05-3904 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00003904
Property Address:
54360 AVENIDA JUAREZ
APN:
774 -233 -005 -20 -0000.00 -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
21802
T,iht - aF44"
Applicant: Architect or Engineer:
A/p
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 Business and Professionals Code, and my License is in full force and effect.
License Class: E FOOTAGE 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).:
(_) 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.)
( - 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 am exempt under Sec. , B.&P.C. for his reason
—O� ) r
Date: /
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:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
VALDIVIA ROBERT JOSEPH
54-360 AVENIDA JUAREZ
LA QUINTA, CA 92253
Other struct info . . . . . C
Contractor:
Owner
DITION
Date: 9/06/05
2001 CBC
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 woik 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 1 . 00 Policy Number NO
S 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, 1,§ all f ' h comply with those provisions.
ate: / 'AC-') Applicant: - /.
WARNING: FAILURE TO SE IRF WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 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 c nstruction, and hereby authorize representatives
of this county enter upon the above-mentioned property it io urposes.
ate: .Signature (Applicant or Agent): r —
r
LQPER\7IT
Application Number . . . . . 05-00003904
Permit. . .
. .
BUILDING PERMIT
•Additional desc
.
Permit Fee
225.00
Plan Check Fee
146.25
Issue'Date . .
. .
Valuation . . . .
21802
Expiration Date
3/05/06
Qty Unit
Charge
Per
Extension
BASE
FEE
45.00
20.00
----------------------------------
9.0000
THOU BLDG
-----------------------------------------
2,001-25,000-
180.00
Permit .
. .
ELECT - ADD/ALT/REM
Additional desc
.
Permit Fee . .
. .
31.92
Plan Check Fee
7.98
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
3/05/06
Qty Unit.Charge
Per
Extension
BASE
FEE
15.00
228.00
.0350
ELEC
NEW RES - 1 OR 2.FAMILY
7.98
447.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
8.94
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
. .
39.50
- Plan Check Fee
9.88.
Issue Date . .
.
Valuation . . . .
0
Expiration Date
3/05/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
1.00
--------------------
6.5000
--------
EA MECH
------------------------------------------------
VENT FAN
6.50
Permit .
. .
PLUMBING
Additional desc
.
Permit•Fee . .
. .
61.50
Plan Check Fee
15.38
Issue Date
Valuation . . . .
0
Expiration Date
3/05/06•
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3.00
6.0000
EA PLB FIXTURE
18.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00
7.5000
EA PLB WATER HEATER/VENT
7.50
Application Number . . . . . 05-00003904
r
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB WATER
INST/ALT/REP
3.00
1.00 3.0000 EA PLB.GAS PIPE
1-4 OUTLETS
3.00
-----------------=----------------------------------------------------------
Special Notes and Comments
228 SF.LIVING WITH 447 SF. GARAGE PER
APPROVED PLAN.RE-ISSUE OF EXPIRED
PERMIT FROM BUILDERS SQUARE #0401-410
----------------------------------------------------------------------------
Other Fees . ... . . . . ENERGY
REVIEW FEE
14.63
STRONG
MOTION (SMI) - RES
2.18
Fee summary Charged Paid
----------------- ---------- ----------
Credited
----- - ---- ----------
Due
Permit Fee Total 357.92
.00 .00
357.9.2
Plan Check Total 179.49
.00 .00
179.49
Other, Fee Total 16.81
.00 .00
16.81
Grand Total 554.22
.00 00
554.22
i
LQPERMIT
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LQPERMIT
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P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
November 10, 2004
Mr. Robert Valdivia
54360 Avenida Juarez
La Quinta, CA 92253
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
RE: Plan Review Extension Request — 54360 Avenida Juarez
Dear Mr. Valdivia:
I have received your letter dated 11/10/04, requesting a time extension for the
plan review of the addition/garage conversion proposed to be built at the above
address under Application #04-4610.
Plan review status:
Original application date: 5/26/04
180 -day expiration date: 11/22/14
180 -day extension date: 5/23/05
Under the provisions of California Building Code Section 107.4, your request is
hereby granted.
Because the Building Code specifies that "no application shall be extended more
than once," please be advised that unless a building permit for this project is.
issued on or before Monday, May 23, 2005, your application will expire
automatically.
a
Greg Butler
Building & Safety Manager
November 10, 2004
TO: Greg Butler
City of La Quinta
FROM: Robert & Barbara Valdivia
54-360 Avenida Juarez
La Quinta, CA. 92253
We are requesting an extensionon Plan Checks for:,"A'swB01 Its"
on Permit #044610 for the above property,
•We had a problem with the trusses for the garage that is
t
in the process of being built, The truss company built
the wrong ones and we finally got the correct trusses and
are in the prcess of trying to finish that so that we -can
on with the other requests, Also, we are waiting for the
engineer to come and inspect the block -wall,
Thank you for any assistance you may give us in this
project,
Sincerely,
Robert & Barbara Valdivia