06-2200 (AR)P.O. BOX 1504 VOICE (760) 777-7012'
78-495 CALLE TAMPICO FAX (760) 77.7=7011
LA QUINTA; CALIFORNIA 922$3 - BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6 A/06' '
Application Number: 06-00002200 Owner:
Property Address: 48554 VISTA PALOMINO LAVERTY GUY
APN: 649-540-030- - 48-554 VISTA PALAMINO D
Application description: ADDITION RESIDENTIAL LA QUINTA, CA 92253 (\ 2006
Property Zoning`. 'LOW DENSITY RESIDENTIAL �1� 2
Application Valuation: 33824
.. `Contractor:
Applicant: Architect or Engineer: HOWARD CONSTR DON DBA CHERO E F�@I�►
73180 HIGHWAY 111,
PALM DESERT, CA 92260
(760)341=0920
Lic. No.: 706794.
-
CENSED ONTRAC OR'S DEC TION WORKER'S COMPENSATION DECLARATION -
t hereby a irm u der penalty-of perjury at I am lic eil under pr visions fiapter 9 (commencing with _ I hereby affirm under penalty of perjury one of the following declarations:"
Sectio" 00) of Division 3 ofthe I mess andP f ssionals o e, and y icense is in.full'force and effect. • I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided.
Licer�C ss: - Li a se No. 6794 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '
. � - issued. .. -
-_Date: --Contractor:. - �_-have and will maintain workers' compensation. insurance, as required by Section 3700 of the Labor
_ - Code, for the performance of the work-which this permit is issued..My•workers' compensation
OWNER-BUILDER-DECLARATION - insurance carrier and 'Policy number ere: g r
I hereby affirm under penalty of perjury th ' I am exempt from the Contractor's State License Law for the "-Carrier STATE FUND - Policy N lumber�31276' / -
. • following reason ISec. 7031 .5, Business and Professions Coder Any city or county that requires a•permit to --;—�i;cetify that, in.tha performance'of the wof�for which this permit'is issued, I shall not'employ any
construct `alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the on in any manner so a to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State gree that,'if I should ecome subject to the wofkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or - of the Labor Code I shall forth�'vith comply/,with those provisions.
that he or she is-exempt therefrom and the basis for the alleged exemption..Any violation of Section 7031.5 byanyapplicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:at Applicant: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 - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply toan owner of property. who builds or improves,- thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the -DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). - APPLICANT ACKNOWLEDGEMENT -
(_) I, as owner, of the property, am exclusively contracting with licensed contractors to construct the. project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose'request and for
,pursuant to the, Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 1 I am exempt under-Sec. BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of is Quinta, its officers, agents and employees for any act or omission related to the wo k being "
performed under or following issuance of this permit. -
Date: Owner: - 2. Any permit issued as a result of this application beco Is nu andvoid if work is not menced -
' , within 180 days from date of issuance of such per it, or es ion f work for 1 days will subject
CONSTRUCTION LENDING AGENCY - -permitto cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I hav read this application and state that the ove inf ation is o ect. l r e to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - - city and unty o Inapces and state laws relating to buil ng cons ction, an h reby - rize representatives
of is un y tote( upon the above-mentioned prop ty, for ins ction pur s.
Lender's Name: /CA -
ate: Signature (Applicant or Agent): '
Lender's Address: - - �-
LQPERA11T
Application Number .
. . . . 06-00002200
Permit
BUILDING,PERMIT
Additional desc .
Permit Fee310-50
Plan Check Fee
201.83
Issue Date
Valuation
33824
Expiration Date
.12/17/06
Qty .Unit Charge
Per
Extension
BASE'FEE
-252.00
9.00 6.5000
---------------------------------------------------------------------------------
THOU BLDG 25,001=50;000.
58.'50
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit"Fee . .
29.87 Plan Check Fee
7.47,
Issue Date
Valuation . . . .
0
Expiration Date.
12/17/06
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
414.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
14.4"9
19.00 .0200-
ELEC GARAGE.OR NON-RESIDENTIAL
- .38.
Permit
MECHANICAL
Additional desc . .-
-
Permit Fee
39.50 Plan.Check Fee:.
9.88 "
Issue Date
'Valuation
0
' Expiration Date
12/17/06 '
Qty Unit Charge
Per
Extension
•
BASE FEE
15.00 ,
1.00 9.0000
EA MECH FURNACE <=100K
9.00
7.00 9.0000
EA MECH B/C <=3HP/100K BTU..
9.00
1.00 6.5000
EA MECH VENT FAN
6.50
Permit
PLUMBING. -
Additional desc ..
Permit Fee
58.50 Plan -Check Fee
14.63
Issue Date
Valuation
0
Expiration Date
12/17/"06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 6.0000
EA PLB FIXTURE"
24.00
.00 15.0000
EA PLB BUILDING SEWER
.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7..50
" LQPERA1IT _
- -
Application Number
06-00002200
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1-00 3.0000 EA PLB
WATER INST/ALT%REP
3.00
3.00 3.0000 EA PLB
GAS PIPE 1-4 OUTLETS
9.00
Special Notes.and Comments.
CASITA ADDITION 414 SQ. FT.June
14,
2006 2:06:01 PM jjohnson
Other'Fees
ENERGY REVIEW FEE
20:18
STRONG MOTION (SMI) - RES
3.38
Fee summary, Charged
Paid Credited
Due
-- - - - - - - - -- - ------ - -----
Permit Fee Total.438.37.
--------
.00 00.
43.8:37
Plan Check Total 233.81
.00 .00
233.81
" Other Fee Total 23.56'
00'^• .00
23.56
Grand Total 695.74
.00 00
695.74
LQPERMIT
CAMP LL C Qi'. 7 r 1/.?7-�, t,, ^„ 11.4
Bin # j
1-7 vL
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 #
' 0�
Project Address: PA .6 V%Ol INt
,"
Owner's Name:
A. P. Number:
_ ,, II <V0—g30
Legal Description: s� .�3C)� �. •
Address:
.City, ST, Zip:
Telephone: ,5&-
Project Description:
Contractor: r�[ l
Address: > -/ ' �
City, $T, Zip: Z7i� C✓t b ..
Telephone:73 Ll t dft Z.,
State Lic. # : e City Lic. #:
('fi,/� V4�v?0.e-LYNJ
�.
Arch., Engr., Designer-:
4.
Address:
City, ST; Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
'Name of Contact Person: r' t
Sq. Ft.: ,
# Stories:
# Units:
Telephone # of Contact Person: eg 4
Estimated V ue of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2°d Review, ready for corredElectrical
Subcontactor.Lisf
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I:
H.O.A. Approval'
Plans resubmitted
Grading
IN HOUSE:-
'n° Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permsue � O
School Fees
Total Permit Fees
10i
z
G(tq ' N ib
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District zgco
47950 Dune Palms Road ¢ BERMUDA DUNES t'
RANCHO MIRAGE Cj
Date 6/19/06 La Quinta, CA 92253. INDIANWELLS
�. PALM DESERT c
No. -28588 (760) 771-851.5 � LA OUINTA �y
OINDIO JP
Owner Guy Laverty APN # 649-540-030
Address 48554 Vista Palamino Jurisdiction La Quinta
City La Quinta . Zip Permit #
Tract # Study Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 - 4855.4 Vista Palamino 414 Unit 6
Unit 2 Unit 7
Unit 3 Unit.8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Attached Casita
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, 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
roes. It has been determined that the above-named owner is exempt from paying school flees at this time due to the following reason:
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 414 S.F. or $0.00 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 Exempt - David Howard Check No..
Name on the check Telephone 341.0920,
Funding Exempt
By Dr. Doris Wilson
Superintendent t
Fee collected lexe 1 pt by Sh ron rey Payment Recd J$0.00
q - 'Over/Undea7
Signat a�$F.
NOTICE: Pursuant to Gove ent Code Section 66020(d)(1), this serve:to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified abov i egin 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