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RER (04-5171)F BUILDING & SAFETY DEPARTMENT ®� P.O.'BOx 1504 (760).777-7012 �Q19` 4 5 4ALLE TAMPICO FAX (760) 777-7011 LA-- UINPA, CALIFORNIA 92253 INSPECTION REQUEST9-(760) 777-7153 BUILDING PERMIT Application Number . . . . ..4-00005171,' Date 6/25/04 Property Address . . . . . . L51980 AVENIDA MENDOZA APN: 773-182-012-13 -000000- Application description . . . REMODEL - RESIDENTIAL Property Zoning .. . . . . . . COVE RESIDENTIAL Application valuation . . . . 8500 Owner Contractor ------------------------ ------------------------ PONCE LAURO OWNER 51980 AVENIDA MENDOZA LA QUINTA CA 92253 Other struct info . . . . CODE EDITION 2001 # BEDROOMS 3.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT INV FEE Additional desc . . Permit Fee 216.00 Plan Check Fee 70.20 Issue Date . . . . Valuation . . . 8500 Qty Unit Charge Per Extension BASE FEE 90.00 7.00 18.0000 THOU BLDG 2,001-25,000 126.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee . . . . .00 Plan Check Fee .00 Issue Date 6/25/04 Valuation 8500 Qty Unit Charge Per Extension BASE FEE ..00 .00 9.0000 THOU BLDG 2,001-25,000. .00 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-SERVICE CHANGE INV FEE .Additional desc Permit Fee . . 67.00 Plan Check Fee :00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 30.00 1.00 37.0000 EA ELEC SVC <=60OV/<=200A 37.00 ---------------------------------------------------------------------------- Special Notes and Comments , REMOVAL/REPAIR/REPLACEMENT OF P.O. BOC 1504 • �� VOICE (760) 777-7012 78-495 CALLS O FAX (760) 777-701 l LA QUINTA, CALIFORNIAFOR 92253 4 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: T% y — _� / "i / Date: _ 0�• ' Applicant: O LJ/I/Gn Architect Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 sir)ned statement that he or she is licensed pursuant to the provisions of the Contractors' 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).): jW 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 or 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.). U 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.). U I am exempt under Sec.'_, BA P.C_fol this reason WORKERS' COMPENSATION DECLARATION I hereby affimt under penalty of perjury one of the following declarations: _ 1 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 become subject to the workers' compensation laws of California, and agree that, if I should become -subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ 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. 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 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, indemnity 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 representative of this ty to enter upon the above-mentioned property for inspection purposes. r �-`-' ignature (App] cant or A ent): I' Page 2 Application Number . . . . . 04-00005171 Date 6/25/04 ---------------------------------------------------------------------- - - - - -- Special Notes and Comments DRYWALL/STUCCO/INSULATION. NEW ELECTRICL SERVICE(100 AMP). REPLACE EXISTING DAMAGED WIRING & ADD SMOKE DETECTORS. REPLACE WINDOWS WITH SAME SIZE(U-FACTOR .65 MINIMUM),INVESTIGATION FEE ASSESSED PER UNIFORM ADMINISTRATIVE CODE 304.5 FOR WORK BEGUN WITHOUT A PERMIT. -- •-------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 7.02 Fee summary ----------------- Permit'Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 283.00 .00 70.20 .00 7.02 .00 -- 360.22 .00 Credited Due ---------- ---------- .00 283.00 .00 70.20 .00 7.02 .00 360.22 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by lawto put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under Stare Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the. structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760)777-7012 F"60) 777-7011 OWNER'S SIGNATURE/DATE PROPERTY ADDRESS 0-5-71 PERMIT NUMBER(s) PRINTED ON CLEARPRINT 1000H• ■ s t NOTES: All construction shall comply with the 2001 California Building, Plumbing, Mechanical, Electrical, and Energy Codes and all other local codes and ' ordinances. s All or equal substitutions must be submitted to, and approved by the Building Official prior to installation of the item. Means of emergency escape: windows type # 1, 2 and 4. Weep screed shall be placed a minimum of 4 inches above the earth or 2 inches above paved areas. - , `� • > ••+t FM- ' I5' �y y�tp.tL Tp SP • Cv- P-V- l(�rt6 l r TO WEST ELEVATION SCALE: 1" —10' WAW- --'[tom (J ELECTRICAL NOTES: STvGGa7 3 _� NEW PANEL TO BE 100 AMPS 6 CIRCUITS NOTE: THE ELECTRUCAL WIRING IS ONLY BEEN REPLACE \ W L�5 L USING 12-2 NMB `W/6 Axa 14-2 NM=M IW/6 - M -LS 0 rf 1'7E lktft s WINDOW SCHEDIULE 4 _ SYM. SIZE ` TYPE 86 X841 3/4' STANDARD INSULATING GLASS LOW E 1 Y. -- O a48 X.481 3(4' STANDARD INSULATING GLASS LOW E z %SCS i ' I _.48 X.18. 3/4' STANDARD INSULATING GLASS LOW E 1 A ® 48 X 36 3/4"STANDARD INSULATING GLASS LOW E 5 c- e- INSULATION: j R -13 BATT INSULATION FOR WALLS . R — 30 BATT INSULATION FOR CEILING STUCCO 7/8" (3) COAT STUCCO Lh Approved bV� Reso # ilo CX_3T�L�ej ❑ Planning CtSMMI95ron REPAIRING PLAN ❑ Qty Council SCALE : 1" = 10' 5- �t�=, �.e •sc- Community Dev. dept.' ._. Initials .� Case No, Exhibit 11 With Coiluit"ons ..o_ ._,.. A RE -INSPECTION FEE OF $.Off WILL BE CHARGED IF THE APPROVE[ CITY OF IA QUINITA PLANS AND 10B CARD ARE NOT ON BUILDING & SAFETY DEPT. THE SITE FOR A SCHEDULED APPROVED -INSPECTION. FOR CONSTRUCTI NO EXCEPTIONS! DATE •t� 4 BY :. SOUTH.ELEVATION 4f -SCALE: 1'= 10' + DRAWN CHECKED" DATE SCALE JOB NO. SHEET OF SHEETS ■ M Gov�ct� r PbT�o .f f p � I . Approved by: Date Reso # ❑ Planning Commission - ❑ City Council (vl [!(Community Dev. Dept. initials .JAGA L_ -- Case No. Exhibit O With Conditions ._.._ PRINTED ON CLEARPRINT 100014 - - - - - DRAWN CHECKED DATE SCALE JOB NO. SHEET OF SHEETS y M Gov�ct� r PbT�o .f f p � I . Approved by: Date Reso # ❑ Planning Commission - ❑ City Council (vl [!(Community Dev. Dept. initials .JAGA L_ -- Case No. Exhibit O With Conditions ._.._ PRINTED ON CLEARPRINT 100014 - - - - - DRAWN CHECKED DATE SCALE JOB NO. SHEET OF SHEETS