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06-2565 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00002565 _ Owner: Property Address: 55293 RIVIERA ROD & BETTY MINKLER F APN: 775-153-009- - 55-293 RIVIERA Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Kl Application valuation: 89150 Contractor: Applicant: Architect or Engineer: PR CONSTRUCTION INC 1995 BATAVIA FULLERTON, CA 92835 (714)637-7848 Lic. No.: 673267 O 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: B C33 LicenseNo.: 673267 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 asigned 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 ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ^I? as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: . Owner: CON$jRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there iM construction lending agency for theperformanceof 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: 8/22/06 AUG 2 21006 CITY OF LA QUINTA • 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 STATE FUND Policy Number 04-0006182-2006 g 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 6 700 of the Labor Code, I shI�forthwith comply ith those provisions. Date: C' . /-Applicant: h WARNING: AILURE TO SECURE WORK S' 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 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 co my o enter upon the above-mentioned property for i pect�Rpurposes. Date:, Signature (Applicant or Agent): Application Number . . . . . 06-00002565 Permit BUILDING PERMIT Additional desc " Permit Fee . . . . 594.50 Plan Check Fee 386.43 Issue -Date Valuation . . . . 89150 Expiration Date 2/18/07 rr Qty Unit Charge Per Extension BASE FEE 414.50 40.00 4.5000 THOU BLDG.50,001-100,000 180.00 ;1 ---------------.------------------------------------------------- -----=------ Permit ELECT - ADD/ALT/REM . Additional desc . Permit Fee . . . .' 17.38• Plan Check Fee 4.35 Issue Date . . - Valuation . . 0 Expiration Date'. 2/18/0.7 Qty Unit Charge. Per Extension BASE FEE. 15.00 25.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY ..88 2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50 Permit MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 2/18/07 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 . . . . 52.50 Plan Check Fee 13.13 Issue Date . . Valuation . . . . 0 Expiration Date 2/18/07 Qty Unit Charge Per : Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 1.00 7.5000 EA PLB WATER,HEATER/VENT 7.50 ---------- - -------------------------------- - --- Special Special Notes and Comments --------------- 25 SQ. FT. ADDITION AND REMODEL.August. LQPERMIT Application Number 06-00002565 -------------------------- Special Notes and Comments ---------- 15, 2006 4:36:20 PM jjohnson Other Fees . . . . . . . . . ENERGY REVIEW FEE 38.64 STRONG MOTION (SMI) - RES 8.91 Fee summary Charged Paid Credited Due Permit Fee Total 688.38 .00 .00 688.38 Plan Check Total 409.91 .00 .00 409.91 Other Fee Total 47.55 .00 .00 47.55 Grand Total 1145.84 .00 .00 1145.84 A1076, + /lvf-wfz.,l� ; 4 , _ R .lc rAq— �A City of La Quinta Building U Safe Division ox , 78-495 Calle Tampico / Cp La Quinta, CA 92253 - (760) 777-7012 l/' Building Permit Application and Tracking Sheet Permit # ?S Project Address:' S�.a93 t ✓l e► Owner's Name: T,,0 0 �� I l �A 1` IV/, A. P. Number: Address: SS-Agr Z d l e Q, Legal Description: City, ST, Zip: 9� IJIX Contractor: bllSktx, 10 yL Telephone: — Address: q - • � Project Description: City, ST, Zip: Telephone: 7 [{ �7 . -7 State Lic. #: City Lic. #: Arch., Engr., Designer: Ll— �, �C. Address:/4s City, ST, Zip: Q n Telephone: % . (P (a 67, NConstruction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: MSq.Ft.:p�# Stories: #Units: Telephone # of Contact Person: — mafk slue of Project. gq 5'D N lwv,'w5 1 4-46. -'9 PPLICANT: DO NOT WRITE BELOW THIS LINE )VAN n # Submittal Req'd Rec'd TRACKING . F Plan Sets Plan Check submitted Item ount Structural Calcs. Reviewed, ready for corrections S Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs Fn el v('M Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2"' Review, ready r corrections ue Electrical Subcontactor.List Called Contact Per Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval ° Plans resubmitted 0 pL Gp4ding IN HOUSE:- '"' Review, ready for correctio job Developer Impact Fee Planning Approval Called Contact Person 8 (S b A.I.P.P. Pub. Wks. Appr Date of permit issue 8' School Fees i ry %-I. .1. .r- Total Permit Fees 1 -W/ L / V l0 gz-) lCvty c' V"J`- ! / l I / LAD ��r�.A ? CERTIFICATE OF COMPLIANCE4���FIEDy Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDA DUNES O V] RANCHO MIRAGE d Date 8/16/06 La Quinta, CA 92253 INDIAN WELLS PALMDESERT LAQUINTA y No. 28845 (760) 771-8515 �' �P IN 0 0 Owner Rod & Betty Minkler APN # 775-153-009 Address 55293 Riviera Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street Unit 1 55293 Riviera Unit 2 Unit 3 Unit 4 Unit 5 Comments S.F. 25 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 25 S.F. or $0.00 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 Exempt - Betty Minkler Check No. Name on the check Telephone 771.9507 Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exe p -A by S ron Payment Recd _ =" $0.00 'Over/Under Signatu NOTICE: Pursuant to Govemmen ode Section 66020(d)(1), this wil erve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will gin 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