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06-2597 (MECH)P.'O. BOX 1504' Y 78-495 CALLE TAMPICO LA QUINTA,'CALIFORNIA 92253 - Application Number:_, , 06-00002597 Property Address: 52031 AVENIDA VELASCO APN: 773 -224 -012 -2 -000000 - Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 5000 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1 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 Co , and my License is in full force and effect. License Class: -B -C10 -C20- Lid seNo.: 856936 z—-7, _�i 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 c- the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does nota I to an owner of property who builds or improves thereon apply o P P Y P 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 r� 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.). i I—) I am exempt under Sec. , BAP.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 Owner: STAKEE FAYE 52031 AVENIDA VELASCO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/06/06 JUL o :;. 2006 ilfll Contractor: I _�._._. _ . TELEFORDJONES , INC. WY.OF LA i�UINTA 25920 IRIS AVE, STE 13A-40 FRANCE DEPT. MORENO VALLEY, CA 92551 (951)486-033,7 Lic. No.: 856936 ------------------ 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 ofthe 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 STATE FUND Policy Number 046-0014249 _ 1 certify that, in the performance of the work for which this permit is issued, 1 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 rkers' compensation provisions of Section L.[./ X37700 of the Labor Code, 1 shall forthwith com with those provisions. Date: /7— '0Applicant: WARNING: FAILURE TO SECURE W RKERS' 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 peimit. 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 ree to comply with all city and county ordinances and state laws relating to building construction, and hereby orize representatives of this county to enter upon the above-mentioned property for inspection purposes. ' Date: Signature (Applicant or Agent): k Applicatiorr Number . . . . . 06-00002597 Permit MECHANICAL Additional desc . Permit Fee— 28.50 Plan Check Fee 7.1-3 Issue -Date 'Valuation . . . 0 Expiration Date 1/02/07 Qty Unit Charge Per Extension BASE FEE.. 15.00 1.00 4.5000 EA MECH. VENT INST/ DUCT ALT 4.50- 1.00 9.0000 EA MECH APPL•REP/ALT/ADD" 9.00. Special Notes and Comments REPLACE ROOF TOP AIR•UNIT ` Fee summary Charged -------------- -- Paid Credited Due ------ ---------- Permit Fee Total. 28.50 ---------- ---------- .00 00 28.50 Plan Check Total.. 7.13 00 .00-- 7.13 Grand Total 35.63 .00 '. .00 35.63 `. LQPERmrr Bin # Permit # rjectAddress: j Z®P. Number: Legal Description: Contractor:�G� Address: 7,"," /-5 City, ST, Zip: /!/,x� Telephon Y�� 7 State Lic. Arch., Engr., Designer: Address: ------------ City., ST, Zip: Telephone: LNmmne e Lie. #: of Contact Person: �C hone # of Contact Person:&' # Submittal Req.d Plao Sets Structural Calcs. Tress Cates. Title 24 Coles. Flood plain plan Grading plan Subcouteetor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City ®f La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinua, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ct..S Gp Owner's Name: Address: 6'203 e!2 City, ST, Zip: 42 tial C / Telephone: Q �j � _ �S Project Description: a L Construction Type: Occupancy: Project type (circle one): New Add'n Alter Sc 6 Q 337 E APPLICANT: DO NOT WRIT Recd TRAC Plan Check submitted Reviewed, ready for corrects Called Contact Person Plans picked up Plans resubmitted 2"" Review, ready for correc Called Contact Person Plans picked up Plans resubmitted Rolew, ready for correct! Called Contact Person Date of permit issue Ft.: # Stories: # Units: stimated Value of Project: 9 ICING E BELOW THIS LINE PFAMIT FEES ons Item Plan Check Deposit Amount Plan Check Balance Construction Mechanical ons/issue Electrical Plumbing S.M.I. Grading ons/issue Developer Impact Fee A.I.P.P. Total Permit Fees Ob/13/2001 13:40 FAX 8585868080 SEARS SAH DIEGO + JONES 0001/002 This tOr1n cm only be used on projects bNnil verifled Dy Caicu�iTa aarum racem, vnva.%Opm W.%4--" t0 39dd ONIawn-ld S3NOC 666098OT96T ZO:bT 900Z/90/L0 06/13/2001 13:40 FAX 8585889098 SEARS'SAN DIEGO + JONES 0002/002 Certtflcate of Compllance Pr"captive Melbod - MVAC-anly Alteration CF -1 R LT Q $-z!/' (po cis z0cf TAW, ThN Cr -1 R -ALT only for tree whM an of a oration lc to an a fetg Use one m for sect ism be dtmed TAN Ie A A slimed In rhts Potr 9e�w e - R rorrre+tes t� M fo Do eors.a.gya.�rurnr.wmwor sa ze cmMMM e soffidwtxrr 3 29 p Lm wmngow U0"tffwmrr+u Okokwib FAU 000wr 90 G 31 a az o me o SS E3 This MOCata 0f =MpIW= fits tie bui4dino teshm aM epedllastidsa needed to WMIY with Tttfe 24, Pana 1 a 6 of the CaRfands Code of Rap h m mL W d the mbrdnbtmff" hgAdons to Implamont them. Thia mM rwm has boon a s fay tM wWuef with aworaN psv)W rmpwmfir W. nm uedarsigrod towgritm thpt ootnpkiice usfnp duct sealny, Vfib, of roti Cmm oheres. rnd 7W mpke Mustier felt AM o n"Imuon and werffmuon Hr An approved HERB rater. Or eht Son Aue►aP Alarrle: Name: Company Ammo: 6 s La ISM ._ip H"Din 41 • HCl „d� /J�.al .1 _ /1 r , _ ar srenp: 1R-4Lr, by snpft. ftauM al U" 04 P+mh epptksdcm Coplae to hOmB awner, eMaooment 0penOy,%M fer, 6P$R�LT by btrblptrlg mad tO desk Copfa� to trona owRset; onbrmneM aperxy, rater CF-qit•1ALT: by HMS Metro- f *Ared 10 d -a perm% C'Ia6 to hums owrrr, anfomemm�t egwy, Instow. 7Zjs form@ for a "t Wow tolft pe20fZ orebn 031046 1 Thb Corm Cats Orly be fitted on pt** VAft vWfisf bt► CWUM 914*A raters, ZO 39bd JNIawn-id S3NOf 666098PT96T ZO:bT 90OZ/90/LO