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07-2190 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description:. Property Zoning: Application valuation: Applicant: 07-00002190 78745 CALLE TAMPICO 770-144-OOS-127 -000000- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 197618 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WEW CONSTRUCTION 78-745 CALLE TAMPICO DETACHED LA QUINTA, CA 92253 Contractor: . Architect or Engineer: WEW CONSTRUCTION INC P.O.-BOX 444 THOUSAND PALMS, CA 92276 (760)343-5102 Lic. No.: 780713 LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury t at I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusineAs and Professionals Code, and my License is in full force and effect. License Class: B License No.: 780713�(y� Date: Z �� ntractor: UC f 'V OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that,l 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 ($5001.:. - (_) 'I, as owner of the property, or my employees with wages as 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 _ 1 1, 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. BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/27/07 r 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.' ' 41 have and will maintain workers' compensation insurance, as required by Section 3700of 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 STATE FUND Policy Number 229-0039583 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 6ws'of California, and agree that, if I should become subject to the workers' compensation provisions of Section ,33700 of th Labor Code, I shall1fforth/y).ith c/o/mpplyy(with those provisions. /:..PPlicant: �. /� 4✓-_ `.• 'UIG��G �lQ .. ._ _ 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 i ormation is correct. I ag a to comply with all city and county ordinances and state laws relatingto build' g con ruction, and hereby autho ize representatives . of this county to enter upon the bove-mentioned prope for in ection ur. s. �. nature (Applicant or Agent): C{ LQPERMIT - . "Application Number . . . . 07-00002190 ------ Structure Information 3,095SF DWELLING/V-NR/RES-3/CLASS A -FR ----- Other struct info . . . . . CODE EDITION 2001/2005 #•BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 738.00 PATIO SQ FTG 460.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3095.00 Permit ... . BUILDING PERMIT Additional desc . Permit Fee 982.50 Plan Check Fee 638.63 Issue Date Valuation . . . . 197618 Expiration Date 3/25/08 Qty Unit Charge Per Extension - BASE FEE639.50. 98.00 3.5000 ------------------------- ---------------------------------------------------- THOU BLDG 100,001-500,000 343.00 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 138.09 Plan Check Fee 34.52 Issue Date Valuation 0 Expiration Date _ 3/25/08 , Qty Unit Charge Per Extension BASE FEE 15.00 3095.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 108.33 738.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.76 Permit . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 3/25/08 Qty Unit Charge Per Extension BASE FEE 15.00 Permit MECHANICAL Additional desc.. Permit Fee . . . . 116.00 Plan Check Fee 29.00 Issue Date . . . . Valuation . . . . 0 LQPERMIT - . Application Number . . . . . 07-00002190 Permit . . . . . . MECHANICAL Expiration Date 3/25/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE.<=100K 18.00 1.00 4.5000 EA MECH VENT.INST/.DUCT ALT 4.50 . 2.00 16.5000 EA MECH B/C >3-15HP/>1"00K-500KBTU 33.00 6.00 6.5000 EA MECH VENT FAN 39.00 . 1.00 6:5000 EA MECH EXHAUST HOOD ------------------------------------------------------------------------------ 6.50 Permit . . . •PLUMBING Additional desc . Permit Fee. 196.50. Plan Check Fee 49.13 Issue Date . . . Valuation . . . . 0 Expiration Date 3/25/08 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 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 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Note's and Comments 3,095SF DWELLING/V-NR/RES-3/CLASS A -FR. THIS PERMIT DOES NOT INCLUDE BLOCKWALLS POOL.AND SPA, OR DRIVEWAY APPROACH. BUILDING HEIGHT LIMITED TO 17 FEET/ 1 STORY - RL. 2001 CBC, CMC; CPC, 2004 CEC, 2005 ENERGY. September 27, 2007 2:53:23 FM AORTEGA --------------- - -------------------------- Other Fees . ... . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES. 74.00 •DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 63.86 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE 15.00. DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES .19.76 DIF STREET MAINT FAC -RES 67.00 LQPERMIT Application Number . . . . . 07-00002190 Other Fees. -- - - - - - -- . . . . . - - - - - - - - - - - - - DIF TRANSPORTATION - - - - - -- - - - - - RES - - - - - - - - - ------ 1930.00 Fee summary Charged Paid Credited Due - ---- Permit Fee Total ---------- 1448.09. ---------- .00 -------------------- .00 1448:09 Plan Check Total 751.28 500.00 .00 251.28 Other Fee Total 4593.62 .00 .00 4593.62 Grand Total 6792.99 500.00 .00 6292.99 Building Address Owner, ► r Address Tel. 4 4 Cl/ P.O. BOX 1504 78-495 ALLE QUINTACCALIFORNIA 902253 APPLICATION ONLY G • BUILDING: TYPE CONST—OCC.P. J� GR A.P. Number 7 70 -- / % AT - 00.5 - Legal Description w017 2 Project Description ACMWSS o' 50A Tel MONA0 AUR TW 760 -31.11- State Lic. City & Classif. ai. Lic. # o Arch., Engr., f Designer r MGM2WII I ` I M70 LIC,# C'/ / J L LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is.for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT Stories SFt. 3® rC[ No. Dw. II,Siziz e, (� Stories Units New -k Add ❑ Alter ❑ Repair ❑ DemolitioD ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT S,9 / de ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by:— Validation: YELLOW = APPLICANT INSPECTOR Date PINK = FINANCE 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 3,695 S.F. or $8,139.85 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/PDNB. -_Bill Wright Check No. 101254 Name on the check Telephone 275.3154 Funding. Residential By Dr. Doris Wilson Superintendent Fee collected /exe d by h n c ilvrey Payment Recd $8,139.85 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), thi 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 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) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated " Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE Sands Unified School District ADesert F 47950 Dune Palms Road C D Q BERMUDA DUNES Date 9/2.1/07 q La Quinta, CA 92253 RANCHO MIRAGE Q INDIAN WELLSLM No. 29700 1760➢ 771-8515 - D d� P QUENTAT �y ' .. %INDIO c ?b Owner Laureno APN # 770-144-005 Address Jurisdiction La Quinta City Zip Permit # Tract # . Study Area Type Single Family. Residence No. of Units 1 Lot # No. Street S.F. Lot.# No. Street S.F. Unit 1 78745 Calle Tampico 3095 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 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 3,695 S.F. or $8,139.85 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/PDNB. -_Bill Wright Check No. 101254 Name on the check Telephone 275.3154 Funding. Residential By Dr. Doris Wilson Superintendent Fee collected /exe d by h n c ilvrey Payment Recd $8,139.85 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), thi 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 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) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated " Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting