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06-2945 (AR)..- - -. I,r' P.O. BOX 1504 78-495 CALLE TAMPICO LA.QUINTA, CALIFORNIA 92253 Application Number: 106-00002945 Property Address: 55069 RIVIERA APN: 775-153-017- - - Application description:, ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTO DECLARATION I hereby affirm under penalty of perjur�a�n>,ddP' d under visions of.Chapter 9 (commencing with Section 7 0) of Division 3 of the Busona de, and my Licens6 is in full force. and effect. Lice ss: cense No.: .826995 Date: ontractor: N/1UILDER DECLARATION I hereby affirm under penalty ofZtness ry that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, 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 ($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.). 1 _ 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 am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirmunder 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: oft Lender's Address: LQPERMIT Owner: LEWIS WRIGHT 5_5069 RIVIERA LA QUINTA, CA 92253 Contractor: SUN WEST CONSTRUCT 74885 JONI DR #3" PALM DESERT, CA 92 (760)773-4487 Lic . No.': 826995 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 2 SEP 281006 Date: 9/27/06 WORKER'S COMP g declarations: E/CB -- */. I hereby affirm under penalty of perjury one of the following declarations: ~`-_-`d^� J! 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 f 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 0023566-2006 I certify that, in the performance of th ark for whi this permit is issued, I shall not employ any person m any manner so as to b me subject a workers' compensation laws of California, a agree that, if I should bVdme subject t orkers' compensation provisions of Section VP9 of theS.abpr shall forjytyit ly with those provisions. WATING: AILURE TO SECURE ORKERS' COMPE ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT N EMPLOYER TO CRI (NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOY1 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 h read this application and state that the above mf ation is carr agree to comply with all city and y ord' ances and state laws relating to building c ruction, and b uthorize representatives of this u �up the above-mentioned mspecti ur ate: � Signature (Applicant or Agent), _ Application Number . . 06-00002945 Permit . . . BUILDING PERMIT INV FEE Additional desc . Permit Fee . . . . 270.00 Plan Check Fee 87.75 Issue Date . . . . Valuation . . . . 12000 Expiration Date 3/26/07 Qty Unit Charge Per — Extension BASE FEE 90.00 10.00 18.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001725,000 180.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 17.63 Plan Check Fee 4.41 Issue Date - Valuation 0 Expiration Date 3/26/07 . Qty Unit Charge Per Extension BASE FEE 15.00 75.00 .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 2.63 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9:0000 ----------------------------------------------------------------------=----- EA MECH APPL REP/ALT/ADD 9.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 -------------------------------------------- Special Notes and Comments kitchen remodel and enclose patio.double 'fee started without permits..September 27, 2006 11:35:20 AM LQPERMIT Application Number . . . . . 06-00002945 -------------------------------------- Special Notes and Comments -------------------------------------- jjohnson ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW 'FEE 8.78 STRONG MOTION (SMI) - RES 1.20 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 332.63 -------------------- .00 ---------- .00 332.63 Plan Check Total 103.41 .00 .00 103.41 Other Fee.Total 9.98 .00 .00 9.98 Grand Total 446.02 .00 .00 446.02