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BSPN2015-004778-495 CALLE TAMPICO C� 0 D VOICE (760) 777-7125-t FAX (760) 777-7011 . LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT R' Date: 9/23/2015 r Application Number: BSPN2015-0047 Owner: Property. Address: 52436 AVENIDA NAVARRO YUAN LIN APN: 773275009 42 VISTARA DR Application Description: LIN / SPECIAL INSPECTION FOR ILLEGAL ELECTRICAL AND DRYWALL RANCHO MIRAGE, CA 92253 Property Zoning: f Application Valuation: Applicant: Contractor: LEONARD LAM 42 VISTARA DR t SEP di 2015 - RANCHO MIRAGE, CA 92253 + CITY OFLA QUINTA . ` COMMUNITYDEVELOPMENT DEPARTMENT Llc. No.:, ------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: '9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: License No.: of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Date: Contractor: . 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: OWNER -BUILDER DECLARATION Carrier: Polity Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure,' prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Applicant: ' 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (� I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. ' COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project.'(Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to.the work being performed under or the Contractors' State License Law.). • following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason 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. Date: Owner: ' I certify that I have read this application and state that the above information is cor ct. CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to bu' ding I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city t nter upo the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). above-mentioned proi \rtyfor inspection purposes. I Lender's Name: Dat ¢' q� J Signature (Applicant or Agen ). Lender's Address:' '` + . •' ;# ,;DESCRIPTION e.�� FINANCIAL • ' • ,s;, ACCOUNTS' QTYRs AMOUNT - PAID, ' FPAID DATE} x, SPECIAL INSPECTION 101-0000-42404 0 $72.52 $0.00 � dt -'+C> -'a3 •Fa t'� �i+t '" �'s. �" � "t PAID BY - "sti.` d� `''` � 1'�S ��$ r METHOD4 E' "v.� �^^� �?' :RECEIPT,# NCHECK '}"' 3 -' s � : #f y `�, r; QCLTp BYE Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 •$0.00 TOTALS:71 • 00 , r - a ui ,c y 05 L'`p �> s C6'y OF7li��' . Description: LIN / SPECIAL INSPECTION FOR ILLEGAL ELECTRICAL AND DRYWALL Type: SPECIAL INSPECTION Subtype: Status: UNDER REVIEW Applied: 9/23/2015 SKH Approved: Parcel No: 773275009 Site Address: 52436 AVENIDA NAVARRO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 103 Lot: 14 Issued: UNIT 11 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: SPEICAL INSPECTION -FOR GROW HOUSE, REMOVED ILLEGAL INSTALLATION OF ELECTRICAL METER AND VENT THROUGH THE CEILING OF BEDROOM AND CLOSET. Printed: Wednesday, September 23, 2015 1:42:25 PM 1 of 2 SYSTEti1S CONTACTS 5S1 CITY, ` zip,:- PHONE FAX EMAIL - APPLICANT APPLICANT LEONARD LAM 42 VISTARA DR RANCHO CA 92253 MIRAGE OWNER YUAN LIN 42 VISTARA DR RANCHO CA 92253 MIRAGE Printed: Wednesday, September 23, 2015 1:42:25 PM 1 of 2 SYSTEti1S INSPECTIONS PARENT PROJECTS BO NP INFQRMATION ° ATTACHMENTS Bin.# Permit # 02� ( ect Address: 2' -City of La Quinta Building 81; Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet wner's Name:. LL�NI % fV� ti ��/ . GIdC N A. P. Number: ddress: Lk)— ZLegal LegalDescription: Contractor: ity, ST, Zip: (m(W-6 iii Tele one: h 76 P 0" ? �5 Address: Project Description: City, ST, Zip: TeleP hone State Lic. # : Arch., Gngr., Designer: City Lie. Address: L(ai'� City, ST, Zip: Telephone: Cons tr t uct nT o e• Occupancy: Y P State Lie. # Project type (circle New Add'n Alter Repair Demo Name of Contact Person: /�(�� Sq. Ft.: # Stories: .. # Units: Telephone # of Contact Person• ?�-7 7 �(�� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd. TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"a Review, ready for corrections/issue Electrical. Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"! Review, ready for correctionstissue Developer Impact Fee Planning. Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees