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07-0750 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number __ 07-00000750 Property Address: 54077 OAK HILL., APN: . 775-061-041- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: T-i&t " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No;: Date: - 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 an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 I 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 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 _ 1 I am exempt under Sec. , B.&P.C. for this re2;o� L�.ta:N 3-,�(—O/Cwner:i 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: LQPER.A11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/20/07 Owner: KELSEY HUNTER 54077 OAK HILL LA QUINTA, CA 92253 Other struct info C Contractor: Owner DITION 2001 ----------------------- — - --- ---- WORKER'S COM COM ION DECLAR I hereby affirm under penalty of perjury one of the folio d larations: _- I have and will maintain a certificate of con t self -i kers' compensati rovidet for by Section 3700 of the Labor Code, or t perfahir r ofct&0 DJhich mit is issued. l�(� _ I have and will maintain workers' compen ation insu ' ed by Section 37 a Labor Code, for the performance of the war which t ,i rke s' co pensatio insurance carrier and policy number are: Carrier. - - - - - - - - - - - - - - - - - - - - - -- Policy Number I certify that, in the performance of the work for which this permit is issIG I t e ploy any person in any manner so as to become subject to the workers' compensation laws o alifornia, and agree that, if I should become subject t he workers' compensation provisions of. Section 3.7�0y0 a Labor Code,•I sh II fort omply with t ffse provisions. - PPlicant:_ 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. I.- 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 empl6yees 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, 5p�ad hereby authorize representatives of this county to enter upon the above-mentioned property f - inspe ' r tfrposes. r _,t� t Date:' 't✓� ignature (Applicant or Agent): �: Application Number . . . . . 07-00000750, . Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 72.00 Plan Check'Fee '46.80 Issue Date Valuation 5000 Expiration Date ". 9/16/07 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 23.25 Plan Check Fee 5.81 Issue Date . . Valuation 0 Expiration Date 9/16/07 Qty Unit Charge Per Extension -BASE FEE 15.00 11.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 8..25 . Permit . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Expiration Date 9/16/07 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 REMODEL KITCHEN CEILING, LIFT CEILING HEIGHT.AND REPLACE KITCHEN LIGHTING.March 20, 2007 9:59:32 AM JJOHNSON ----------------------------------------------------- Fees . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid -- - - - - - - - - - - - - - ------ - -- - ------ - - - Credited - ------ - - - - ---- Due -- - - - - - - Permit Fee Total 119.25 .00 .00 119.25 Plan Check Total 58.61 .00 .00 58.61 Other Fee Total 5.18 .00 ..00 5.18 Grand Total 183.04 .00 .00 183.04. LQPERDIIT Application Number . . . 07-00000750 LQPERAIIT Bin # n/o'lFi PiJ4n(S G �✓a� �1¢�lG L - City- of • La Quints Building g Safety Division P.O. Box 1504,,7.8-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 .'Building Pei-mit.Application and Tracking Sheet Permit _# D?J� Project Address: Si4_ '� `� (r Owner's Name: ( 15��-- A. P. Number: // Address: �Y-(�`�"� F✓.L Legal Description:City, Contractor: _ M "e .� 4Lj - i✓ Address:j ST, Zip: Telephone Pro tion:. _ Description: City' ST, Zi--�._�, cy-, •� F. =r._ �— L1 ft Telephone: 1 (,)32- M`', State Lic. # : ��t—� ( CityLic. #: Arch., Engr., Designer: Address:' City, ST, Zip: - 7 'D �Z t9 Telephone:^ State Lic. #: _ Name of Contact Person: •Q S �; !T / ,��/7 �t J� Construction Type: O pancy: Project type (circle one): New :Add'n Alter Repair Demo. Sq. Ft.: .#.Stories: #Units: Estimated Value of Project p v. Telephone # of Contact Per,'76D� • .rt* APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES -41nWW � - Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections • Plan Check Deposit' Truss Calcs.. Called Contact Person Plan Check Balance Z EViISgqCalcs. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading.plan' 2°" Review, ready forcorrections/issue Electrical Subcontactor List Called Contact Person , Plumbing Grant Deed Plans picked up S.M.I. _ H.O.A.- Approval Plans resubmitted Grading " IN HOUSE:- "Review ready for correc'ons/issue Developer Impact Fee Planning Approval Called Contact Person .I.P.P. Pub. Wks. Appr Date of permit issue . aft School Fees h _ Total Permit Fees .45 ". ' IL RESIDENTIAL KITCHEN LIGHTING WORKSHEET ..WS -5R T?IEMDVrAL DF KITCHEN CEILINIG.- , 13 H NQ '07 Project TitleDate VA 141" *07a- 7W At least 50% of the total rated wattage of permainently installed luminaires in the kitchen must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately: Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. Luminaire Type High Efficacy? Watts - x Quantity Pijb Efficacy Watts or Other Watts F4 U QTZ E 5 (INT Yes A No o ��x � 19 / —I I , orL-- 2-17' - HIU Yes o No o 7 or Yes o No o x = or Yes o No a x or Yes 0 No 0 x = or Total- A: B: COMPLIES IFA 2: B Yes V No o Residential Compliance Forms J .4. -j-) Tniv. IRV -Tniv. T RKS S,-;, .�RESED' MUE, IN K Date Y AMr. P ri 5.0 Kit&+66"EA- ht, g saimulw-vi videih' ing' , fe", 30Tr. aire, er... N 5 0 . .. . . . ............. X r 7 X. Total' A.Bi 'W COMPLIES I rF.. A - 71 Residential Compliance Forms OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the. builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property.owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 OWNER'S SIGNATURE/DATE C5 -;YL-:? 7 7 e��-k g 4K PROPERTY ADDRESS 0%—S t� PERMIT NUMBER(S)