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13-0036 (RER)P.O. BOX 1504 •78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-000.OA� 036» 0 Property Address: 80355TORREON WY APN: 777-330-052- - Application description: REMODEL - RESIDENTIAL. Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6800 4 'VOICE (750) 777-7012 ' FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 .BUILDING PERMIT Date: 1/10/13 Owner: STARLER MICHAEL & SUZAN 4346 AVENIDA DE LA ENCINAL MALIBU, CA 90265 D A 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.). (_ 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 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 construction, and hereby authorize representatives of this county to enter up n the above-mentioned prop=fpection purpo es ate: I / 3 gnature (Applicant or Agent): Contractor: A 1.11013 Applicant: Architect or Engineer: BLAckSTONE CONSTRUCTION IN 49244 GILA RIVER STREET CITYOFUINTA INDIO, CA 92201 FINANCE DEP P. (760)449-0605 PIP Lic. No.: 890058 , LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals C de, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lic rise Class: B is rise No.: 890058 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /Date: i C ontractor: _I � issued. `� have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier TOWER SELECT Policy Number WCCO02369801 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_ I ceirtify'that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner sous to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 C�Irthwith p it those provisions. 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).: ;zhLbor ate: f:C :� (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, , SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - - 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.). (_ 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 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 construction, and hereby authorize representatives of this county to enter up n the above-mentioned prop=fpection purpo es ate: I / 3 gnature (Applicant or Agent): LQPERMIT Application Number . . . . . 13-00000036 Permit .'. BUILDING PERMIT Additional desc . Permit Fee 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation- 6800- 800Expiration Expiration-Date Date 7/09/13 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 45.00 Permit . . . ELECT - ADD/ALT/REM, Additional desc . Permit Fee 16.50 Plan Check Fee 4.13 Issue Date Valuation` 0 Expiration Date 7/09/13 Qty Unit Charge. Per Extension BASE FEE 15.00 2.00 7500 PER ELEC DEVICE/FIXTURE 1ST 20 ------------------------------------------------------------------------------ 1.50 Permit . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 19.00 Plan Check Fee .00 Issue Date . . . Valuation . . . 635 Expiration Date 7/09/13 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 2'.0000 HND BLDG 501-2,000 4.00 -------------------------------------------------- Special Notes and Comments; �7 L.F. 6' GARDEN WALL WITH (2) 24" X 2411 -COLUMNS & LIGHTING. 12 L.Y. 5' GARDEN WALL, ORCO SYSTEM & WOOD FRAMED STUCCOED ARCH. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . .. BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 5.85 STRONG MOTION (SMI) - RES .68 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 125.50 .00' .'00 125.50 Plan Check Total 62.63 .00 .00 62.63 Bin.# Cityb Qilfno Buliding 8T Safety Division P.O. Box 1504,78-495 Calle Tampico. La.Qulnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S3 < jSS (.fIU w`l} Owner's Name:. ' 1 I — 0SUZAA/ A. P. Number. 7 —7 _ 33Z C� Address: - 3 5 wv Legal Description City, ST, Zip: A /V 225 Contractor. 7iN Ge�cJs Telephone: %•,C7 - o`Z o� / D ��'�' u .'3sM..s:s Address: Ll ( ti� L L Project Description: City, ST, Zip:jn/-D1 i✓'� �Z� F !L 0 n &.: WA..(— L ,, gs Telephone: 9 a City Lir. ft.. a L cru Mrvs l State Lie. # : c�S) i)S y . Arch., Engr., Gi(L- L u y ou Address: (iJ ' n e7 Gl t w t&44 Of, 1. M City., ST, Zip: Telephone: � , �'� ' Vim. State Lie. #: $iw4%sem?» ru...N Construction Type: Occupancy: Project type (circle one): New Add'n ter Repair Demo Sq. Ft.: #Stories: # Units: Name of Contact Person: V S . LIA Ue6q Telephone # of Contact Person: ._26D L , � 0 Estimated Value of Projm/(v$flt) APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACMG PERMIT FEES- Pian Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mecharilcal Grading plan ltd Review, ready for correction issue I ib Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees