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07-0601 (GRES)" P.O. BOX 1504' 787495 CALLE TA•MPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07 -0 0000601 Property Address: 52404`AVENIDA RUBIO AP.N: 773-253-026-16'-000000- Appllcation description: GARAGE -.RESIDENTIAL Property Zoning: COVE. RESIDENTIAL Application valuation: 26342 ARPlicant: +� Architect WE ginee1:�1`t BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: co/b VOICE (760) 777-7012 FAX.(760) 777-7011 INSPECTIONS .(760) 777-7153 ESMERALDA NELDA 52404 AVENIDA RUBIO LA QUINTA, CA.92253. Other-struct info C Contractor 0laner Date: 6/25/07 _. LICENSED CONTRACTOR'S DECLARATION _ ... WORKER'S COMPENSATION DECLARATION - ' ' I hereby affirm under penalty of perjury that l.am licensed under provisions.of Chapter 9 (commencing with I hereby affirm under penalty 'of:perIury one of�the following'.declarations:, - .- Seciion:7000)sof Division 3 of'the Business and Professionals Code, end, my Lieense;is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided License Class:! ' License No .` - - - - - - - - - - - - - - for by Section 3700 of. the Labor Code, for the performince of the work.foi.which.this permit is .-'issued` Date: I Contractor. _ I have and will maintain workers' compensation msuiance, as required by Section 3700 of the Labor Code,.for the performance of the.work for Which this permit is -issued. My workers'.compensation CL OWNER -BUILDER DEARATION . insurance carrier and policy "number are: hereby affirm under penalty of perjury that I am'exempf from the Contractor's. State License. Law for the Carrier `NO -Policy. Number following reason (Sec, 7031.5, Business and Professions code:, Any city or county`that requires a`permit to I certify that, in the'performance'of the work for'which'this permit is -issued, I shall not employ, any construct; alter; improve, demolish, 6r repair any structure, ;prior io'its issuance, also requires the applicant for the , _ person in any rnanner'so;as to become subject to ttie workers' compensation laws of California, . ._ :, .. permit to file a�signed statement that he orshe'is licensed'pursuant to the provisions of the Contractor's State and agree that, if l should become subject to_the workers' compensation, provisions. of Section License Law (Chapter 9 (commencing with ',Section:7000) of. Division 3:of the Business and Pr'ofesslOnsCode) or. 3,700 of the Labor Code, I shall forthwWih comply with those provisions.,. ' °• that he or she is; exempftherefrom and the -basis for the`alleged,exemption.',.Any violation of Section 7031.5 by /} - any applicant fora'permit subjects the applicant to a civilpenalty of not more than five hundred.dollars ($500):: • at� SFr pplicant: - - (_) i,'as.owner•of the property, or my employees; with, wages asth'eirsole compensation, will do the work, and ` —•-t L� - •. - -., '.. , thelstructure is not, intended or offered for sale (Sec. 7044, Business-andProfessions Code: The. _ WARNING:.. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS'UNLAWF,UL, AND SHALL Contractors' State License Law does not apply to an'owner'of property who builds or improves thereon, SUBJECT AN.EMPLOYER TO CRIMINALPENALTIES AND CIVIL FINES; UP TO ONE, HUNDRED THOUSAND and wlio does the �vork.himself or: herself: through his or her.own employees, provided that the improvements are,not intended oroffered for sale.. If, however, :the building or improvement is sold within DOILLARS,(s100,000). IN ADDITION TO THE:COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF -THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. one year.of completion, the owner -builder will have the burden o .,proving t at a ors e i not u� or improve for the purpose of sale.): : • - ' ' APPLICANT ACKNOWLEDGEMENT as.owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby, made to the Director of Building and Safety for a permit subject to the • �� ! 70441.66siness and Professions Code: The Contractors' State License Law does not apply to anowner of conditions and restrictions set forth on this application - . I ; ' property who builds or improves thereon, and who contracts for the projects with a contractor(sb licensed . 1 Each person upon whose behalf this application is made, each person at whose: request and for Il pursuant to the Contractors.. State_ License Law:): ' whose benefit work is • rformed undo., or pursuant to any permit issued ase result of this app lication, Y I'am exempt under Sec. B.&P.C. for. pe this reason the owner,'end 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. r' ate: f ner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the*performance, of the I cern y that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). cit nd county ordinances and state laws relating to building construction, and hereby authorize representatives this. cou ty to nter upon the above-mentioned prop rty.for Ins/ppec/Uon purp ses. ..Lender's Name: - -+� /_ • 0'Lvi/�j�j��^C/�i�'' [LC_�li` i8ure (Applicant or Agent): '�',h - ... Lender's Address: r LQPERMIT LQPERMIT Application Number 07-00000601 1. Permit . . . CARPORT/GARAGE Additional desc . I Permit 'Fee 265.00* Plan Check Fee 172.25 . !,I Issue Date 3/23/07 Valuation 26342 Expiration Date '12/04/07 Qty.. Unit Charge Per. Extension BASE.FEE 252..00 2..00 6.5000 THOU BLDG `25;0.01-50,00013.00 Permit ELECTRICAL-_CARPORT/GARAGE: Additional' desc ; I Permit''Fe''& 41.88` Plan Check 10.4.7 .Fee Issue`. Date Valuation 0 'Expiration Date 12/04/07 Qty Unit Charge Per ': Extension ` BASE FEE 1344.00. ..0200. ELEC GARAGE OR NON-RESIDENTIAL =-------- 26[88 -------------- -------------------- -------- -=-=------ ----------- Permit :. GRADING PERMIT _--- Additional•- s c - ,de Permit:Fee:. 18.06' Plan Check Fee ... .00 Issue -.Date - 3 23/b-7 Valuation 0. .. Expiration: Date 12/04/0.7 . 1 - Qty ,Unit: Charge-.. Per Extension : BASE_. FEE, 15': 0'0 h . (:. - - - - - - - - - - - -- --,- - -- -- - - --- - - - - -. Special Notes anal Comments.- ,- {. I, detatched 344 ' sq. ft. . ' I I March -21,.:.2007A 8`:15:00 AM•:. ,jJohnson JUNE 25, 2007 RIPATIN-ENVORMENTS:LS.NOT CONTRACTOR `OF'RECORD:'-OWNER TO,COMPLETE PERMIT. FINAL INSPECTION REMAINS TO BE DONE,: Other Fees CHANGE OF CONTRACTOR •.,.'. 4.50 ;; ... •. , ....,.,.,, . .!.: '. .• ARE _ - • . .. ' PI;ACEMENT ` INS P CARD': ,. "�3 0 . `0 0 - .. . I STRONG MOTION_ (SMI) -=:RES 2:63 Fee summary Charged Paid Credited Due Permit. Fee Total 3.2.1.'88 321.88 .00 .00' Plan Check Total 182.72 182.72 .00 .00 LQPERMIT Bin # City of LaQuinta Building 8t Safety Division P.O. Box 1504, 78-495. Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit.# Project Address:' 02- 0 Owner's Name: A. P. Number: Address:,yo_ q 0 q At, 1Ajj Legal Description: Contractor: i W Address: [� _ City, ST, Zip: L. _ `1 Telephone: Project Description: L- City, ST, Zip:14 . 411 4L Q=QC&C Telephone(-46())_ l State Lie. # : City,Lie. #: Arch., Engr., Designer: Address:qtox- Co7 . City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CAcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading. plan 2°" Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans -resubmitted Grading IN HOUSE:- Review, ready for correctionsfissue . Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 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 bylaw to 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 foryour 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: eritire.project, and such persons are nofilicensed as contractors or subcontractors, then you`maybe 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 include 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 FederalLaw, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration): For more specific information about your obligations under State 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 iemployees, 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 requirecillo 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; nor 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 FAX: (760) 777-7011 (SW&ER'S SIGNATURE/DATE PROPERTY ADDRESS--� K`7 - 40Z PERMIT NUMBER(S) P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000601 Property Address: 52404 AVENIEA' RUBIO APN: 773-253-026-16 -000000- Application description: GARAGE RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 26342 Tdtt-4 4Q" Applicant: Architect or Engineer: C � fi,�_ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ESMERALDA NELDA 52404 AVENIDA RUBIO LA QUINTA, CA 92253 Contractor: k925 RIPARIAN ENVIRPALLM DESERT9P.O. BOX 139C AR 2 3 2007 (760)398-9997 Lic. No.:: 8390 2 CITY-0,FLAQUINTI Date: 3/23/07 -------------------------------------=----------- Y LICENSED CONTRACTOR'S DECLARATION -----------------------------------------------— WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that I.am licensed under prbvi ions of Chapter 9 (commencing with I hereby, affirm under penalty of perjury one of the following declarations: <Section 7000) of Division 3 of the Business ^ Professionals Code, d my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided. •License Class: A B C8, 27, Licens o.: 39002 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is mate: �/�i6 C ractor. - 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 - OWNER-BUILDERDEC RATION " ' •insurance carrier and policy number are: - 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATEFUND Policy Number 1769754-2006 following reason (Sec. 7031.5, Business and Professions Code: Any city, or county that requires a permit to I certify that -in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the _ person in any manner so as to become subject to the workers' compensation laws of California, •permit to file a signed statement that he or she is licensed pursuant to.theprovisions of the Contractor's State - -. and agree that, if I should3be subject tothe workers' mpe ation provisions of Section ;License Law (Chapter 9 (commencing with Section 7000) of Division3 of the Business and ProfessionsCode)'or 3700 of the or Code, rthwith comply with a pr ions:'that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by2 _ any applicant forapermit subjects the applicant to a civil penalty of not more than five -hundred dollars (5500).:• te: J Z / i� pplicant: - 1—) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - the structure.isnotiintended or offered for sale (Sec: 7044, Busin6s:and Professions Code: The WARNING: FAILURE TO SECURE WOR As' COMPENSATION COVERAGE IS'UNLAWFUL, AND'SHALL " Contractors' State'License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND'CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or Herself through his or her own employees, provided that the. DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not,intended or offered for sale. If, however, the building:or improvement is sold within SECTION 3706.OF THE LABOR.CODE, INTEREST, AND ATTORNEY'S FEES. one. year of completion, the owner -builder will have the.burden of proving that heorshe did not build or - improve for the purpose'of sale.)., - - APPLICANT ACKNOWLEDGEMENT (_ I I, as owner of the property,_am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner -of conditions and restrictions set forth on this application. -- property-who builds or improves *thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. -, B.&P.C. for this reason 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. Date: Owner: 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 X80 days will subject - CONSTRUCTION LENDING AGENCY permit to cancellation. .. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1 have read this application and state that the ove information is correct. I ree to omply with all work for which this permit is issued (Sec. 3097, Civ: C.). city and county ordinances and state laws relating to buil i construction, and hereby a horize resentatives - - of this my to enter upon the ove-mentioned grope f r inspection purposes. Lender's Name: - te: 40�ature (Applicant or Agent): Lender's Address: ' LQPERMIT Application Number . . . . . 07-00000601 Permit ELECTRICAL-,CARPORT/GARAGE Additional desc . Permit Fee . . . . 41.88 Plan Check Fee 10.4.7 Issue Date Valuation . . . . 0 Expiration Date 9/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 1344.00. .0200 ELEC GARAGE OR NON-RESIDENTIAL 26.88 Permit . .CARPORT/GARAGE•. Additional desc Perm it.°Fee 265.00 Plan Check Fee 172.25 Issue Date . . . Valuation' 26342 Expiration.Date 9/19/0.7 Qty. Unit Charge Per. Extension BASE FEE 252.00 2.00 6.5000 THOU BLDG.25,00'1-50,000 1j.00 Permit GRADING -PERMIT Additi0nal desc . •Permit Fee 15.00 Plan Check Fee .00. Issue- Date Valuation 0 Expiration Date 9/19/07 Qty ..Unit Charge Per Extension BASE FEE 15:00 Special Notes and Comments detatched garage,:U;1, 1344 sq. ft. March 21, 2007 8:15:00 AM jjohnson other Fees .. .. . . . STRONG MOTION (SMI)... -RES. 2.63 Fee summary- Charged Paid Credited Due -------------------_=------ Permit Fee Total -------------------- 321.88 .00 ---------- .00 321.88 Plan Check Total 182.72 .00 .00 182.72 Other Fee Total 2.63 .00 .00 2.63. Grand Total 507.23 .00 .00 507.23 LQPERMTT A-Biit k �• City of La Quinta Building &.Safety Division Permit # P.O..Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BuildingPe ' Permit Application and Tracking Sheet Project Address: 15 r7 t U Ayr, Owner's Name: A. P. Number: Address:--) Oq lU CS Legal Description: City, ST, Zip: J. uZZ 3 Contractor: R�P�va°a� s._ FAddress: y, ST, Zip: Telephone: State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: 1670 l St/9- 71, # Submittal Req'd 2 Pian Sets. Structural Cates. Truss Cales. Energy Cales. Flood plain plan Grading.plitn Subcontactor List . Grant Deed H.O.A. Approval IN HOUSE:- Planning Approval Pub. Wks. Appr School Fees Project Description: Construction Type: Occupancy: Pr0jcdtype (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: : DO NOT WRITE'BELOW THIS UNE Rnec'd TRACIM 41 Z Plan Check submitted Reviewed, ready t correctio Called Contact Person Plans Picked.up Plans resubmitted 2" Review, ready for correctia Called Contact -Person . C Plans picked up Plans resubmitted Review, read for.corre Called ontact person to of permit Issue T R. tto v Z 2Co 07fD� A) /,S R -F 3112107 PERMIT FEES Amount . Plan Check Deposit Plan Check Balance 0- Constriction �% Mechanical Z ) Electrical. Plumbing S.M.I.