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08-0162 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000162 Property Address: 56192 VILLAGE DR APN: 764-030-018- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 77273 T4tyl 4 4 Q" Applicant: Architect or Engineer: Iv 1 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED Ctun OR'S DECLARATION I hereby affirm under penalty of perjury that I am Ii nprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu ss and r ede, and my License is in full force and effect. LicenseClass. B se No.: 867583 ate: tractor. 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 ISec. 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).: 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 _ 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.). 1 _ 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: 011-11 LQPERMIT Owner: BUSSMAN 56-192 VILLAGE DR LA QUINTA, CA 92253 'Contractor: MORRIS CONSTRUCTION INC, 51200 CALLE PALOMA LA QUINTA, CA 92253 (760)272-9292 Lic. No.: 867583 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/29/08 ------------------ 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 EXEMPT Policy Number EXEMPT I c=at, in the performance of the w rk for which this permit is issued, I shall not employ any person in any manner so as to I ubject t he workers' compensation laws of California, and agree that, if I s uld becoto a orkerscompensation provisions of Section %3799 of the Labo e, I shalh m y with those provisions. te: L V 0 plicant: WARNING: FAILURE TO SECURE 0 ERS' 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 appPlication. i. Each person upon whose behalf th s 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 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 nu nd oid if work is not commenced within 180 days from date of issuance of such permit, or c s a n of work for 180 days will subject permit to cancellation. n I certify that I have read this application and state that h above info,rita correc agree to comply with all city and c urity ordinances and stat laws relating to it ing constru h y thorize representatives of thi ounty to entgr upon the abo-mentioned pro for inspect n p r s. or Agent): Application Number . . . . . 08-00000162 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 540.50 Plan Check Fee 351.33 Issue Date . . . . Valuation . . . . 77273 Expiration Date 10/26/08 Qty Unit Charge Per Extension BASE FEE 414.50 28.00 ---------------------------------------------------------------------------- 4.5000 THOU BLDG 50,001-100,000 126.00 Permit . . . MECHANICAL Additional desc . . Permit Fee 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/26/08 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 1.00 ---------------------------------------------- 6.5000 EA MECH VENT FAN ----------------------------- 6.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 54.52 Plan Check Fee 13.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/26/08 Qty Unit Charge Per Extension BASE FEE 15.00 829.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 29.02 525.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.50 Permit . . . PLUMBING Additional desc . Permit Fee 73.50 Issue Date . . . . Expiration Date . . 10/26/08 Plan Check Fee . . Valuation . . . . Qty Unit Charge Per BASE FEE 7.00 6.0000 EA PLB FIXTURE 1.00 7.5000 EA PLB WATER HEATER/VENT 1.00 3.0000 EA PLB WATER INST/ALT/REP LQPERMIT 18.38 0 Extension 15.00 42.00 7.50 3.00 Application Number . . . . . 08-00000162 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 ---------------------------------------------------------------------------- Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 10/26/08 Plan Check Fee . . .00 . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments FREE STANDING CASITA 829 SQ. FT. WITH 525 SQ. FT. GARAGE ADDITION. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 35.13 STRONG MOTION (SMI) - RES 7.72 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 723.02 ---------- ---------- .00 ---------- .00 723.02 Plan Check Total 393.22 .00 .00 393.22 Other Fee Total 42.85 .00 .00 42.85 Grand Total 1159.09 .00 .00 1159.09 LQPERMIT t. Bin #%.f ' v City of La Quinta Building $t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quintal CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit , Project Address:" CI l r 1 - Owner's Name: 23a S S /W A. P. Number:y . o3 U • © Address: C—(", I Ci a i 1 I Ct P�-_ Legal Description: 04- '((o . -J? A & a 89 9 . tlo City, ST, Zip: u C'i 9dY3 Contractor: / VG m,J Telephone: 7 U '7 7C7 f3,5,S-� 0 e Address: I -d-O U " C711 /•e Pca /6/,7, .1 Project Description: City, ST, Zip: Lc( QCAI Al hij— Telephone: -1-0 > s S State Lic. # :� �,� 3 City Lic. #: /0 L/-3 Arch., Engr., Designer: V , Z l>S l �i w -� ^ A0% Address, -P,().. `' g 15 r 400 dip City, ST, Zip: v 'Telephone: Construction Trype: Occupancy: Project type (circle one): New Add.'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: lvea XV'.�'�'' �� � 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 Cates. Called Contact Person f3/(b Plan Check Balance Energy Cates.' Plans bicked up I Construction •a Flood plain plan. Plans resubmitted`] �d (JD Mechanical Grading plan 2"d Review, readyf r corrections/- sue I '� Electrical Subcontactor List Called Contact Person 4145 Plumbing , Grant Deed Plans picked up S.M.I. H.O.A. Approval ' Plans resubmitted Grading IN HOUSE:- "'Review, ready,r correc ' ns/• ue � a Developer Impact Fee Planning Approval Called Contact Person y G� A.I.P.P. Pub. Wks. Appr School Fees Total Permit Fees I;;UT v, 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: 41TIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: -.HECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residence is at the_"Palms" Date: April 29, 2008 Owner's Name: Charles Bussman Phone No. 272-9292 Project Address: 56-192 Village Drive La Quinta, CA Project Description: Casita APN: 764-030-018 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 829 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above informat' n is correct and makes this statement under penalty of perjury and further represents that he/she is authorize ign on by=a per. Dated: April 29, 2008 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 �RF Number of Sq.Ft. 829 Amount per Sq.Ft. $2.97 Amount Collected $2,462.13 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Elvira Mattson, Secretary III Signature: 4 RX", I I !elw ; 0 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 D -strict 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 ?eriod 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 Epplicable 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 ierein 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 m 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/mydoes/devfees/certificate of compliance norm tablesTO USB.doc 1/16/03 T e D. ArhhilmWre, Inberiors, Space and Land Planning, and SbucbAral Design Principle: Charles D. Garland, Architect 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: Single Family Residence for: Mr. and Mrs. Bussman 56-192 Village Drive La Quinta, California Regarding: Structural Certification and Clarification To Whom It May Concem, I am a licensed Architect in the State of Califomia and the licensed structural design professional of recons for the noted project's structural system. The builders of the noted project requested I certify two of the details found on sheet SDA of the drawings. Detail 1/SDA indicate the perimeter footings to be 24° deep by15" wide. This is in error. The perimeter footing only needs to be 20° by 12". What has been built is 24" deep by 12" wide. Detail 4/SD.1 contained dimensions that were unreadable. Our firm has confirmed that the contractor has built the garage perimeter footing in accordance with what the foot in should have been. again the footing was to be 20" deep by 12" wide" and what was built was 24° deep by 12" wide. In light of the actual design loading I hereby certify that what has been built complies with the section necessary to support the applied loads and conforms with the 2007 CBC. I hereby state therefore, that the project still conforms to the structural design intent of the structural design calculations and is ready for back checking. Charles D. Garland Architect 74-854 Velie Way, Suite 5 please do not hesitate in contacting me. CA 92260 o Phone: (760) 340-3528/Facsimile (760) 340-3728