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06-8376 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00,0.01376 — `-81570 CARBONERAS 764-200-006-25 -316811- REMODEL - COMMERCIAL LOW DENSITY RESIDENTIAL 150000 Ti&t 4 40 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CORAL OPTION I 79295 RANCHO LA QUINTA DR LA QUINTA, CA 92253 D A0 ractor: MAY 0 9 2006 BOXR17D6VELOPMENT LP A UINTA, CA 92247 CITY OF41►, TA (7 6 0) 771-1941 'plg7fiq�E'D� L 1 No .: 762987 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi 'o�3of the Bu ' ess and Pr essio Is Code, an y License is in full force and effect. License ^C�lass B icense 762987 A a�tte: N ✓ Q 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).: 1 _ 1 1, 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 _ I 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 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: 5/05/06 ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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. 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 carrier and policy number are: Carrier COMPWEST Policy Number CA005001482-001 I 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 orkers' compensation laws of California, an gree that, if I should beco s bject to the or S. compensation provisions of Section Q 3 00 of the Labor Code, I s I fort with co ly w' h thos1provisio 4115 � KApp�nlWARNING: FAILURE TO SECURE WORK RS' COMPENSATION COVERAGWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP NDRED 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 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 In ad this application and state that the ab 'nformation is rect. I agree to comply with all city and cony or nances and state laws relating to buil g cons uction, an8 hereby authori epresentatives of this coun to ter upon the above-mentioned pro rty for insp do urpo s. �r LQPERMIT Application Number . . ... . 06-00001376 Permit . . . BUILDING PERMIT Additional desc Permit Fee . . . . 814.50 Plan Check Fee-. 529.43 Issue Date . . . . Valuation . . . . 150000 Expiration Date 10/30/06 Qty Unit Charge Per Extension BASE FEE 639.50 50.00 ---------- 3.5000 ----------------------------------------------------------- THOU BLDG 100,001-500,000 175.00 Permit . . . ELEC-NEW COMMERCIAL Additional desc . . Permit Fee . . . . 94.90 Plan Check Fee 23.73 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 10/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 3995.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 79.90 Permit . . . MECHANICAL Additional desc . Permit Fee 106.50 Plan Check Fee 26.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1.0/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 3.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 19.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 98.25 Plan Check Fee 24.56 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00' 5.00 .7500 EA PLB GAS PIPE.>=5 3.75 {,o R f w 1 LQPERMIT Application Number . . . . . . 06-00001376 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments construc a temp.. admin. office per mup# 2005-766 ---------------------- ----------------------------------------------------- Other Fees . . . . .' . . . . ACCESSIBILITY PLAN REVIEW 81.45 ART IN PUBLIC PLACES -COM 730.00 DIF CIVIC CENTER - COMM .00 ENERGY REVIEW FEE 81..45 DIF FIRE PROTECTION -COMM .00 STRONG MOTION`(SMI) - COM 31.50 DIF STREET MAINT FAC -COMM .00 DIF TRANSPORTATION - COMM .00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 1114.15 .00 .00 1114.15 Plan Check Total 604.35 .00 .00 604.35 Other Fee Total' 924.40 .00 .00 924.40 Grand Total 2642.90 .00 .00 2642.90