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06-3379 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: a�0_6:000"U3a-/'9====== Property Address: 54780' AVENIDA RAMIREZ ;j APN: 774-301-003-22 -000000-- Application description: REMODEL - RESIDENTIAL . Property. Zoning: COVE RESIDENTIAL Application valuation: 12000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 myLicerise is in full force and effect. License Class: c - License�No.:. ' Date: Contractor: - - - " OWNER-BUILDER.DECLARATION •' I hereby affirm under,penaltyof perjury that I am exempt from'the Contractor.'s State L'icense,Lawfor the - following reason:fSec. 7631.5, Business and Professions Code: Any city or county that.requires.a peimit•to . 'construct, alter, improve; demolish„or repairkanysfructure, prior to.its issuance also requires the. applicant for the permitto file 'a signed statemeni that he or she is licensed pursuant to the'provisions of the'Contia' aor's-State -wi h i n7 0 f Division 3 of the.Busmess and Professions Code or 'License Law. Cha ter9 (commencing t .Sect o 00 1 o s ) 1 P 1 g. that he or she rs exempt therefrom and the basis for the alleged:exempbon ,-Any violation of Section 7031 5 by ra� pii ant fob a permit subjects the applicant to.a civil penalty of not more than five hundred dollars (5500) (, kl, as,owner of the property; or my employees with wages as their, sole compensation wdl'do;ihe work .and �� the structure is not intended or offered for sale (Sec. 7044, Business and Professioris Code: Thai Contractors' StateLicense Law does not apply to an owner of property,who bwlds:or.improves thereon, and who does_the work himself or herself thiough•his or her own employees;:provided that the, improvements are notintended'or offered for sale. If, however,'the building or:improvement is sold within one year-of-co'mpletion, the owner -builder will.have•the-burden of:proving.that'Ke'or'she'did:notbuild -ori. ' improve for the purpose of salea.' - - 1 —1 I; as owner of the property, am exclusively contracting with licensed gontractti to construct the projecGlSec. 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 reasonA CN CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that t e 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: 9/20/06 Owner: JEAN ROUNSVILLE 5456 BRECKENRIDGE BANNING,.,CA 92220 ---------------------- --- D Contractor: c)�i�oo6 Owner � , 4®R. ----------------- -------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of -the following declaratiorisi - _ I have and will maintain a certificate of consentto self-insure.for workers' compensation, as provided for.by Section.3700 of the Labor Codeafor_tlie 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 banner:and policy number are: Carrier _ Policy Number (E ,,('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-lawsof California; and A ee that, W1 should become:subject to the'workers'.'com nsation,prIovisions of Section 3700 of the Labor de, 15hatl forthwi ompty with those- visions. �D licant: e_ P WARNING:• FAILURE TO SECURE O KERS'COMPENSA N COyERAGE'ISUNLAWFUL, AND SHALL SUBJECT.:AN EMPLOYER TO,CRIMINAL-PENALTIES AND CIVIL FINES 11 P. -T0 ONE HUNDRED THOUSAND DOLLAR$ (5100;0001: IN ADDITION i0` -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. 1 certify that 1 have read this application and state that the above information is correct. I agree to comply ith all city and county ordinances and state laws relating to building construction, a/rA�f hereby authorize represe tives of this countu to enter upon fne above-mentioned pr@pertV_for inspectign PIses. // _ LQPERMIT Application Number . . . . - 06-00003319 Permit . - . . . BUILDING PERMIT Additional desc . Permit -Fee 135.00 Plan Check Fee 87.75 Issue.Date . . . . Valuation 12000 Expiration Date*. 3/19/07 Qty Unit Charge -Per Extension BASE FEE 45-_ 00 10.00 9.0000 THOU BLDG 2,001-25,000' 90.00 : ,.. ------=-------.:--;--------------------------------------------- _ Special Notes and Comments;. REPLACE'7 WINDOWS AND 2 SLIDERS,WITH MINI -MUM U4ACTOR1%.57 OR LOWER AND.SHGC OF ;0-0 OR LESS . REPLACE; `SIDING WITH STUCCO. r. -- Other'Fees . . . ENERGY REVIEW FEE " J 8.78 Fee summary` Charged ,Paid Credited Due a ------ - - -. - - ---- -:---- -------- - ------ - - - Permit Fee Total 135.00:, 00 - -- -- .00 - - -- ,-- 135.00 Plan.-Check.;Total 87.75": 00 _ 200.:" ' 87:75. ` Other Fee' :Total• 8'.78 ..0`0 .06 8:78' f Grand -Tota-1,`.", _ 231•:53 00 .00 231'.5:3. LQPERMIT Bin # City of La,Quinta .Building: al Safety,Division Box 1504; 78-495-Calle Tampico La Quinta, CK. 92-2:513 - (760) 777-7012 Building &init, Application and Tracking Sheet Permit #P.O. �271'79 Project Address: 5_ 7 g O 3 "' Owner's Name: vC c C A. P. Number: 7 741— — Ot237 --Address: Legal DescriphoR`r L Z ._ /K 3// OSS $qQ!� L _ Lk V\ c I Lj( Contractor: ©W e --c— ' City, ST; Zip: 9 WWI,' / 1 • � �!J Telephone: Address: "� cjlS'(� USG fl d ( ' Project Description:. Z City, . T, Zip: Te ephone: 3 7 ZF- State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: -, Telephone: State Lic. #: Name.of Contact Person:Sq. .. • Construction Type: Occupancy: /10 � -Ph oject type (circle one): New Add'n Alter Repair Demo Ft.: T# Stories: # Units: Telephone # of Contact Person: Bstimated Value of Projec -APPLICANT:"DO NOTMRITE•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 2"" Review, ready for corrections/iss6e . Electrical Subcontactor List Called Contact;Person Plumbing Grant Deed Plans picked upS.M.I. H.O.A. Approval Plans resubmitted .. Grading IN HOUSE:- ''" 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 151 Nkhem,—. ' Mostly Heating , r " N ral Heating &Coeli ng South/Cectrel :Cooling &Heating Southern , �Mastiv.Cooling 1 ®.AR0mf11011V0 ?A Critedi Allowed X❑ NORTHERN A checked boz.indicates �` NORTH/CENTRAL . that the product spec-11 ified meets SEN ERGY._STAW ' X climate regwrements for<, SOUTH/CENTRAL thatparticular zone or zones •SOUTHERN JFIL oIENm 1vFRC JEL—A-618' SD,. .69%01 Vinyl. 1 "=- 'CLRTEMP + HP • LOWE TEMP National Fenestra :.n RatingCouncil, 1. ENERGY"PERFORMANCE RATINGS ' EVALUACIONDErRENDIMIENTO.ENERGETICO. - U-FACTOR tU.S./I-P) SO' R•HEAT GAIN'COEFFICIFNT FACTO -U COEFICIANTE: GANANCIA DE ENERGA: .: 0. 34 - ADDI710NAL`P,ERF.ORMANCE'RATINGS '. •EVALUACION SUPLEMENTARIA DEAENDIMIENTO VISIBLE TRANSMITTANCE TRANSMISION DE LUZ VISIBLE I&RIA r S*dM td !M rft'M-bM ID Obbil? WK pis Nr QIP M* D 'tBRC•"ialtrr� a e ddailW 4e a RW sd U . wkwolhlcondom;adaOftp"si. MdoesaotIndairyP WanddomrolvelraddB'sulaf�yd�YP��m0*miond nlmNarAietsmaatireldatllBpodldp�ImnmreFdmnatm', FSebWcmlee4AQuo.estmd maal*C011lmVo Itmj de WCpataM m iCdr¢odmienBotdaldelpiuductalnsvahesl5a0osporMACson dere mWz par un wpo ip de mffdolea anA kB s y w ¢rang de pAW esotilm IARC In wffie da uP XIM v m gam d FUID sm xtmaMpara unmumvcfmCum& can dlDelgdelUdinleVamelqaVW�dee9epoddD.. ' . ' WWW.n1fC.Of9' This tenestratiap`product has.6eeniertiiled by fh manu%acturer to meelthe elrld�ltretlon requlrementsolSection.116(a)1,:2005Ca1i/omla.Bufldirrg:FiiergySYandards . 90 NOT REMOVE UNTIL AFTER FINAL INSPECTION; '139175 28'07280106 V,P0011'' JWW-14000, SP .11-05. i