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08-0715 (DEMO)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92.253 Application Number: t 08,000007,15-_/ Property Address: 54575 AVENIDA OBREGON APN: 774-273-016-4 --000000- Application description: DEMO - COMML/OTHER Property Zoning: ` COVE RESIDENTIAL Application valuation: 0 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalty of perjury that) 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 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 any pplicant 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, 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 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 con cts f r the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). - 1 _ 1 I am exerr)tpt under Sec. , B.&P.C. for this re sG� / / CONSTRUCTION LENDING AGENCY 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 Owner: STANTON FINN 53085 AVENIDA BERM LA QUINTA, CA 9225: ------------------- Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 4/29/08 ------------------------------------------ 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. 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 becom bject to the workers' compensation laws of California, and agree,that, if i should become e o the the compensation provisions of Section 3700 of the Labor ode, I shall comply hose provisions. ' e: W A ant: WARN G: FAIL RE TO SECURE WO KERS' 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 a inf mation is correct. I agree to comply with all city and ounty ordinances a state laws relating to build' g o union, and hereby authorize representatives of this unt o,eynteerr up the above-mentioned prope i as. D / ignature (Applicant or A LQPERMIT Application Number . . . . 08-00000715 Permit DEMO PERMIT Additional desc . Permit Fee. . . 45.00 Plan Check Fee 00 Issue Date . . . . Valuation* . . . . 0 Expiration Date 10/26/08 Qty ' Unit Charge Per Extension BASE FEE 45.00 ----------------------------------------------------------------------------- Special Notes and Comments DEMO GARAGE TO ORIGINAL CONDITIONS; REMOVE 1 WALL Fee summary Charged Paid. Credited Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00. .00 .00 Grand Total 45:00 .00 .00 45.00 LQPERMIT --------------- ---� ------ --.-.. - -- - - -- - Total Permit Fees Bin # Permit # n \� ' \ City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico U Qullita, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: iy F,( ,vN A P. Number: Address: —.-'ht;Jr��— �N•/l� vB�CrsO-✓ l Description: ractor: [Addess: City, ST, Zip: Telephone 76 0 7 i lOt'oj Project Description: ST, Zip: hone: - Lie. # : City tic. O . Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lib. #: Construction Type: Occu P anc}+: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories:. .. #Units:.-.. Telephone # of Contact-Person: ' Estimated Value.of Project: APPLICANT:. DO NOT WRITE BELOW THIS LINE . . # Submittal Req'd - Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed; ready for corrections Plan Check Deposit Truss tea• Called Contact Person Plan Check Balance Energy Calm Plans picked up Construction ' Flood plain plan, Plans resubmitted Mechanical Grading plan Y' Review, ready for eorrectionsAssue Electrical SubcontactorList ' Called'ContactPerson Plumbing Grant'Deed Plaui.picked up S.M.I. II.OA. Approval Plans resubmitted Grading • IN ROUSE: '`' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. APPr Date of permit issue School Fees --------------- ---� ------ --.-.. - -- - - -- - Total Permit Fees