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05-1823 (AR)11 i qw�� P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T419� 4.4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: \_ 05-00001823 Property Address: 5_4T5_17KV­ENIDJA VELASCO APN: 774-251-017-6 _000000 - Application description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 79853 I hereby affirm under penalty of perjury that I Section 7000� of Division 3 of the Business Z License Class: 13 e:11&ey64­Co ct. Architect or Engineer: - - - - - - - - - - - - - - - - - - - - - - - - - - - - ITRACTOR'S DECLARATION 6 provisions of Chapter 9 (commencing with u 'Crode, and my License is in full force and effect. nse No.: 833738 . 0 N?!-BULDEFeDECLARAT'ON m � I hereby affirm under penalty of perjury that I a 3 pt rom th Contractor's State License Law for the following reason (Sec. 7031.5, Business and Prof ions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair � ;strSucture, 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 I hat 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, 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec Y044, 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.. , 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: 1 P< LQPERMrT Owner: CHARLES KLIERE 54353 AVE VELASCO UNKNOWN, CA 99999 Contractor: JONES ELITE HOMES, GARY 30665 BAY HILL CT CATHEDRAL CITY, CA 9223' (760)641�3765 Lic. No.: 833738 lib� VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/28/05 -LM U__ NOV 23 2005 11 ---------------------- - - - - - - - - — WORKER S COMPENSATION DECLA��� I hereby affirm under penalty of perjury one of the foil N owing cleclaralto"ns^INCE DEPt - f6r —worke-rs—Co—mpensa 6-js provided I have and will maintain a certificate of conseWtt_o_se`1r—insure ti 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 a -re, Carrier STATE FUND — Policy m4r 00017752006 I certify that, in the performan e of the ork f I W hil this is; issued, I shall not employ any c f person in any manner so as to beco e su lec, I a wo=itcompensation laws of California, su I I and agree that,.if I should become ' bi t to orkers' compensation provisions of Section I f It p,I 3700 of the Libor Code, I Shal or itrki co: with those P&Pvisions. WARNING: FAILURE TO SECURE WORKERS' COMPENrIVN COVERAGE IS UNLAWFUL, AND SHALL PENALTIES 'I SUBJECT AN EMPLOYER TO CRIMINAL I A IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COSTJA COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, 49!ND 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 nd voi . d if work is not commenced a a 'a ' within 180 days from date of issuance of such permit, a as ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov is I e I rm ion is or ct. I agree to comply with all 2 ut nz city and county ordinances and state laws relating to building con truc i n, a h eby authorize representatives , 't of this cou� t t �t'above-mentioned property for ins n pu as s. g a n er upon Date: gn.tur. (Applicant or Agent): LQPERMIT Application Number . . . . . 05-0000182.3 Permit 'BUILDING PERMIT Additional desc Permit Fee . . . . . 549.50 Plan Check Fee 357.18 Iss�ie Date . . . . Valuation 79853 Expiration Date 5/27/06 Unit Charge Per Extension �Qty BASE FEE 414.50 30.00 4.5000 - - - - - - - - - - - - - - - - - - - - - - - - - - THOU BLDG - - - 7 - - - - - - - 50,001-100,000 - - - - - - - - - - - - - - - - - - - - - - - - - - - 135.00 - - - - - - - - - - - - Permit . . . . . . ELECT ADD/ALT/REM Additional desc'. Permit Fee . . . . 65.94 Plan Check Fee 16.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1188.00 .0350 ELEC NEW RES 1 OR 2 FAMILY 41.58' 468.00 .0200 - ------------------------------------------------------ ELEC GARAGE OR NON-RESIDENTIAL ----------------------- 9.36 Permit . . . . . MECHANICAL Additional desc Permit Fee ; . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation 0 Expiration Date 5/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000'EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 .6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 133.50 Plan Check Fee .33.38 Issue Date Valuation . . . . 0 Expiration Date 5/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 9.00 6.0000 EA PLB ROOF DRAIN 54.00 LQPERMIT LQPERMIT Application Number . . . . . 0'5'-00001823 Permit . . . . . . PLUMBING Qty Unit Charge Per -Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA ' PLB WATER INST/ALT/REP 3.00 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 7 ------------------------------------------------------------------------ Special Notes and Comments remodel addition 1188 new , garage 468 patio 205.code case.see JACKIE MISURAEA.November 14, 2005 8:03:43 AM jjohnson ------------------------------------------------ Other Fees' ENERGY 7- 7 ------ 7 ------------------ REVIEW FEE 35.72 STRONG MOTION (SMI) RES 8.281, Fee summary Charged Paid --------------- ---------- I Credited Due -- Permit Fee Total ---------- 825.94 ---------- -------- .00 .00 825.94 Plan Check Total 426.75 .00 .00. 426.75 Other Fee Total 44.00 .00 .00 44.00 Grand Total 1296.69 .00. .00 1296.69 LQPERMIT