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10-0747 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000747 Property Address: 49826 COACHELLA DR . APN: 646-250-013-13 -4275 - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 T,it!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JOHN OWEN 49-826 COACHELLA DRIVE LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: Owner . dNyEQ T1�fE �fa14 $�1r-ri�+6ss LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: - License No.: Date: . Contractor: 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 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 Lice6se 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, 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 ' n Date: Owner: I hereby affirm under penalty of perjury that there is a construction lendine#ncy for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). V Lender's Name: Lender's Address: LQPERNIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/16/10 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' cdmpensation, 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 Policy Number 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 workers' compensation laws of California, and agree that, if I should become subject to t workers' compensation provisions of Section ��//'� 3700 of the Labor de, I shall forthwith co ly wit tho rovisions. /mate: / -1/0Applicant. WARNING: FAILURE TO SECU WORKERS' COMPEN - COV�IS WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IV FINENDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COST OFC PENSATION, 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 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 property for inspection purposes. Date: Signature (Applicant or Agent): 9 %2V a /° Application Number . . . . . 10-00000747 ------ Structure Information MASTER BATH REMODEL/VB/RES-3/CL-A [ENG] ----- Other struct info . . ---------------------------------------------------------------------------- . . . CODE EDITION 2007/2008 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date . . 3/15/11 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 -----------------------------7---------------------------------------------- THOU BLDG 2,001-25,000 9.00 -. Permit . . . ELECT - ADD/ALT/REM _ Additional desc . Permit Fee . . . . 31.35 Plan Check Fee 7.84 Issue Date . . . "Valuation 0 Expiration Date 3/15/11 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 r 3.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 1.35 Permit . . . MECHANICAL Additional desc BATHROOM VENTILATION ONLY Permit Fee 21.50 Plan Check Fee 5.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/15/11 Qty Unit Charge Per Extension . BASE FEE 15.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 6.50 Permit . . . . . PLUMBING - Additional desc . Permit Fee . . . . 48.00 Plan Check Fee 12.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/15/11 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 LQPERNIIT Application Number . . . . . 10-00000747 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments MASTER BATH REMODEL/VB/RES-3/CL A -FR [ENGINEERED] REVISED LAYOUT -OF PLUMBING FIXTURES TO ACCOMMODATE LAUNDRY MACHINES. THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO THE EXISTING MECHANICAL SYSTEMS. 2007/2008 CALIFORNIA BUILDING CODES. September 16, 2010 2:30:32 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS.ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES .50 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERD7ff Charged Paid 154.85 .00 60.32 .00 1.50 .00 216.67 .00 Credited - Due .00 154.85 .00 60.32 .00 1.50 .00 216.67 Bin # City of La Quinta Building tat Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. _Q, Project Address: 0 GQ Owner's Name: A. P. Number: 64 2 �a 0(-3 Address: Legal Description: tor- ( 44 Z77 City, ST, Zip: Contractor: �J (� t ( Telephone:� Address: Project Description: City, ST, Zip:.�j� Telephone: State Lic. # : City Lic. #: 71 esignner:• Address.—(�2ZL City, ST, Zip: �( f:. �T- C Telephone:-54 6 47,556 State Lic. #: Name of Contact Person: �� truction Type: Occupancy: ct type (circle one): New Add'n Alter Repair Demo fSq.t.: [� . # Stories: #Units: Telephone # of Contact Person: mated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd ReedI�C BIVED PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Calces Q -f Reviewed, ready for correctAUGi 11 0 o Pian Check Deposit Truss Calcs. ky Called Contact Person Pian Check Balance Energy. Coles. Plans picked up BY: Construction Flood plain plan Plans resubmitted 4 ,Z D Mechanical Grading plan Y' Review, ready for corrects rssu Electrical Subcontactor List Called Contact Person A Plumbing Grant Deed Plans picked up S.M.I. N.O.A. Approval Pians resubmitted Grading IN 110USE:- '`' Review, ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person -IA. P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �tqImo'opfe' - t,P 4 t6 $Ow SjV.xsit.>AA-(, 9-/� 0 *xf& IVA . Mt0 O"