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07-0378 (GRES):. 'ems �► P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T44t 4 4 Q" Application Number: -07-00000348 Property Address: 56635 RIVIERA APN: 762 -032 -001 - Application description: 62-032-001-Application.description: GARAGE - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3842 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT a [{ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing.with Section 00 of Division 3 of the 0 in s and ofessionars Code, and my License is in full force and effect. License las B License No.- 684857 Date �dntractor: / 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: 131 A LQPERN11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/16/07 Owner: M/M LARRY HANSEN. 56635 RIVIERA LA QUINTA, CA 92253 D Q � f I ) Contractor: MAR 16 2007 EDWARDS CONSTRUCTION BOE _ 51455 DESERT CLUB DRIVE CYTYOF1AQUINIA LA QUINTA, CA 92253 (760)777-8202 Lic. No.: 684857 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: ' 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. • 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 GRANITE STATE Policy Number 3368904 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mann so as to become subject to the workers' compensation laws of California, and agree that, if sho Id be o e ► to the workers' compensation provisions of Section 3700 of the Labor C e, I s al c mply with tho provisions. _�( D QJA�cant: 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. 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 stat the above info anon is correct. I agree to comply with all city and unt ordinances and state laws reon g to ildin- tr n, and hereby autho ' repr."esentatives of this co my o enter upon the, ve-mentie p perty inspecti n purposes. D Si cure (Applicant or Age Application Number . . . . . 07-00000378 Permit . . . ELECTRICAL-CARPORT/GARAGE Additional desc . Permit Fee . . . . 18.92 Plan Check Fee 4.73 Issue Date Valuation . . . . 0 Expiration Date 9/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 196.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------7------ 3.92 Permit . . CARPORT/GARAGE Additional desc . . Permit Fee 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation 3842 Expiration Date 9/12/07 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 .9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 18.00 Permit . . . GRADING PERMIT Additional desc . . 1. Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date 9/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------7---------------------------------------------------------- Special Notes and Comments DETACHED GOLF CART GARAGE 196 SQ. FT.March 16, 2007 1:30:53 PM jjohnson -----------------------------------------------7---------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES .50 Fee summary Charged - Paid ------------------------------------- Credited. -------------------- Due Permit Fee Total 96.92 .00 .00 96.92 Plan Check Total 45.68 .00 .00 45.68 Other Fee Total .50- .00 .00 .50 Grand Total 143.10 .00 .00 143.10 LQPEP.Alrr City of La Qui nta Building 8t Safety Division Peine P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 // ✓ LU1 Building Permit Application and Tracking Sheet Project Address: �?7S V Owner's Name:! S� A. P. Number: Address: Legal Description:�5-' p City, ST, Zi Contractor Telephone: '-) Address: Project Description: City, ST, Zip: Telephone:F_ (T 7f-'Eh�l�l State Lic. # : City Lic. #: Designer:? ` �C Address: City, ST, Zip:��e(—� C3 Telephone: �� 2 8� Construction Type: Occupancy: cy: State We. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �jp'(:j dS Sq. Ft.: #Stories:` 7Units: ' Telephone # of Contact Person: t"J % % �� z , O��Q Estimated Value of Project5g APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACIQNG PERMIT FEES Plan Sets Plan Check submitt Item Amount Structural Cates. Reviewed, ready fo corrections Plan Check Deposit Truss Cates. Called Contact Perso Plan Check Balance Energy Cates. Plans j►ieked up Construction Flood plain plan Plans resubmitted A1\01 Mechanical Grading. plan 2" Review, ready for correctio snssu J 67 Electrical Subcoutactor List Called Contact Person Plumbing . Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- $' Review, ready for.correc as/issue Developer Impact Fee Planning Approval Called Contact person AX Pub. Wks. Appr .Date of permit issue School Fees Total PermitOFccus�2 t�P r�0 MuPK F� up D21114 ��/G�l�l� 0� 7 7 7��-✓�Ji s.�..Pptl - �� %b c/ C�@-- ��-7' YG4. J)r„l.E 3I/ 4 m07