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08-0498 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: � —08-00000498 Property Address: 54940 SECRETARIAT DR APN: 767=320-999-248 -32879 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4000 Applicant: Architect or Engineer: - I r 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 ksiness and Professionals Code, and my License is in full force and effect. Licen •Class: B -C8 -C27 -C License No.: 852625. Date: tractor: 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 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.). (_ I I am exempt under Sec. , B.&P.C.• for this reason Date:. Owner: CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury thatthere 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: 1 j: LQPERMIT Owner: MIKE 'KELLY 54940 SECRETARIAT DRIV LA QUINTA, CA 92253 Contractor: GAROCCO 74399 HIGHWAY 111, SUI' SOUTH PASADENA, CA 910 (760)341-1245 Lic. No.: 852625 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/25/08 ------------------ 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. 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 EXEMPT Policy Number EXEMPT 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 sh Id become subject to the workers' compensation provisions of Section 3700 of the L , I s I forthwith comply with those provisions. e: o licant: _ WARNING: FAILURE TO SECURE WORKERS' C MPENSATION 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 omission related to the work being performed under or following issuance of this permit. 2. Any permit issuedas 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 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 u�t��y to enter upon thea ve-mentioned proC�y�or mspe on purposes. ate: ��) 6 Signa a IAPPlicant or Agentl:1 Application Number : 08.-00000498 Permit BUILDING PERMIT Additional.desc Permit'Fee 63.00 Plan.Check.Fee 40.95 Issue. -Date Valuation 3525 Expiration Date''. 9/21/08 Qty Unit Charge Per Extension BASE FEE.. 45.00 2.00 9..0000 THOU BLDG 2,OOi-25,000' 18.00 Permit ELEC-MISCELLANEOUS' Additional de* sc . Permit, Fee 17.25 Plan Check Fee .. 4.31 Issue Date -. Valuation.... 0 Expiration Date.. 9/21/08 Qty Unit Charge Per. Extension BASE FEE 15.00 3.00. ..7500 PER ELEC.-DEVICE/FIXTURE 1ST 20 2,.2.5 Permit•• WALL/FENCE PERMIT Additional desc . Permit Fee 15:00 Plan Check Fee 00 Issue Date Valuation, 475 Expiration Date 9/21/08 Qty Unit Charge., Per Extension -- BASE FEE 15.00 ------------- --------------------------- - Special Notes and Comments F.I'REPIT.& BBQ. 19 L.F. 6' GARDEN WALL, CITY STANDARD -------------------------- Other:Fees ENERGY REVIEW FEE ------ -------- 4.10--_-- STRONG MOTION (SM'I) - RSS .50 c. Fee summary Charged Paid Credited- Due.. ---------------- - - - - -. --- __ Permit Fee.Total. 95.25 00 -----00 _ 95.25 Plan Check Total- 45.26 .00 .00 45.26 Other Fee .Total.. 4.60 ..00' .0.0 4.60 Grand'Total 145.11 00. ..00 145.11 LQPERMIT .. . F T­'�­ A. 7 4 .-Jr J _TJ _j A MOOS dY J J JF 4 4101 174A J. ...... lava J_j T" v .. ....... .. kr W em 4" ... ..... ... U-9) 3VHLNO3 _.F. F. .40 2LVO . .. ....... . ..... :NVM31VS . . ........ (13SVcf3Hd SNOLL03)41al :lLva 3HUMIS rmovia H.Ld3a 100d f AID 3NOHd 3YIUAVa 3NOHd 3V40H . ........ 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Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # _`q11 NN Project Address: ���� p S ECi2,ETA Owner's Name:L A. P. Number: Address: Se(--9-KO City, ST, Zip: ZA 64 • Telephone: Project Description: c / / Ei C T C i � 4&4),-f20 Legal Description: Contractor: e G•t� GC o �i✓jf. Address: `, '- 3-C1 9 f7j'' 4 1 f. e City, ST, Zi p PyrL� -edt�f Ca Telephone:'(Qo— State Lic. # : 10;;24 L1 City Lic. #: Arch., Engr., Designer: 0£(, Address: City, ST, Zip: Z20 Telephone: Wo , 011i� I �;� s, �� State Lic. #: 3 Name of Contact Person: �j O� Construction Type: ��,�/ Occupancy: Project type (circle one) New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value'ofProject. 6- 22 9. WAS VAL APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Plan Check Deposit Amount Structural Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Electrical Grading,plan 2n° Review, ready for corrections/issue Subcontactor List Called Contact Person Plumbing — �J H5 IPTGrant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1nd Review, ready for corrections/issue Developer Impact Fee A.I.P.P. Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees I 17f7 it CI a SAF ­ Total Permit Fees I .. FOR CONSTRUCTION DA 70 d$' ©y .S7 475