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05-5510 (AR)
4, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T -i -ht 4 4 4" Applicant: Architect or Engineer: 0 ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GREAG & DEBBIE WHITE 81-180 LEGENDS WAY DLA QUINTA, CA 92253 Other struct info FEB 2006 Contractor: Owner 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: License No.: - - - - - - - - - - - - - - - Date: 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 an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 Co The Contractors' State License Law does not apply to an owner of property who builds or improves ere n, and who contracts for the projects with a contractors) licensed ursuant to the Contractors' ate Lic nse Law.). (_) I exempt under Sec. _, B.& .C. for this reason B CONSTRUCTION LENDING AGENCY I here affirm under penalty of perjur at 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: LQPER111IT DITION Lic . .No VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 2001/2005 C Date: 1/31/06 ----------------------------------------------- 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 190.00 Policy Number NO I certify that, in the ,performance th work for which this permit is issued, I shall not employ any p rson in any manner so as t bec me s bject tot workers' compensation laws of California, /nd agree that, if I should b om subje t to the w rkers' compensation provisions of Section 00 of the Labor Code, I hall rthwcompty ith those provisions. WARNIN& FAILURE TO SECURE WORKLIRS' 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 be co null and void if work is not commenced within 180 days from date of issuance of such p .. it, r cessation of work for 180 days will subject permit to cancellation. I certify that I a e read this application and state that the 'ove inf rmation is correct. I agree to comply with all city and cou y rdinances and state laws relating to buildi g cons uctio a d hereb tharize representatives of this coun t enter upon the above-mentioned proper: for in ecj�%rj�uzposes. 0 Application Number -.7 m0440005510 Property Address: 81180 LEGENDS WY APN: 762 -310 -004 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10868 T -i -ht 4 4 4" Applicant: Architect or Engineer: 0 ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GREAG & DEBBIE WHITE 81-180 LEGENDS WAY DLA QUINTA, CA 92253 Other struct info FEB 2006 Contractor: Owner 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: License No.: - - - - - - - - - - - - - - - Date: 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 an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 Co The Contractors' State License Law does not apply to an owner of property who builds or improves ere n, and who contracts for the projects with a contractors) licensed ursuant to the Contractors' ate Lic nse Law.). (_) I exempt under Sec. _, B.& .C. for this reason B CONSTRUCTION LENDING AGENCY I here affirm under penalty of perjur at 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: LQPER111IT DITION Lic . .No VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 2001/2005 C Date: 1/31/06 ----------------------------------------------- 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 190.00 Policy Number NO I certify that, in the ,performance th work for which this permit is issued, I shall not employ any p rson in any manner so as t bec me s bject tot workers' compensation laws of California, /nd agree that, if I should b om subje t to the w rkers' compensation provisions of Section 00 of the Labor Code, I hall rthwcompty ith those provisions. WARNIN& FAILURE TO SECURE WORKLIRS' 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 be co null and void if work is not commenced within 180 days from date of issuance of such p .. it, r cessation of work for 180 days will subject permit to cancellation. I certify that I a e read this application and state that the 'ove inf rmation is correct. I agree to comply with all city and cou y rdinances and state laws relating to buildi g cons uctio a d hereb tharize representatives of this coun t enter upon the above-mentioned proper: for in ecj�%rj�uzposes. 0 Application Number 05-00005510 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 126.00 Plan Check Fee 81.90 i Issue Date Valuation . . . . 10868 ' Expiration Date 7/30/06 Qty Unit Charge Per Extension BASE FEE 45.00 9.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 81.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 21.65 Plan Check Fee 5.41 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 190.00 .0350 EL -EC NEW RES - 1 OR 2 FAMILY ---------------------------------------------------------------------------- 6.65 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee*. 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 -- 1.00 9.0000 EA MECH APPL REP/ALT/ADD ---------------------------------------------------------------------------- 9.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 42.00 Plan Check Fee 10.50 - Issue Date . . . . Valuation 0 Expiration Date 7/30/06 - Qty Unit Charge Per Extension _ BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 190 SQ. FT.BATH ROOM ADDITION.January -31, 2006 2:55:27 PM jjohnson LQPERMIT Application Number 05-00005510 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 8.19 STRONG MOTION (SMI) - RES 1.08 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 213.65 .00 .00 213.65 Plan Check Total 103.81 .00 .00 103.81 Other Fee Total 9.27 .00 .00 9.27 Grand Total 326.73 .00 .00 326.73 i� Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # eo Project Address: Owner's Name: CY h A. P. Number: Address: ZI. Legal Description: Contractor: •u/(/L fL City, ST, Zip: J Telephone: ,'? Address: Project Description: City, ST, Zip:"(Ifj Telephone: .. N State Lic. # : City Lic. #: Arch., Engr., Designer: Address: L4 A&C City, ST, Zip: Telephone:^ �13 en, State Lic. #: p. Name of Contact Persona XZ- mp • 4� 375-$S,2 Construction Type: n Occupancy: l-- Project type (circle one): New Add' Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person:-- Estimated Value of Project: Q 4.. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted -----J-, Z Item Amount Structural Calcs. Reviewed, ready f r corrections Plan Check Deposit Truss Calcs. Called Contact Pero m Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2"d Review, ready for correcti ns/issue 3t 61Electrical Subcontactor List Called Contact Person �" Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total it a .. 121 Z8' �c10N,S I c v or &a Pfr/��y rovL r0221Jc1/onLSi— —�-_ ,&,P Pk. o L D6�� 13 7 f Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: �W_l�'i_ita., Owner's Name: White This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK d: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Address: 81-180 Legends Way, La Quinta, CA Project Description: 1 Room Additon Tract APN: 762-310-004 Date: February 2, 2006 Phone No. ( Lot #'s: Type of Development: Residential RX, Commercial Industrial Total Square Feet of Building Area: 190 sq. Ft. Certification of Applicant/Owners: The person signing certifies that the above info ion is correct and makes this statement under penalty of perjury and further represents that he/she is autho ' to ign on behalf of owner/devej�oper. Dated: 02/02/06 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE 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 mobilehomes being replaced Number of Sq.Ft. 190 or relocated within the same school district are exempt from Amount per Sq.Ft. $ 0.00 developer fees. Any additions of 500 sq. ft. or less is also Amount Collected $ 0.00 exempt from developer fees. (Unless additions are on a structure that is under construction.) Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Leticia C. Torres, Facilities Clerk 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. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. .Vrform tabletO LSt,dne 1/16/03 T,l! OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Budder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 Fn.: 760) 777_-7011 OWNER'S SIGNATURE/DATE X/) yz) , / " � PROPERTY Al/D\QDRES PERMIT NUMBER(S) FA] January 10, 2006 AYS ASSOCIATION Mr. & Mrs. Craig White 81-180 Legends Way La Quinta CA 92253 Re: Bathroom addition; front entry extension; deck/tile; fireplace/stone facade; Addition to BBQ Dear Mr. & Ulm. White: At the December 19'h, 2005, Architectural Committee meeting the committee reviewed and approved the plans as submitted. If you should have any questions in regard to this correspondence, please do not hesitate to contact me. Sincerely, c Nancy G on CCAK CMCA Operations Manager For the Architectural Committee Cc: Architectural Committee Nez Camavrena - Arizona Interior Designer Post Office Box 1690 -,La Quinta, California 92247- Phone (760) 776-5100 -Fax (760) 776-5111 1 CITY OF LA QUINTA SUB -CONT ACTOR LIST JOB ADDRESS 1 © u�� PERMIT NUMBER OWNER BUILDER This form shall be posted on the.job with t6 Building Inspection Card at all times in a conspicuous -place. my 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 Building Division prior to commencement of work. Failure to comply will .result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all intormation requested below must De completea Dy applicant: "Un vile" is not an acceptable response. d sihcat�on Trade / Clas . Contractor" :; C .::;::::> ......:.;:.:..:.; ..::.:. . late,.: t r.s. e . :. s.. om c. ::<.::::::..:•:.::.::::S at ::Contrac o L�certs :::'...:::> '" Miorke :C.,. ensatior :Insuran`e`: `.:'' Cit .Business Y Licenser'':. . Company Name Classification (e.g. A, B, C-8) License Number Ixxxxxxl Exp. Date Carrier Name (xxlxx/xx) (e.g. State Fund, CalComp) Policy Number. (Format Varies) Exp. Date . (xx/xx/xx) License Number " (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) CONCRETE (C-8) FRAMING'(C-5) STRUCT. STEEL (C-51) MASONRY (C•29) PLUMBING (C-36) LATH; PLASTER (C-35) DRYWALL (C-9) .::..: HVAC IC -201' ELECTRICAL. (C=10)' ROOFING.. (G.-391.:::> ?; �, SHEET METAL (C43) FLOORING IC -:15): GLAZING (CA 7) ' INSULATION `IC -21. SEWAGE.DISP•(C-4 ). PAINTING (C=33) , -CERAMIC TILE (C-54) CABINETS IC -61 FENCING (C-13) LANDSCAPING (C-27).''°: POOL '(C-53) P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 December 7, 2006 Ms. Debbie White 81180 Legends Way La Quinta, CA 92253 . BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 RE: Building Permit Extension Request — 81120 Legends Way. Dear Ms. White: I have reviewed your letter dated December 4, 2006, requesting a time extension for the residential addition being constructed at the above address under Building Permit #05-5510. Our records indicate the following status on this project. Inspection status: Permit issued: 2/2/06 Last successful inspection: NONE 180 -day expiration date: 8/1/06 180 -day extension date: 1/29/07 I Under the -provisions of California Building Code Section 106.4.4; your request is hereby granted. Because the Building Code specifies that "no permit shall be extended more than once, please be advised that unless the project passes its next required inspection on or before Monday, January 29, 2007, your building permit will expire automatically. Building & Safety Manager '"bec _04`06 .0302p Doaember 4, 2006 � � I I Sa AE�Nas Dear General 3Buttiex As a result of someone suffering from a Bracken back the job # OS -5510 Was set a side until this week. We would like to call for. inspection Today, so that we can have a ground inspection. Would you please be kind enough And extend and or approve our request We would sure like to our new front Door way in bcfore the holidays arrive. l was also told by the manufacturer that The door may warp with the humility. Thank you for your consideration Debbic White.