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13-1310 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001310 Property Address: 44880 CALLE PLACIDO APN: 604-392-003-44 -25953 - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: I . 300 Applicant: Architect or Engineer: A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BLATE STEPHEN M 44880 CALLE PLACIDO LA QUINTA, CA 92253 Contractor: Owner - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OCT 12 5 2013 Date: 10/24/13 OFCLA NTA FINAN QUI T EDeP ------------------------ -------------------------- ------------------------- 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 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 nf the. Contractor's State License Law (Chapter 9 (commencing with Section 70001, 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 C applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 ire 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and. Professions Cocle:' 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.). I am exempt under Sec. _, B.&P.C. for this reason ly, 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: LQPEPM11T WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: l.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 370 0 of the Labor Eode, for the performance of the work for which this permit is issued. My workers' compensation su rance carrier and policy number are: Carrier Policy Number -Y 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 the workers',compensation provisions of Section 3700 of the Labor Code, forthwith comply with those provisions. Date: )Applicant: WARNING: FAILURE TO SECURE WORKERS' 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 whoie 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 applica tion and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relatin I b 'ld* t u ction, and hereby authorize representatives ' 0 u' �P 'r of this county to enter upon the above-mentioned prop , 1�onnspection purposes. Date: IOJ2,rb'�p Signature (Applicant or Agent): �Ses�- Application Number . . . . . 13-00001310 ------ Structure Information ELEC & PLBG AT KITCHEN ONLY ----- Other struct inio . . . . . CODE EDITION ---------------------------------------------------------------------------- 2010 Permit . . . . . . ELECTRICAL 2013 Additional desc . . Permit.Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/22/14 Qty Unit Charge Per Extension 1.00 .23.8300 LS ELEC DEVICES, FIRST 20 ------------------------------------------- 7 ------------------------- 23.83 Permit . . . . . . PLUMBING 2013. Additional desc Permit Foe . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/22/14 Qty Unit Charge Per Extension .1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 ---------------------------------------------------------------------------- Special Notes and Comments RECESSED AND UNDER CABINET LIGHTING WITH POT FILLER AT RANGE. -THIS PERMIT DOES NOT INCLUDE REMODEL TO KITCHEN OR REPLACEMENT OF CABINETRY. 2010 CALIFORNIA BUILDING CODES. October 24� 2013 4:47:38 PM AORTEGA ---------------------------------- ----------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN'(SB1473) 1.00 PLAN CHECK,,ELECTRICAL 23.83 PERMIT ISSUANCE M/P/E .90.57 PLAN CHECK, PLUMBING 11.92 Fee summary Charged Paid Credited ----------------- Due ---------- ----------- ---------- ---------- Permit Fee Total 35.75 .00 .00 .35.75 Plan Check Total .00 .00 .00 .00 Other Fee Total 127.32 .00 .00 127.32 Grand Total 163.07 .00 .00 163.'07 LQPERMIT PIN5 Bin # Submittal 7 City of La Quinta I Rcc1d TRACKING -Building &r Safety'Division OCT 14 2013 - Permit # P.O. Box 1504, 78-495 Calle Tampico 115— Item La Quinta, CA 92253 - (760) 777-7012 CM OF [A QUINTA Structural Calcs. Building Permit Application and Trackiagn0keftM DEVELOPME P Project Address: CA -L -t,&_ iA e- -Owner's Name: Truss Cales. A. P. Number: Address: 4/Y.M Legal Description: City, ST, Zip: tA Q q o,4 -(kA 1722S_3 Contractor: MIA Telephone: (76.,�) Plans picked up Construction Flood plain plan Plans resubmitted Address: - Project Description: City, ST, Zip: AV,0 411, Telephone: Electrical P07 F1(,&r-tL FAVCA�' 00 State Lic. # City Lic. #.-. Faro Arch., Engr., Designerlbebkow N &fL_ Plumbing Address: AQ -0 (00,Sn k L �' I L W-' :22 Wd G.L.- Plans picked up City., ST, Zip: 3 0 '1 G 10 Telephone: Xj Construction Type: Occupancy: State Lic. #: IN HOUSE:- Project type (circle one): New Add'n Repair Demo Name of Contact Person: 5-a Jk 61'.q Sq. Ft.: _#St ories: # Units: Telepho.nq #,of Contact Person: C-74 6cz� - 7,03 X Estimated Value of Project: APPI IrAlUT- nn hInT VA192ITC CZC1 MAr VU10 1 lhlr H Submittal Req'd I Rcc1d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person r Plan heck Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2.d 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 Gradi ng IN HOUSE:- Jrd Reyiew, ready for correctlof-sSue) Developer impact I Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 11 MaIllo PAM& 0 > 10 cl� m Qo Cf) r - (D )> > 03 c 97 Zx MaIllo PAM& to 1A 0 > 10 -n m Qo Cf) r - (D )> > 03 c Zx to 1A Zx to 1A UNOCIC C�epkl%-( 645VIV6) A:�", — T rl Cl Y OF LA INTA I BUILTEDING & SAFEf," DEPT .IAPPROV.D �l 6R CONSTRO010N 10 W 4 ?6 K 14'en! # CA.B"Je-r U -11,14k -AS < 3ro "oor 30 2y"