05-1680 (AR)Y
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:.
Appliootiom 'oaluationl `
0-5-000g168-0.
�49629•AVENIDA VISTA BONITA
773L350-:054-54' -14496 -
ADDITION - RESIDENTIAL
LOW DENSITY ENTIAL
J7 ?
^� VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Owner:
BARNES W MITCHELL
49269 AVENIDA VISTA BONITA
LA QUINTA, CA 92253
Date: 6/13/05
b U
'Contractor:
Applicant: I ect or Engineer:
SCRIVENS CONSTR, INC., G.L.
61400
q
NC
MOUNTACENTERR, CA 92561
(760) 349-3327
Lic. •No.: 807645
------------------------
• - LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION "
I hereby affirm under penalty of .perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: _
- Section 7000) of Division 3 of the Business and Professionals Code, and my License is in fullforceand effect.
'_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
• License Class: B License No.: 807645
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
+ 7 �'''•
0.144
=Date.: ".•r/'! Contractor-:" . JC!'►✓ G�-� Cb'�'�`, l'� C
issued.
1 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
- 1 OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 229-29477 05
• - follnwing reason (Sec. 7031.5. Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work 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
person in any manner so as to become subject to the workers* compensation laws of Califumia, , - -
" permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should-beca subject to the workers' compensation provisions of Section
- - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I all f rthwith comply provisions. -
_ that he or she is exempt therefrom and the basis for the alleged exemption. Any violation,of Section 7031.5 by
five hundred dollars
-
Date:. �, I Applicant:- - - -
any applicant for a permit subjects the applicant to a civil penalty of not more than ($500).:
(_ 1 1, 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
WARNIN : FAILURE TO SECURE WORKER CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an 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 OFTHE 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 -
- ( 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seo.
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,
( ) I am "exempt under Sec. , B.&P.C. for this reason
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."
Date: Owner: _
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 -
CONSTRUCTION LENDING AGENCY -
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the, above information is correct. 1'agree to comply with all -•
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to budin ilonstruction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert or i sp tion purpose
Lender's'Name: � -
- � -
Dater SignatureTlApplicantforAgentl:- — -�
Lender's Address:
•
f
LQPERMIT ,
Application Number 05-00001680
Permit BUILDING PERMIT q _'
Additional desc
Permit Fee 99.00. Plan Check Fee 64.35
_ Issue Date Valuation - 7493..
' Expiration Date 12/10/05
Qty Unit Charge Per Extension `
BASE FEE 45.00
6.00 9.0000 THOU BLDG2,001-25,000 54.00 r
-----------------.-------- --- ---------------------------•--- 7 ------------ - - - -;-
-
Permit - ELECT - ADD/ALT/REM '
Additional desc .
Permit Fee 19.59 Plan Check Fee 4.90
Issue Date Valuation 0
Expiration Date 12/10/05
Qty Unit Charge Per Extension
BASE FEE 15..00
131.00 ..0350 ELEC NEW RES - 1 OR 2 FAMILY 4.59
Permit MECHANICAL _
Additional desc
Permit Fee . . . 19.50 •Plan Check Fee 4.88,
Issue Date . . "Valuation 0
Expiration Date 12/10/05 `
Qty Unit Charge Per. Extension
BASE FEE 15.00
1.00 4.5000 EA MECH.VENT•INST/ DUCT ALT 4.50
------------------------------------------ .------'=---------------------------'
Special Notes and Comments.
131 SQ .FT. BEDROOM ADDITION.June 13,
2005 101:38:34 AM JJOHNSON
Other Fees ENERGY REVIEW FEE 6.44
- STRONG MOTION (SMI) - RES .74
Fee summary Charged Paid Credited Due" 4 _
---------- ----=------- -- --- ---------- --- --
Permit Fee Total•• 138.09 .00 .00 138.09
Plan -Check Total 74.13 .00 .00 74.13'
Other Fee Total 7.18, 00 .00 7.18 ,•
Grand Total 219.40 00 -.0.0 219.40
LQPERDIIT
It
Cit Of b o
Y Quinti
Building 8i Safety Division
Permit # Q P.O. Box 1504, 78-495 Calle Tampico
1 La Quinta, CA 92253 - (760) 777-7012
BuildingPermit 1'
Application and Tracicng Sheet
Project Address:
Owner's Name:
A. P. Number: 7 % 3 - � O — L93-4 'Address: U
Le / :62�,? ,&
Legal Description: GpT,� �u �� City, ST, Zip:
Contractor:
/V40 Telephone:
Address: () �j Project Description:
Cin, ST, Zip: CG✓(C/ �Fr! .956' .S
Telephone:
P
hone:
7
State Lic. #
Arch., Engr., Designer:
Address:
Cite, ST, Zip:
Telephone:
State t Lic. #:
Name of Contact Person:
Telephone # of Contact F
#
Submittal
�.
Plan Sets
Project ct ri Pe
(circle cone):
New Add' n' Alter Repair Demo
Structural Calcs.
.
Sq. Ft.: 13 # Stories: #Units:
Trusg Calcs.
— 7V3 / Estimated Value of Project:
Title 24 Calcs.
Flood plain plan
Grading plan
Rec'd TR.ACKING
Subcontactor List
Grant Deed
Item Amount'
ILO -A. Approval
Reviewed, ready for corrections S
IN IIOUSE:-
Planning Approval
Plan Cteck Balance
Pub. Wks. Appr
Plans picked up
School Fees
U,D 'PJC-. 0105,
City Lic. #:
T�v
:T o
Total P-rmit Fees
Construction Tv e:
.P
cu an
Occupancy:
P cy
Project ct ri Pe
(circle cone):
New Add' n' Alter Repair Demo
.
Sq. Ft.: 13 # Stories: #Units:
r
aD'
— 7V3 / Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd
Rec'd TR.ACKING
PERMIT FEES
Plan Check submitted d
2
Item Amount'
Reviewed, ready for corrections S
Plan Check Deposit
.Called Contact Person �� 6 G6
Plan Cteck Balance
Plans picked up
Construction
Plans resubmitted r :5 �1
T
Niechay.ical
2"d Review, ready fo corrections sue
Electrical
Called Contact Person 6/
Plumbiig
Plans picked up b
SAI.1.
V
Plans resubmitted
Gradin -
"d Review, ready for correction /issue
Developer lmac( Fee
Called Contact Person
Date of permit issue
Total P-rmit Fees
CERTIFICATE OF COMPLIANCE AS IVIED& ,
Desert Sands Unified School District q����o
47950 Dune Palms Road < BERMUDA DUNES°
., RANCHMIRAGODate 6/14/05 La Quinta, CA 92253 INDIAN WELLS
p
PALM
No. 27303 (760)771-8515 11UINTAT��
�QINDIO
o
Owner M. Barnes i APN # 773=350-054
Address 49629 Avenida Vista Bonita Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # Study Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 49629 Avenida Vista Bonita 131 Unit 6
Unit 2 , . Unit 7 ,
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 i; Unit 10 i
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiosrowalkways, 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 follaiving reason: ,
Residential Addition 500 Sq Feet or. Less
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 131 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 - Greg Scrivens Check No.'
.� Name on the check Telephone 837-9918
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharon McGil ey, , Payment Recd
' Over/Under
Signature
.1
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 project iE 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 '
► Mr. and Mrs. Mitchell Barnes
501 Glencoe Street
Denver, CO 80220
Re: 49-629 Avenida Vista Bonita
Dear Mr. and Mrs Barnes:
May 13, 2005
Your architectural request dated May 2, 2005 for the room additionhas been approved with the following
stipulations:
• All exterior stuccowork must be painted to match existing stucco (Dunn Edwards-Evershield "Bone Whiter).
• In order to guarantee uniformity and continuance of any existing warranties held by the Association, the work
must be performed by the Association's Roofing Contractor, Western Pacific Roofing.
• Additional roof area will be assessed a one-time fee ofUlpa square foot or fiction thereof; for the new roof
area, due and payable upon approval.
• Owner must provide a written 5 -year guarantee covering the new roof area and that portion of the old roof
within 6 feet of the junction with the new.
• All roof leans within that area of the roof within the 5 year period will be the sole financial responsibility of the
Owner granted approval, his/her assign or successor Owne(s). Said written guarantee must be delivered upon
approval of -the application After the original guarantee has expired the rnamtenanoe of this additional .roof will
become the responsibility of the Association.
• All electrical wiring, if applicable, must be contained within approved conduit pared to match the surface'it
contacts.
• Any damage to the common area resulting f am this modification and its mon shall be repaired at the
Owner's expense.
• If a construction bin is rented d rough Waste Management it must be beige in color and stored, if possible, in the.
garage. The construction bin must be kept locked. All construction debris is to be removed from the site by the
close of each day to maintain order and retain the aesthetics of the Santa Rosa Cove.
• Puler to the commencement of any work the contractor and their subcontractors) must provide the Association
proof of worker's comp, liability and auto insurance; naming the Association as additionally rinsed.
• Prier to the encement of any work you or your contractor must provide the names of the scheduled
workmen to the security guards at the Mazatlan gate, (564-5414).
• Prlor to the of any work your contractor must read and sign the Association's Contractor Rules,
which has been supplied to them.
Please contact the Association office .once your modifications are complete for a final inspection. A copy of the
approved variance will be mailed to you after the inspection. If you have any questions, Please call.
Ve r
Christina Enriquez
Association Manager
SANTA ROSA COVE ASSOCIATION
49.991 Eisenhower Drive
La Qulma, California 92253
(760) 777-7621
F= (760) 777-7622
Mailing Address:
Poe; Office Box 1292o
Palm Desert, California 92265
PREPARED 9/12/06, 15:25:42
INSPECTION.HISTORY REPORT
,. _ -
'. PAGE 1
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PROGRAM BP521L _ -
0/00/00'THRU 0/00/00
-
-
CITY OF LA• QUINTA
---------------------------------- -------?'--------------------
APPLICATIONPROPERTY ADDRESS
--•--------------------------------------------------------------
APN - •
---------------------------------APPLICATION
-. Alternate' ID
,.. ..
STRUCTR PERMIT
INSPECTION -
RESULT DATE/STATUS -
INSPECTOR ..
'.
OS 00001680 49629 AVENIDA VISTA BONITA773-350-054-54
-14496 -
- --
-• -
ra
000 000 B001 00 BUILDING PERMIT
- 100 0001 SETBACKS ,.,
6/29/05 APPROVED.
KK
- -
000 000 3001 00 BUILDING PERMIT -
120 0001 FOOTINGS - -
6/29/05 APPROVED
KK - -
--"
000 000 B001 .00 BUILDING PERMIT -.
125 . 0001 SLAB
- 6/29/05 APPROVED
- KK'
- 000 000 B001 00 BUILDING PERMIT
150. 0001 INSULATION '.
8/02/05 APPROVED
KK
•
000"000 B001 00 BUILDING PERMIT
155.0001 LATH
8/02/05 APPROVED
KK
000 000 B601 00 BUILDING PERMIT
135 0001 ROOF NAIL
8/04/05 APPROVED
KK -
• 000 000 8001 00 BUILDING PERMIT -
140 0001 OKAY TO WRAP
8/04/05 APPROVED
KK
000 000. B001 00, -BUILDING PERMIT
145 0001 FRAMING
8/04/05 APPROVED -
KK
000 000 - E02 00 ELECT - ADD/ALT/REMODEL..
310 0001 ROUGH ELECTRICAL
8/02/05 APPROVED
KK
000 000 M01 00 MECHANICAL
405. 0001 ROUGH MECHANICAL
8/02/05 APPROVED
KK
Mal
J.