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06-4354 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: :0.'6: 1160'0'04354 Property Address: 53250 AVENIDA OBREGON APN: 774 -045 -012 -12 -000000 - Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL �t Application valuation: 3000 T-iht 4 4 Q" Applicant: Architect or Engineer: - - --LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that Pam licensed under provisions of Chapter 9 (commencing with, - Section 7000),of Division'3 of the Business and Professiohals 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, l;am'ezemptfrom the Contractor's State License Law for the . following reason (Sec. 703.1.5. 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 1$500).: 1 _ 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 m improveent is sold within one'year. of completion, the owner -builder will have the burden of proving that he or she did notbuild or improve for the purpose of sale.). (_) l; as owner of the property,'am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors"StateLicense Law does not apply to an -owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). ( 1 I.am exempt under Sec. ', B.&P.C. for this reason 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: _LQPER111IT Owner: GONZALEZ LUIS 53250 AVENIDA OBREGON LA QUINTA, CA 92253 Other struct info . VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153. Date: 12/27/06 ... ; .: r MN_ =X11111 Contractor: U ®®e Owner DECE8 r AI�IWA DITION 20�® WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty"ofperjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as. provided foc.by Section 3700_ofthe Labor Code;:forthe 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 - - ---- :'----=--- - - -- Policy Number ' 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 laws of California, and agree that, if I;should become subject to,the workers' compensation provisions of Section . 37,00 of.the Labor Code, I shall forthwith com IV, with those provisions. -DaiieW� a7 Ap,�, plant: _ ` WARNING: FAILURE TO SECURE WORKERS! COMPENSATION COVERAG .UNLAWFUL, AND SHALL ',SUBJECT AN EMPLOYER TO CRIMINALPENALTIES AND CIVIL FINES UP.Td. 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.uponwhose 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 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 cou ty to nt,/er upon the above-mentioned property for inspection purposes. a.Datf�&ignalurec(*plicant-orrAgent): !�/� � •�.�Q. `--�4✓ LQPERDIIT Application Number . . . . . 06-00004354 Permit . . . BUILDING PERMIT INV FEE Additional desc Permit Fee . . . . 108.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date 6/25/07 Qty Unit Charge Per Extension BASE FEE 90.00 1.00 18.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Permit . . . ELECT - ADD/ALT/REM. Additional desc . Permit Fee . . . . 29.25 Plan Check Fee 7.31 Issue Date . . . . Valuation 0 Expiration Date 6/25/.07 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 14.25 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee 3.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments move fireplace and add soffits and new lighting.code case, permit will be doubled fee. December 26, 2006 4:07:16 PM jjohnson --------------------------------------------------7------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 3.51 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 152.25 .00 .00 152.25 Plan Check Total 46.16 .00 .00 46.16 Other Fee Total 4.01 .00 .00 4.01 Grand Total 202.42 .00 .00 202.42 IM Bin # Ci ty :of La0u---'inita Building i Safety Division P.O. Box :1504, 78-495 Calle Tampico La Quinta, CA 92253 - (7.60) 777-701.2 Building Permit Application. -and Tracking Sheet` Permit # i 1} Project Address: 55150Ave--. V br Owner's Name: (�Y �. n 1f A. P. Number: Address:53 0JS� . f e b Legal Description: Contractor: City, ST, Zip: Telephone['Q6 Address: ProjectDescription: L.re (QeC _ City, ST, Zip: d me S , S T an Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: :.,Construction Type: Occupancy: ; Project type (circle one): New Add'n Alter Repair Demo FL:. # Stories: # Units: p.Sq. `, Telephone # of Contact Person: b Z' 86 3' ;Estimated Value of Project: — J %�ZY e 11,'APPLICANT: DO NOT WRITE BELOW.THIS UNE # Submittal Req'd .. Rec'd• TRACIQNG . PERMiT FEES 2. Plan Sets Plan Check submitted ` ;.^ l: Item Plan Check Deposit, Amount Structural Calcs Reviewed, ready for'•a ifttiom Truss Calcs. Called Coutact.Person.„ Plan Check Balance Energy Calcs:. Plans picked np Construction Flood plain plan Pians resubmitted Mechani Grading, plea2" Review, ready for correctio issue �- : . Electri I - 0 U ( 3 -' Subcontactor List Called Contact Person plumbin Grant Deed Plans picked up: S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''Review; ready for.correction§/issue Developer Impact Fee Planning Approval -Called.Contact Person A LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees IL IGv U�0 --7 (,viv U--frK9J—(1A)NOvyEJ rl4''6,p StCo0C SNAIL IM (%ccoQ0vIJcC WrTA 6GcT(o" 310. 9 UIEe1 vA (uQ��d"� GRo�P R BCcc��f� (�X�GO J(006 i.. r rl4''6,p StCo0C SNAIL IM (%ccoQ0vIJcC WrTA 6GcT(o" 310. 9 UIEe1 vA (uQ��d"� GRo�P R BCcc��f� (�X�GO J(006 i.. sal T RESIDENTIAL KITCHEN: LIGHTING WORKSHEET WS -5R C 5 l� Project Title Date At least 50% of the total rated wattage of permanently 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 = High Efficacy Watts or Other Watts l2t tt2'SC�lL'f- Yeses No o_ x _ _ O or Yes o No o x = or Yes o No ❑ x = or Yes o No o x = or Yes o No o x = or Total: A: B: COMPLIES IFA >_ B Yes No o Residential Compliance Forms March 2005 .fir ,' r_7•rti �`,1 r"G�rt; 1 7''�. !mss �f � � • *�' Ffr .~� �. ♦S . /'+if,�! ` 1 Iii A � N?fid f fl•.' ♦ $ ;,a ,S AN ir ow s i...l 1 ___ ^'mss.• - r ' ° '-,c ``+! /•� ./ 12/09/2006 ':a�, ..y (: 1.. 2Z k.`� �, 1� ^yob v' •�+� t i�'f�"��, y��� '��: ..K'r�i.a.•r Y t �.. )�,' 'R.. L'�a -�'' �`.rf i'�f.�. �t.ail.'?� ��1a.'S�...� { '' •• ��, way. dy N w» C.J'I t j" _ m ~ � �_-- m ~ AIUCI �U:lo Yno V7,14, v2oraroVOR99A R03 1 4 , 4 M f-vi"IFN TOR 2i rl, L aeysoilloli 5, LA Stliftilol Jdjl pp vse ?"Iscy -vnm rl juj t8C 2'Jr.0,!iuli vBG Ishomoo "VI ,ISO lodro A Jifar 11'rWRAH3 32 jjw awl MR A Al, � 9 Ria 3HY HNIAT11103 Pigs -7--i -112 y!-, JJA DMUG 3T! OVA ll' -i 0800 0T3NIU1,71: "U63, RRIOV,00 HT Jv4� 7 YTI- NSMWO.3F T IC A RE-INSPECTIONEEF WILL BE CHARGED F THE APPROVED PLANS AND 1 OR AA ARE THE SITE F INSPECTION. NO EVEPTIONSI "AN ADEQUATELY �E D DEBRIS OB SITE DURING ALL IS REQUIRED ON ;'BIASES OF CONSTRUCTION AND MUST BE { ED AS NECESSARY. FAILURE TO DO SO -;Y CAUSE THE CITY TO HAVE THE CONTAINER Is j1► E(D( AT THE EXPENSE OF THE OWNER/ CONSTRUCTION HOURS October lst - Ap p 00 a.m. to 5:30 p•� Monday Friday: . 8:00 a.m. to 5:00 p• Saturday:m Sunday:hone Government Code Holidays: None May 1st - September 30th Monday - Friday -<6 .00 a.m. to 7:00 p.m• Satjirdxy: 0p. � .m. to 5:00 p.m. Sunday: Coecrmmeut Code-1p(idays:. None ITY OF LA QU1�E A G SAF.EV .D Bu►LoIN P RSV E FAOP ONSTRUC►ION BY DAT Construction is NOT PERMITTFD on the following Code Holidays: New Year's Day . Dr. ,Martin Luther King Jr. Day President's Day Memorial Day Independence Day Labor Day Vo*Ws Day oar