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11-0287 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/04/11 Application Number: _11-00000287 Owner: Property Address: 81035 LEGENDS WY STEPHEN & LORINDA BINDER APN: 762-300-015- - - 81-035 LEGENDS WAY Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 74294 Contractor: Applicant: Architect or Engineer: ` , CASTLEROCK BUI S ®2Q 11 CE ��' X74, f 01;� 441190 CARLOTT VE�P�!�� , PALM DESERT, CA 2 11 (760)272-78;8 QF1�►�UINSA Lic. No.: 917273 CSTM..1mr, P -------------------------------------------------- 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 Cfss: B /)� Li{c�jnse No.: 917,273 v/ Date: �//0 /, VContractor: 4 Vu�1, it ` '"NER-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.). (_) 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 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: LQPERA11T 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 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 r 3700 of the Labor Code shall forth 'fh comp y with those r visions. 7 f© if pp c Date: licant: WARNING: FAILURE TO SECURE WORKER OMPENSA ION with 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction nd hereby authorize re esentatives of thisLc/o a ter uupon the above-mentioned property inspect io rposes, Bate: J to l f Signature (Applicant or Agent): Application Number . . . . . 11-00000287 Structure Information Construction Type . . . . TYPE V, UNPROTECTED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Other struct info . . CODE EDITION 2010 # BEDROOMS .00 FLOOD ZONE_ - NO ------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE ----------- 275.00 ---------- Permit . . . BUILDING PERMIT . Additional desc 275 SF ADDTN TO CASITA Permit Fee 527.00 Plan Check Fee 342:55 Issue Date Valuation . . . . 74294 Expiration Date 10/31/11 Qty Unit Charge Per Extension BASE FEE. 414.50 25.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 112.50 Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee. 31.35 Plan Check Fee .. 7.84 Issue Date . . . . Valuation . . . . 0 Expiration.Date 10/31/11 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 3.00 .4500 --------------------------------------------7------------------------------- EA ELEC DEVICE/FIXTURE >20 1.35 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . . 0 Expiration Date 10/31/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 4.5000 EA MECH VENT INST/ DUCT ALT 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 275 SF FAMILY ROOM.ADDITION TO EXISTING CASITA.INCLUDES EXT. ARCHWAY PER ENGINEERED PLANS.2010 CODES. R-3 OCCUPANCY, TYPE V -B CONSTRUCTION. LQPERAIIT LQPERDIIT Application•Number . . . . . 11-00000287 ------------------------------------------------------------- Other Fees . . . . . . . . . -------------- BLDG STDS ADMIN (SB1473) 3.00 ENERGY REVIEW FEE 34.26 STRONG MOTION (SMI) - RES, 7.43 Fee summary. Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total .582.35 .00 .00 582.35 Plan Check Total 356.39 .00 .00 356.39 Other Fee Total 44.69 .00 .00 44.69 Grand Total 983.43 .00 .00 983.43 LQPERDIIT Bin # V City of LQ Quints Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Qainta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet pit # Project Address: Owner's Name: Al i5�-7 — A. P. Number: Address: Legal Description: 7�,/ / Contractor. l/�%��'�f� Zi �j Address: O • City, ST, Zip: tlk ZZ p Telephone: Project Description:OP (�i� �V� e/�% City, ST, Zip: Tel hone: ! //� State Lic. # : City Lic #: n"%9 Arch., Engr., Designer. Address: -9 PIA 0 Q A IP City., ST, Zip: Telephone: � � -M?,�4 � • Construction Type: �% � Occupancy: Project type (circle one): New dd'n Alter Repair Demo Sq. Ft.: �j "% # Stories: '# Units:Telephone State Lic. #: Name of Contact Person: # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Pian Check submitted �,,(2 Item Amount Structural des. Reviewed, ready for corrections Plan Check Deposit Trus Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up $ Construction Flood plain pian Plans resubmitted 1gU Mechanical Grading plan 20" Review, ready for correctio ue 3 Electrical SnbcontacMr List C- Called Contact Person V Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '" Review, ready for correctionstissac Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees H -44S 3 -2? i /L ---RV-C, q( t l -1/5 "s Aop 'q118 4 /22 A1$ APP- Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: PGA W s Date: May 5, 2011 Owner's Name: Stephen & Lorinda Bidder Phone No. 760-272-7878 Project Address: 81-035 Legends Way, LaQuinta Project Description: Addition to existing single family dwelling APN: 762-300-015 Tract #: Lot #'s: Type of Development: Residential iXX Commercial Industrial Total Square Feet of Building Area: 275 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to 4ign on behalf/f the owner/developer. /l // '9 V n Dated: May 5, 2011 Signature: *************************************** ******************************* SCHOOL DISTRICT'S REQUIREMENTS. FOR THE ABOVE PR JECT HAV BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Pursuant to AB -181, any room additions of 500 square Number of Sq.Ft. 275 sq. ft. feet or less on existing dwelling units are exempt from Amount per Sq.Ft. $ 0.00 developer fees. Pursuant to AB -181, any mobile home bein' Amount Collected $ 0.00 relocated or replaced within our school district is exempt - from developer fees. Building Permit Application Completed: Yes/No By: Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Laurie Howard, Secretary III Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/mydocs'devfees/certificate of compliance form tablesf0 USI-.doc 1/16/03 T :FAIRWAYS ASSOCIATION March 15, 2011 Stephen and Lorinda Binder 81-035 Legends Way La Quinta, CA, 92253 Re: Architectural Application Approval Dear Stephen and Lorinda Binder: The Architectural Committee has reviewed .your application for the additional Casita. I am pleased to inform you that the Architectural Committee approved your application as submitted. Enclosed is Exhibit C — the Compliance Review Request form. Please complete this form after the work is completed and return it by mail or fax to the address below so the completed project can be inspected. You will also need a maintenance agreement for the additional casita. The maintenance agreement will be required to be filed and recorded for the purpose of exterior maintenance " of the casita/badding to include any future periodic painting. The cost for the maintenance agreement is $300.00. Please provide a check payable to PGA WEST Fairways Association to cover the administrative costs. If you have any questions, please contact Christina Enriquez, Operations Manager at 760-776-5100 Ext. 345. Sincerely, For. the Architectural Committee PGA WEST Fairways Association f J)osure.: onald, PCAM n Manager EnExhibit C — Compliance Review Request cc: Lot File Architectural Committee Post Office Box 1690 • La Quinta, California 92247 •Phone (760) 776-5100 •Fax (760) 776-5111 LI CITY OF LA QUINTA SUB -CONTRACTOR. LIST JOB ADDRESS elxo C Gic1i% W/AY PERMIT NUMBER OWNER A1VJ95iV_- , — - BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Buildirig Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance