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06-1235 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00001235 47660 VIA MONTESSA 643-120-004-232 -26152 - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 16315 T4&t 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------------------------------- 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: B License No.: 684857 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 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.). (Z: 1 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 improve eon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' tate Li ense Law.l. (_ 1 I am exempt under Sec. ; B.& .C. for this rejleerr� Date: /CONSTRUCTION LE ING A ENCY I hereby affirm under penalty of perjury at *(/,.ere is a construction len gency for the performance of the work for which this permit is issued IS 39P97, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: RAYMOND ANGWIN 47-660 VIA MONTESSA LA QUINTA, CA 92253 (760)777-8796 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/20/06 Contractor: EDWARDS CONSTRUCTION, BOB 51455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (760)777-8202 Lic. No.: 684857 D JUL 212006 WORKER'S COMPE SA A. I hereby affirm under penalty of perjury one of the followin declaratid�TM OF LA QUINTA I have and will maintain a certificate of copse to self-insurF� rsation, as pr vided for by Section 3700 of the Labor Code, for rtortnertce�a�v , kv , !fj �Qhjchrth' it 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 CALIFORNIA INS Policy Number 460023330102 ;0- 1 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, i ould became su fee o the workers' compensation provisions of Section i� 3700 of the bor Co , I shall for with omply with those provisions. Date ILf Applican WARNING: FAILURE TO SECU W RKERS'COMPENSA14 VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD IT N 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 relati ilding construction, and reby authorize representatives of this county to enter upon the above-mentionfid proper for inspection pu oses Dater �� Signature (Applicant or Ag Application Number . . . . . 06-00001235 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 16315 Expiration Date 1/16/07 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 . 135.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 25.96 Plan Check Fee 6.49 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 313.00 .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 10.96 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 1/16/07 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 Permit . . . PLUMBING Additional"desc . . Permit Fee . . . . 49.50 Plan Check Fee 12.38 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/16/07 Qty Unit Charge: Pcr L'Alciioivu BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7:50 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 290 SF. CASITA ADDITION LQPERMIT s LQPERIIIT Application Number. 06-00001235 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 11.70 STRONG MOTION (SMI) - RES 1.61 Fee summary ----------------- Charged ---------- Paid -------------------- Credited ---------- Due Permit Fee Total 288.46 .00 .00 288.46 Plan Check Total 144.12 .00 .00 144.12 Other Fee Total 13.31 .00 .00 13.31 Grand Total 445.89 .00 .00 445:89. LQPERIIIT r eco y�EW� MM Bin' # �Y City .of La Quinta. Building 8Z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:' . 64.0 A< 7 -,==-EQ Owner's Name: ,91emoA o ,9u D,Ti9 Nt A N cv j v A. P. Number: 13 _ 12b _ a o Address: a V A M ont-r'-S Legal Description: City, ST, Zip: Z n U! M 7-/9(fA_ - -1 22-S //�QYL,/. S Contractor: BO 6 � Telephone: / P �b % s Address: si q 5--� C,v Al— Project Description: City, ST, Zip: 4TTA C 0 C0-E;S 7- �o U S r - Telephone: State Lic. # J : / 192City Lic. #: Arch., Engr., Designer: �%1,tCciiQ,hlQ/lp��0$p Address: Z11152-,< 14V,6AJUO City, ST, Zip: AAL/ -V 65 F -A -T 42A 9 Z 16 o Telephone: 7,6O_S% _�d3J 4 Construction Type: Occupancy: State Lic. #: Projec a (circ] one): New Add' Alter Repair Demo Name of Contact Person:J y /� Sq. Ft • 30 J#Stories: t # Units: Telephone # of Contact Person: .760-777-87q.6 Estim e e of Project: , Dp APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES ?j Plan Sets Plan Check submitted 3 Item Amount Structural Calcs. Reviewed, ready for corrections l// Plan Check Deposit Truss Calcs. Called Contact Person 4111 Plan Check Balance �i Energy Calcs. Plans picked up !�, Construction Flood plain plan Plans resubmitted i //�p6 Mechanical Grading, plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person /5 Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmittedGradin g IN HOUSE:- ''" Review, ready for corrections/issueiQ `V Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr ac P/14 ? �� School Fees I- ssU�,,� 7 Total Permit Fees -/01 Date 7/21/06 No. 28716 Owner Raymond & Jane Angwin Address 47660 Via Montessa City La Quinta 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 APN # Jurisdiction Permit # Study Area No. of Units BERMUDA DUNES O RANCHO MIRAGE CJ N INDIAN WELLS .� �.. PALM DESERT LA QUINTA ��}�INDIO . ':,� 643-120-004 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 47660 Via Montessa 290 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered paths/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 mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPT This certifies that school facility fees imposed pursuant to in the amount of $0.00 X 290 S.F. or $0.00 have been paid for the property lisied 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 Jane Angwin Check No. 0.0D Name on the check Telephone 760.574.6805 Funding Residential By Dr. Doris Wilson Superintendent �. Fee collected /exem ted by E e Lara Payment Recd o.00 wer/Urider . ' Signature (ni 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 o r other payment identified above will begin to run from the date on which the building or installation permit for this pro�ect 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) behalt whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity/ 4 s(P VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: 06-00001235 Property Address: 47660 VIA MONTESSA APN: 643-1207004-232 -26152 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 16315 Applicant: Architect or Engineer: 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:: /�B Li nse No • 667383 DatejO:1 I LV - Contractor: - OWN R -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 1$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 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 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 Date: 10/18/06 Owner: RAYMOND ANGWIN 47-660 VIA MONTESSA LA QUINTA, CA 92253 (760)777-8796 Contractor: D FRENCH CONSTRUCTI NC 2UO6 705 SUNNYSIDE AVE E �C� 1, REDLANDS, CA 9237 (909)841-1379 OfQUINTA LA CITY DEPT. Lic. No.:667383 FINANCE 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 3700 of the Labor Code, I shall forthwith WA those pr scans. Date:/ /flltG- Applicant WARNING: FAILURE TO SECURE WORKERS' C014PENSATION 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 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, and herebyaUbpdze representatives of this county to enter upon the above-mentioned property for inspection pur ae Date Signature (Applicant or Agent):. Application Number . . . . . 06-00001235 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date 7/21/06 Valuation . . . . 16315 Expiration Date 1/17/07 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 -----------------7---------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 25.96 Plan Check Fee 6.49 Issue Date . . . . 7/21/06 Valuation . . . . 0 Expiration Date 1/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 313.00 .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 10.96 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . 7/21/06 Valuation 0 Expiration Date 1/17/07 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 Permit . . . PLUMBING Additional desc . Permit Fee . . . 49.50 Plan Check Fee 12.38 Issue Date . . . . 7/21/06 Valuation .. 0 Expiration Date . . 1/17/07 Qey 'unit Charge Per Extension BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS m 3.00 -------------------------------------------------------- Notes and Comments 290 SF. CASITA ADDITION. LQPERMIT Application Number 06-00001235 7----------------7---------------------------------------------------------- Special Notes and Comments October 18, 2006 12:02:32 PM erandall CHANGE OF CONTRACTOR TO FRENCH CONST. ---------------------------------------------------------- Other Fees . . . . . . . . . ---------- CHANGE OF CONTRACTOR -------- 4.50 ENERGY REVIEW FEE 11.70 STRONG MOTION (SMI) - RES 1.61 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 288.46 -------------------- 288.46 ---------- .00 .00 Plan Check Total 144.12 144.12 .00 .00 Other Fee Total 17.81 13.31 .00 4.50 Grand Total 450.39 445.89. .00 4.50 LQPERMIT Bin If City of La Quinta Building u Safety Division Peit fl. l P.O. Box 1504, 78-495 Calle Tampicc La Quints, CA 1 92253 - (760)'777-7012 BuildingPermit Application ppllcatlon and Tracking Sheet Project Address: Owner's Name: W I� A. P. Number: E . Address: 41.�_�� o VLA lu► 0/IliZ"SS Legal Description: City,ST Zip: (9$�A_ lk))M CA 94zk> Contractor: //�� �� _' l ��'��� ✓ C . Oma/ • Telephone: Address: `Z p 5 ��/ Z� Project Description: City, ST, Zip: �„��C�wxs Psi' 943771 Telephone: Is-) State Lic. # : c. _0C ?3 v City Lie. #: Arch., Engr., Designer. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: P cy= State Lic. #: Project'type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING .. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed,,ready for corrections Plan Check Deposit Truss Coles. Called Contset Person Plan Cheek Balances Energy .Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical ' Grading.plan 2" Review, ready for correctiouslissue Electrical 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 ApprovalCalled Contact Person A.I.P.it. Pub. Wks. Appr Date of permit issue School Fees - ..,toI Permit.Fees