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08-0437 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000437 Property Address: 80197 VIA TESORO APN: 772-250-018-15 -31349 - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL ApPIIC3ti6h valuation: 9293 Applicant: T &-t 4 4a Q" Architect or Engineer: 0�1 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 700OU of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Clyf. B tens o- 805021 r• - Dat e� 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.). (_) 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.). ( 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: DELLANTASH 80-197 VIA TE LA QUINTA, CA Contractor: WHITLEY'S REMODELING 74804 JONI DRIVE, STE PALM DESERT, CA 92260 (760)341-9480 Lic. No.: 805021 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 7A 5/14/08 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 GRANITE INS Policy Number 6923463 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 a,✓✓ 3700 of the Labor Cood/�e,i�1II shall forthwith c9� ih/iiihtt77pp,�C��d66ep�rovisions. Date �J Applicant: /1&9;ra ifs WARNING: FAILURE TO SECURE WORKERS' 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 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 h9fQY aut orize representatives of this cou y to enter upon the above-mentioned property for inspection pur e Date Signature (Applicant or Agent): Application Number . . . . . 08-00000437 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 9293 Expiration Date . . 11/10/08 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 19.03 Plan Check Fee 4.76 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/10/08 Qty Unit Charge Per Extension BASE FEE 15.00 115.00 .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 4.03 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/10/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments CONVERT EXISTING PATIO TO LIVING SPACE 115 SQ. FT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 7.61 STRONG MOTION (SMI) - RES .92 Fee summary Charged --------------------------- ---------- Paid Credited -------------------- Due Permit Fee Total 160.03 .00 .00 160.03 Plan Check Total 86.81 .00 .00 86.81 Other Fee Total 8.53 .00 .00 8.53 Grand Total 255.37 .00 .00 255.37 LQPERMIT 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 Perm'+ Pro jectAddress:' ��! - ����;� Owner's Name: r A. P. Number: --Z56 - O 19 -1-5 Address: ?Q % l � �' ., E. ro - e f Legal Description: Contractor: �.%� City, ST, Zip: •. , ; "' - G Q C� . ~"� Telephone: - "` , Project Description: Address: City, ST, Zip:? GCI o ; (1 Telephone: INC lar e State Lie. #: City LiG #: T L Arch., Engr., Designer: Ja e PSP n Address: City, ST, Zip:' 6 Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New <a? Alter Repair Demo Sq. Ft.: ` # -Stories: # Units: Name of Contact Person:W, L ze k Telephone # of Contact Person: 7XO 75 9PA Estimated Value of Project: g # 6LV, APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submittedItem Amount Structural Calcs. Reviewed, read for corrections Plan Chedc Deposit Truss Cales. Called Contact Pee l C Plan Chedc Balance Energy Calcs. Plans picked upw,,6 Construct.on Flood plain plan Plans resubmitted Mechanical Grading, plan 21' Review, rea y for correction&riss a he Electrical Subcontactor List Called Contact P Plumbing Grant Deed Plans picked up Z I I S.M.I. H.O.A. Approval G Plans resubmitted ✓ Grading HOUSE:- ''' Review, ready for correctio s/ist a l3 Developer Impact Fee qIN Planning Approval Called Contact Person A.I.P.P. .Pub. Wks. Appr Date of permit issue School Fees Total Perait Fees TNS W 89 1,sSoW A.R6P tNS�rz�r� �P� Ao�i"C� I t JW 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 LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: DELLANTASH Date: May 14, 2008 Owner's Name: DELLANTASH Phone No. (760) Project Address: 80-197 VIA TESORO, LA QUINTA, CA Project Description: ROOM ADDITION APN: 772-250-018-15 Tract #: Lot #'s: Type of Development: Residential 5N Commercial Industrial Total Square Feet of Building Area: 115 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 sign on behalf of the owner/developer. Dated: 05/14/08 Signature: *sssss*sssss*s***s*sss**sssss***sssssssssssss***ssss**ssss*s****ssss*** 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 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project 65995 Approval 115 sq, ft. $ 0.00 $ 0.00 Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: Pursuant to AB -181, any mobilehomes being replaced or relocated within the same school district are exempt from developer fees. Any additions of 500 sq. ft. or less is also 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., Support Services Certificate issued by: Leticia C. Torres, Facilities Analyst Signature: Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that istrict 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. MV:c/m-docs/devfees/certificate of compliance form tables'1'0 USF.doc 1/16/03 T l Y_ Architeftre, Interiors, Space and Land Manning, and Sbruftral Design PdWple: Charles D. Garland, Archited Associate: Efrain Cardenas, Engineer In Training 5 May 2008 The City of La Quinta Department of Building and Safety 78.495 Calle Tampico La Quinta, CA 92253 Project: Dellantash Single Family Residence 80-197 Via Tesoro La Quinta, California Regarding: Structural Certification To Whom It May Concern, I am a licensed Architect in the State of California. The builders of the noted project requested I certify the existing and new work for the noted project. The existing structure is a single story wood frame single family residence. The proposed work is infilling between the stud and plaster columns of an existing framed and finished.patio cover -on the front (northeast) corner of the building. The patio cover is adjacent to theMaster Bedroom. I have reviewed the documents prepared by JED Design, the existing building In the field and photos of the work in progress. I have determined the work for the proposed renovation constitutes no significant impact on the existing structure. The work is only infilling between existing columns, demolition of an existing piece of exterior concrete fiat work and replacing It with a structural concrct& slab on grado to be tied into the existing column pad footings, refinishing the infill with piaster to match the existing, adding new windows between the existing columns and finishing the resulting interior space. in fight of the actual design loading I hereby certify that what has been hit complios with the section necessary to support the applied loads and conforms with the 2007 CSCO. I hereby state thomfore, In my profossloWU Ilion, that tho project constitutes 1 no -significant change to the buildirigt3 at o. �� ARS If you any urther q tions this prod e e do not hesitate in contacting me. s In a .* � 1+Io,.C11 orp°�►1s �, Q� ads ariand, Architect c , OF C °p 74854 Velie Way, Suite o Palm Desert, ,CA 92260 - Phone: (760) 340-3528/Facsimile (760,.34D-3728