91.00
Permit .
. .
ELEC-NEW RESIDENTIAL
Additional desc
. .
Permit Fee . .
.
112.04
Plan Check Fee
28.01
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
7/16/06
Qty Unit
Charge
.Per
Extension
BASE
FEE
15.00
1948.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
68.18
693.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.86
1.00 15.0000
--------------------------------------------------------
EA ELEC
TEMPORARY POWER POLE
-------------------
15.00
Permit
GRADING PERMIT
Additional desc
.
Permit Fee . .
. .
15.00
Plan Check Fee
.00
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
. .
7/16/06
Qty Unit
Charge
Per
Extension
----------------------------------------------------------------------------
BASE
FEE
15.00
Permit .
. . MECHANICAL
Additional desc
. .
Permit Fee . .
. .
59.00
Plan Check Fee
14.75
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
7/16/06
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
Ird
t.:
LQPERMIT
Application Number .
. . . . 05-000.05314
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
141.00 Plan Check Fee
35.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
7/16/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
12.00 6.0000
EA PLB FIXTURE
72.00
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
---------------------------------7------------------------------------------
Special Notes and•Comments.. _
1948 SQ. FT. SFD THIS
PERMIT DOES NOT
INCLUDE POOL & SPA BLOCK
WALLS OR
DRIVEWAY APPROACH.December
9, 2005
8:42:46 AM JJOHNSON
----------------------------------------------------------------------------
Other Fees . . . .
. . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
47.48
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
12.54
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
166.6.00
Fee summary Charged
---------------------------
Paid Credited
----------
Due
Permit Fee Total
--------------------
1057.54 .00 .00
1057.54 .
.Plan Check Total
552.84 250.00 .00
302.84
Other Fee Total
3776.02 .00 .00
3776.02
Grand Total
5386.40 250.00 .00
5136.40
Date 1/9/06
No. 28025
Owner Power Finance
Address 51-365 Eisenhower
City La Quinta Zip 92253
Tract #
Type Single Family Residence
Lot # No. Street
Unit 1 51365 Eisenhower
Unit 2
Unit 3
Unit 4
Unit 5
CERTIFICATE OF COMPLIANCE
Desert Sands Unified -School ,District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
S.F. Lot # No.
1948 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
o
BERMUDA DUNES r
Cr RANCHO MIRAGE
INDIAN WELLS
PALM DESERT ,y
.j% LA QUINTA
INDIO
773-091-018
1
Street S.F.
Comments Reimbursement check for the difference of $779.20 to be mailed to: Power Finance, P. O. Box 134, La Quinta,
CA 92247 '
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosMralkways, 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 $2.24 X 1,948 S.F. or $4,363.52 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 C/C-Rabobank, Amanda Velez Check No. 361504
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exe ted by Patri is Barbuzza Payment Recd $779.20
$5,142.72 Over/LYkddt
Signature
1
• f,
NOTICE: Pursuant to Government Code Sed' 66020(d)(1), this will serve to notify you that the 90 -day approval period in whichyou 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 Distrid(s) or to another public entity authorized to coiled 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
,-� Certificate of Occupancy0 o
C� OF'T1'�9w� Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 51-365 EISENHOWER DRIVE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-5314
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC
Owner of Building: POWER FINANCE Address: P.O. BOX 134
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: OCTOBER 16, 2006
Building Official
POST IN A CONSPICUOUS PLACE
*
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