05-3788 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
49045 VISTA ESTRELLA
APN:
649-580-023- - -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
66180
Applicant:
T4ht 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----4irmnder
-- ----I".—Licens
----------------------------
ONTRACTOR'S DECLARATION
I herenalty of perjury ted under provisions of Chapter 9 (commencing with
Sectioon 3 of the Businsionals e, and my License is in full force and effect.
Licene No.: 706794
Date: ontracfo–r
.O ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and rofessions 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, ormyemployees 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.).
I—) 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
O W ner:
HIGBY LARRY
49045 VISTA ESTRELLA
LA QUINTA, CA 92253
Contractor:
HOWARD CONSTR DON DBA
73180 HIGHWAY 111
PALM DESERT, CA 92260
(760)341-0920
Lic. No.: 706794
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/06
p w
APR 0 4 2006
CITY OF LA QUINTA
00
------------------
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 whicfi 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 ork for which this permit is issued. My workers' compensation
. rance carrier and policy ber re: I
Carrier STATa FUND Poli um r 3f1276
c rtify that, in the perform ce ofth 'ork for hiJrrI
his p i s issued, 1 shall not employ any
person in any manners as to b o e subje to wa ers' compensation laws of California,
/ and agree that, if I she Id beco a bject to he wke ' c pensation provisions of Section
r 3J00 of the Labor C e, I sh for with c ply h provisions.
WARNING: (FAILURE TO SECURE WORKERS COMPE<SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application bec es n nd voi if work not commenced
within 180 days from date of issuance of such p mit, ce sation o work r 180 d will subject
pe mit to cancellation.
I certify t t I ave read this application and state that th above i orm ion is cor ct. ogre o mply with all
city and c un ordinances and state laws relating to bu ing con 'ructi n, and he by th ze resentatives
of thi o nt to' ter upon the above-mentioned prop y for insp ti rpose .
`a �C , _
aaignature IAppucant or A,,
Application Number .
. . . . 05700003788
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
491.00 Plan Check Fee
319.15
Issue Date . . . .
Valuation
66180
Expiration Date
9/23/06
Qty Unit Charge
Per
Extension
BASE FEE
414.50
17:00 4.5000
THOU BLDG 50,001-100,000
76.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc
Permit Fee
42.93 Plan Check Fee ..
10.73
Issue Date
Valuation . . .
0
Expiration Date
9/23/06
_
Qty Unit Charge
Per
Extension
BASE FEE
15.00
798.00 .0350
-----------------------------------------------------------------------------
ELEC NEW RES - 1 OR 2`FAMILY
27.93
Permit . ...
MECHANICAL
Additional desc
Permit Fee
46.00 Plan•Check Fee
11.50
Issue Date . .
Valuation . .
0
Expiration Date
9/23/06
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
2.0.0•. 6.5000
EA MECH VENT FAN
13.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee
82.50 Plan Check Fee
20.63
Issue Date ... . . .
Valuation
0
Expiration Date
9/23/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
6.00 .6.0000
EA PLB FIXTURE
36.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB-WATER INST/ALT/REP
3.00
3
LQPERMIT
Application Number
05-00003788
Permit . . . . PLUMBING
Qty. Unit Charge Per
Extension
2.00 3.0000 EA PLB
GAS PIPE 1-4
OUTLETS
6.00
----------------------------------------
. Special Notes and Comments
-
--------------
798 SF CASITA ADDITION
--------------------------------
Other Fees . . . . . . . ..
ENERGY REVIEW
-----------------------
FEE
31.92
STRONG MOTION..(SMI)
- RES
6.61
Fee summary Charged.
-----------------
Paid
Credited
Due
----------
Permit Fee Total 662.43
---------- ----------
.00
----------
.00
662.43
Plan. Check Total 362.01
.00
.00
362.011
Other Fee Total 38.53
.00
.00
38.53
Grand Total 1062.97
.00
.00
1062.97
. LQPERMIT - -
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Permit# Il
City of La uo
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in im
Building 8r-SafetY Division
P.O. Box 1504, 78-495 Calle Tampico
4 Quihta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:.* 6 L11
Owner's Name: X L(2
41
A. P. Number:
(Wq-,580-021-1:>
Address: C) yS Vlf 70 -
Legal Description:
City. ST, Zip: y,
Contractor:C-
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Telephone: X
Address-
Project Description: v
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City. ST. Zip: K—p4rL-
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Telephone: —4i)c) 3-L1 I. CVN-z.......
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'State Lic.#:K
City Lic.
S
-10
'Arch.. Engr.. Designer:
Address:
City. ST, Zip:
Telepl4one:
State Lic. 4:
XX
:X
Co nstruction Type: Occupanc\•
Project type (circle one): New Add*n Alter Repair Demo
Name of Contact Person: X .0
Sq. Ft.-/)(
Q
# Stories: —T—
#Units:
Telephone # of Contact Person: )C
q67 - g67 40
Estimated Value of Project: Y, lot)
APPLICANT: DO NOT,.WRITE'B.ELOW THIS LINE
#
Submittal
Req'd
R ec'd
TRACKING I IT -FEES
Plan Sets
-
_--PERM
Plan Check submitted Item
Amount
Structural Calcs.
2
Reviewed, readyfor corrections Plan Check Deposit
Truss Calcs.
Called Contact PersorP"
I �Ca— 1/111/0S Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plain plaip:
Plans resubmitted N*hanical.
Grading plan
2nd Review, ready for correctio /issue' 1cctrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up SAI.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
7 7 -
Review, readv for correction sue
SPs- Developer Impact Fee
Planning Approval
Called Contact Person f !.,�A2J. P.
Pub. Wks. A' ppr
School Fees
V,
Date of permit issue
kA -4
C�
'PAW
Total Permit Fees -
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Date
4/4/06
No.
28345
Owner
Larry Higby
Address
49-045 Vista Estrella
City
La Quinta Zip
Tract #
Type
Residential Addition
Lot # No. Street
Unit 1 49045 Vista Estrella
Unit 2
Unit 3
Unit 4
Unit 5
Comments
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
S.F.
798 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Q BERMUDA DUNES N
U= RANCHO MIRAGE b'
?• INDIAN WELLS .�
CL. PALM DESERT`
LA QUINTA .vy
ZP30,INDIO
l 0
APN # 649-580-023
Jurisdiction La Quinta
Permit #
Study Area
No. of Units 1
Lot # No. Street
S.F.
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
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.63 X 798 S.F. or $2,098.74 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now.be issued.
Fees Paid By CC/1st Bank - David Howard Check No. 80021
Name on the check Telephone 341.0920
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exem ed b on McGilvrey Payment Recd ,�I$o.00
'Over/Under
$2,098.74
Signature AC t
Y
N)II
a r
2
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will erve 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 project is issued, or from the date on which
those amounts are paid to the District(s) onto 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