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06-2931 (RER)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY -DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/01/06 Application Number: 06-00002931 Owner: Property Address: 78250 BIRKDALE CT GARY -H. DE KAT APN: 770-280-011- - - 86 SW CENTURY DR. .Application description: REMODEL - RESIDENTIAL / Application valuation: 15000 D 6 Contractor. K10%f 0 2 2006 Applicant: Architect or Engineer: RAWLINGS CUSTOM CONT GTIN& Y 5000 E. CALLE SAN RAPHAEL, C-1 PALM SPRINGS, CA 922!64' CITY OF LAQUINTA �\ (760) 322-8788 FINANCE DEPT. l Lic. No.: 746930 /1 - ------------- - - - --- - -- - - - -- --------------- - - - - LIC ED CO CT OR'S RATION I hereby affirm under penalty of perjury tha am licen under pro io of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine and Prof io e, a my License is in full force and effect. License Class: B nse : 746930 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 signed statement that he or she is licensed pursuant to the provisions -of the 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 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).: (_) 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 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.). 1 _ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY - — I hereby affirm under perialty 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 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I 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. 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 e: Carrier CALIFORNIA INS icy mber 460046860102 _ I certify that, in the performance the rk for which thi rmit is issued, I shall not employ any person in any manner so a o beco a subject to th / ters' compensation laws of California, and agree that, if I shout com ubject to or rs' compensation provisions of Section �9>700 of the L s wi ly h those provisions. 'Idate: Zi 277ZETO ant: WARNING: FAILCUREWORKERS' 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. 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 'on related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application become ull and d if work is not commenced within. 180 days from date of issuance of such per ' , or cessa o of work for 180 ys will subject _permit to cancellation_ ___ I certify that I have read this application and state that the ab a informa ' is corre I ee to comply with all, city and county ordinances and state laws relating to buildi construc ' , an y orize representatives of this co tt��/enter upon he above-mentioned pr ins r e D �� Z�� up/ ture (Applicant or Agent): Application Number . . . 06-00002931 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . Valuation 15000 Expiration Date 4/30/07 Qty Unit Charge Per Extension BASE 'FEE 45.00 13.00 9:0000 THOU BLDG 2,001-25,000 - 117.00 ------------------------------------------------------ Special Notes and Comments ------- -------------- STRUCTURAL BUILDING ALTERATION. REMOVING PORTION OF SHEARWALL TO ADD FENESTRATION SURFACE IN (2) TWO LOCATIONS. FOOTING INSPECTION REQUIRED. November,l, 2006 3:51:38 PM AORTEGA ---------------------7------------------------------------------------------ Other Fees . . . . . . . .. ENERGY REVIEW FEE 10.53 STRONG MOTION (SMI) - RES 1.50 *Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 162.00 .00 --77 .00 ------ 162.00 Plan Check Total 105.30 .00 .00 105.30 Other Fee Total 12.03 .00 .00 Grand Total 279.33 .00 .00 279.33 LQYERMIT ci7�. Of 'A rA JON TA N DY SOU 2 0 RECD 37630 Medjool Ave. BUILdlG q ^ K Palm Desert, CA 92211 Office (760) 772-7192 INSPECTIONSPECIAL 'SApCTY Fax (760) 772-7193 Pager (760) 776-333.8 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION ^ ` / /� �.e,/� ^ v� � Qu oY S Itl.IJ r'`, � I'+J' '� REPORT SEOUENCE NO. 3 OF SLR U ^ CTURE , PERMIT NO. DATE I� DAY OFWEEK MATERIAL DESC PTIOy ARCHITECT N CTR [ASSISTANTS NRS. CHARGED �` l �`� ` �✓ I' ENGINEER HRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR e -d d V \ 1 CONTRACTOR -�_ W�� i,lJ � 9 1� a>oks E l `IP- C.o N iAeG_C is LA-) e 3 I Ste. c. -.S 's. ��► C ,N W e COPY SENT TO CLIENT CONTINUED ON NEXT PAGE CIPAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY G IATU E OF REG EKED INSPEC OR / KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE �' jSJ 1 �o b NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED `(7 PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ATE OF REPORT REGISTER NUMBER GAL MST ENSINEERIN6 JOB NO. V U"L.& A;7 -711c TRAof'Tri_-_ 52-812 AURORA VISTA NO.1 SHEET NO. L-A,OF CATHEDRAL CITY, CA. CALCULATED BY DATE _ g2254 GHECKED BY DATE PHONE: (760) 528-8150 KrU; n 4,,66,j A4Z4 , /Ubu . A, , 6 E ?2 3 r�l(ow�^^y s �a� Fbo'T-rte De"IA�L 12evi,5.&N– -v Tte Ta Arc �✓�Z^� �� ►,AI;EW'L 31- �Tlp0F I fZ:> 1 08:40a Patrick Rawlings 7 760-322-8755 ,- p•1 adA .SS' rS ,+af 78LSsl �� )/ fes � of City of La Quinta D Building Safety U Safe Division Permit P.O. Box 1504, 78-495 Calle Tampico 2C 3 1 La Quinta, CA 92253 - (760) 777-7012 V Building Permit Application and Tracking Sheet Proj ect Address: 4(Q !L/ Owner's Name: A. P. Number: Address: 7u! Legal Description: City, ST, Zip: Contractor: Oh Telephone: - & � - Address�%J��yif A,n �C�La vl� e - l Project Description• 1h,2Y 6/ 1 ` ,41?n riir City, ST, Zip: C� -71Z 4-V tWa/`,fQ ,i01,/ Telephone: G �� State Lia # : Arch., Engr., Designer: City Lie. #: J c Address: City, ST, Zip: I'�� ✓• Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lie. #: Name of Contact Person:G/r� Telephone # of Contact Person: Sq. Ft.: #Stories: #Units: ?�/� c7� S�! Estimated Value of Project: 15"000 APPLICANT: DO NOT WRITE BELOW THIS UNE 4 Submittal Req'd Recd TRACKING. PERMIT FEES 21 Plan Sets Plan Check submitted o 6 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cates. Plans picked up L Construction Flood plain plan Plans resubmitted / Mechanical Grading plan 2' Review, ready or correctio Electrical Sabcontactor List Called Contact Person Plumbing 4. Grant Decd Plans picked up 0 S.M.I. MOA. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for eorrcctio rss Developer Impact Fee Planning Approval Caped Contact Person A.I.Y.P. Pub. Wks. Appr Date of permit issue School Fees i N /I- 10(o BlzorJz. (c) (O(o ^rel lr l ob — P115 pr (00) �281O10 5T2 RFC Total Permit Fees sI Lq op - awtv ce la /1 0/0(o mo&r- /4073 frau 1