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06-1198 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06_:__000Q1198 Property Address: 53801 AVENIDA RAMIREZ APN: 774-161-017=5 -000000- Application,description: PLUMBING Property Zoning: COVE RESIDENTIAL. Application valuation: 1500 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT r — — — — — — — — - — — — — — — — — — - — — -•-1 7,— - — ----- — — — — — — — — — — — — — — — — — LICENSED CONTRACTOR'S DECLARATION I hereby, affirm under penalty of perjury that Laim licensed under.provisions.of Chapter (commencing. with y Section 7000) oUDivision 3�bf the Business and Professionals Code, and.my License is in"full force and effect.'' �;. License Class: C36 License No x:79600.7 Date:. Contractor: ' OWNER- BUILDER DECLARATION I hereby affirm under. penalty of perjury'that I am exempt from the,Contracfor'sState License Law for the following reason (Sec. 7031.5,. Business and Professions Lode: Any city or county that requires a permit to construct, alter, improve;.demolish, of repair -any structure, prior to its;issuance, also requires the applicant for the -peimit to file a signed.statement that he,or.she'islicensed pursuant to the provisions of the Cohtractor.'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 ,therefromand the:basis for:the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the -applicant to a civil penalty of. notmore 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 andProfessions Code: The Contractors'�Staie-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,. theowner-builder Will have the burden of proving that he or she did not build or improve for the purpose of sale.). I g 1 I; as ownerofthe 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 contractorls) licensed pursuant to the'Contractors' State License Law.). - ( _) 1 am exempt under Sec. B.&P.C. for this reason �— e� Dare: Ow s� CONSTRUCTION LECdG 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/24/06 Owner: JOHNSON PAMELA 53801 AVENIDA RAMIREZ LA QUINTA, CA 92253 Ip w Contractor: MA . 2 4.200 ROLAND'S '.PLUMBING �"�AI� P.O. BOX 1981 ' LA..QUI'NTA, -CA 92253 CITY®F QUI"TA (760) 564-9334 PIid�NCEDIEP'T. Lic. No.: 796007 WORKER'S COMPENSATION DECLARATION I hereby affirm under. penalty of periu'ry one of the following declarations: - _ I have and`Will -maintain.a;certificate of consent:to self -insure for workers' compensation, as provided foi by Section 3700,of the Labor Code, for the performance of the work for which this permit is issued. -- - - . have and will maintaimworkers' compensation insurance, as required: by Section3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier an&policy number are: Carrier' -EXEMPT Policy Number EXEMPT .;401 certify that; in the performance of the.work for which this permit is issued, 1 shall.not employ.any person: in any manner so as to become subject to the workers' compensation laws of California, and agree that, if.l should become subject to the workers' compensation provisions of Section 3700 of tlie.Labor Code, I shall forthwith comply with those provisions. Date- _ilX—GYQPPl.cant WARNING: FAILURE TO SECURE WORKERS" COMPENSATIO OVERAGE IS UNLAWFUL, AND..SHALL SUBJECT AN EMPLOYER TOCRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 1s 100,000). IN:ADDITION,TO THE COST•0F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR.CODE, INTEREST, AND ATTORNEY'S.FEES, APPLICANT ACKNOWLEDGEMENT - 'IMPORTANT Application is hereby made io the biiector of Building ani, Safety for a permit subjectto 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 county -to enter upon the above-mentioned perty or ms ion purposes--, Application Number . . . . . 06-00001198 Permit . . . . . . PLUMBING Additional desc . . .Permit Fee . . . . 18.00 Plan Check Fee .00 Issue Date- Valuation . . . . 0 Expiration Date 9/20/06 Qty Unit Charge Per Extension. BASE FEE 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE WATER MAIN FROM METER TO HOUSE. Fee summary Charged ------------------------------------- Paid Credited Due Permit Fee Total 18.00 ---------- .00 ---------- .00 18.00 Plan Check Total .00 .00 .00 .00 Grand Total 18.00 .00 .00 18.00 LQPERMIT B`" # city Of LaQ uinta Building U Safety Division -P.O. Boz 1504,781-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking . Sheet Permit # II (� Project Address: 5 �O 80 Ave, •(2 C-, ' Owner's Name: G A. P. Number: Address: U O Y a. J�A (y)) + Legal Description: Contractor: City, ,ST, Zip: Q, V % AJ �f 3 Telephone: '76o - 7 7_ S b )b V Address: Project Description: City, ST, Zip: C: PLq ce 5DO G Telephone: � �� -�� •\ State Lie. # : Cityli.e. #: V � Arch., Engr., Designer: pyl o J, �. Address:D�vl City, ST, Zip: Telephone: - +Y 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: 6 00 , t" APPLICANT: DO. NOT WRITE BELOW THIS LINE # 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2n°.Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees