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06-0515 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, .CALIFORNIA 92253 Application Number: 06-00000515 Property Address: 54393 AVENIDA VELASCO APN: 774-251-018-7 7000000 - Application description: ADDITION.- RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 15901 T4ht-4-4Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1 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: License No.: - - - --- - - - - - - - - - - . Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that,l 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: _DC. 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: LQPER1111T VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date: 7/19/06 Owner: GONZALEZ GENOVEVA 54393 AVENIDA VELASCO LA QUINTA, CA 92253 Other struct info Contractor:! Owner ! :Qw DITION 2001/_2 Lic. No.:--------------- ----------------------------------------------- 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 278.00 Policy Number NO 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 fy '3700 of the Labor Code, I shall forthwith comply with those provisions. Date:/ -/P- nL Applicant: 1"n �_ 7 a �P_ L WARNING: FAILURE TO SECURE WORKERS' COMPENSATION, 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 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 b • 'ng construction, and hereby authorizLresentatives of this county to enter upon the above-mentioned pro for inspection purp Date, Signature (Applicant or Agent): ' Application Number . ' . ' . 06-00000515 ' Permit . . . . . . aDzLozmG PERMIT Additional deoo Permit Fee . . . ' 171.00 Plan Check Fee 111.15 Issue Date . . ' ' Valuation . . . . 15901 Expiration Date . ' 1/15/07 Unit Qty t Cbazge Per Extension Baoo noo 4s.00 14`O0. .9.0000 -- --_---__-_----__-,_ raOn BLDG 2,001-25'000 --_-___---__--_�-----_--__-_'_---_- 126.00 ' Permit . . . . ' ' ELECT - ADD/ALT/REM Additional deao Permit. Fee . ' . ' ' 24.73 Plan Check Fee 6.18 Issue ' ' . . Valuation . ' . . O ' Expiration Date ' ' 1/I5/07 Qty Unit Charge Per Extension BASE noo 1s'oo z78'uV .0aso -_-~___7-----�------_--_-----____-___--_~-_-___-__------ ELEC NEW aoG - z OR % FAMILY 9.73 Permit MECHANICAL` ` Additional deoc ' Permit nee . . ' ' 24.00 Plan Check Fee ' . a'OO _ zaooe Date . ' ' ' Valuation . . . . 0 Expiration Date . ' 1/15/07 Qty Unit Charge Per Extension ' oaoo FEE I.00 9'0000 --------7 ----- ---------------- EAMECa ApeL REP/ALT/ADDzs'OO9.oV -----7 '--------------------------------------- Ggeoial Notes and Comments 278 oq' ft' addition -March Is, 2006 1:46:20 Pm jjobndoo ---------------------------- Other Otber Feeo . ' ' ' . ----------------------------------------- ' ' ' . ExmED8r REVIEW FEE 11.12 8T8OmQ MOTION (SMI) - RES . 1'59 ' Fee oonvnary Charged __________ Paid Credited Due '- _____ ' Permit Fee Total ___ 219'73 _______ _____ '00 VO- '0O 219.73 Plan Check Total 128.33 � .oV 133.33' Other Fee Total 12.71 .on .00 2:.7 Grand Total 355.77 '00� OOC3;55.77 + LQPERMo Bin•# City of La Quinta Building u Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico S La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: s4 —3�3.. E � Owner's Name: Z. A. P. Number: ? . 951- Q / g Address: 1;9-113 10!l— \QLSff) Legal Description: City, ST, Zip: (Z, U� gZ7133 Contractor: Telephone: (7 V, ,r - �f Address: Project Description: 6 �b P-bG City,-ST; Zip:,, Telephone: -, i ;matin �_�aai.w Q.Ifln/ IL Q1.. • State Lic. # : City Lic. #:�� Arch, Engi , Designer: WCo e Address: Z —1 —d Vkw City, ST, Zip: �6 Telephone (,� 5(AA-7(5 ,)� Construction Type: V Occupancy.. P Y• State Lic. #:2y �' '`u�'' � " �" �Z % 3 1 Project type (circle one): New e" ' Alter Repair Demo Name of Contact Person: ,5 $q. Ft.: # Stories: . # Units: — Telephone # of Contact Person; —% 60/ _5b_ -.- :.a:7.. . — ...Estimated Value o.£Project:. _ _ 3.. Oda APPLICANT:`DO NOT WRITE BELOW,THIS LINE # Submittal 4eq'd Recd .1TRACKING . PERMIT FEES Plan Sets Plan Check.submitted �' �% Item Amount Structural Calcs. Reviewed, ready r corrections -t lfrag Plan Check Deposit Truss Calcs. Called Contact P .Z a Plan Check Balance Ener Calcs. -Energy � Plans picked up f Construction Flood plain plan r `_ ~�` Plans resubmitted'Mechanical Grading plan 2"" Review, ready for correctio s/issue Electrical Subcontactor' List � � Called Contact Person AI -numin #o Grant Deed Plans picked up , S.M.I. H.O.A. Approval { _ Plans resubmitted Grading IN HOUSE:- �" ,� - '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval ., ' Called Contact Person r1.I.P.P. Pub. Wks. Appr � � Date of permit issue School Fees„ • vR - Total Permit Fees F&�''.G:e. . - 3 � Comments At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 278 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued'. Fees Paid By Exempt-Genoveva Gonzalez Check No. Name on the check Telephone 771-4823 Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempted by Patricia Barbuzza Payment Recd $0.00 i =' Over/Uridii Signature NOTICE: Pursuant to Government Code Sectio 66020(d)(1), this will serve to notify you that the 90 -day approval period in wtiich you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting CERTIFICATE OF COMPLIANCE "tio Desert Sands Unified School District o`.� 47950 Dune Palms Road BERMUDA DUNES O Date 3/29/06 La Quinta, CA 92253 RANCHO MIRAGE r INDIAN WELLS No. 28305 (760) 771-8515 d PALMDESERT LA QUINTAy �U'S INDIO yr�� fp Owner Genoveva Gonzalez APN # 774-521-018 Address 54-393 Avenida Velasco Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 54393 Avenida Velasco 278 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 278 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued'. Fees Paid By Exempt-Genoveva Gonzalez Check No. Name on the check Telephone 771-4823 Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempted by Patricia Barbuzza Payment Recd $0.00 i =' Over/Uridii Signature NOTICE: Pursuant to Government Code Sectio 66020(d)(1), this will serve to notify you that the 90 -day approval period in wtiich you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law. to put their license number on all` permits for which they apply. If ,you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is ,200.00 or more for the entire project, and such persons are not licensed. as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State' License Board in your community or at 1020.N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico_ La Quinta, CA 92253 (760) 777-7012 - FAX: (760) 777-7011 OWNER'S SIGNATURE/DAT c o PROPER ADDRESS PERMIT NUMBER(S) Type: GENERAL CONTRACTOR --------------- ------ ---------- ------------ Status: q DRYWALL NAIL Contractor Requirements Doc Number 4 ELECTRICAL FINA --------------------------------------------- q MECHANICAL FINA 11 1 OOTINGS II_I:.--I I /l .IOKAY TO WRAP X0001 I KK 10/19/2006_ i -AP 11 10/19/2006 � +4t FRAP7ING ,000 KK 10/19/2006 W—F-10/f9/M-0 10/19/2006 45 Print INSULATION 000r 1 KK 10/20 2006' 10/20 2006 2ATH 0001 KF: 10 27 2006 10 10/27/2006 Cancel ROUGH ELECTRICAL 0001 KK 10/19/2006 6 �C Exit _ �ltOp Refresh Land Inquiry Documerrt!5 . .�-iw+�^.M_.'-[�'lk wl. Y i'��'J't .:--t..."T T.'dR.. ,a :`�,•a'-:'�`.fII C.4'.y�.'S�'.^.M: cT�E*:- 1�4:.r.... -.xT 'r+.'^:.:.�•ywrr.�Epr'. '/ r. '' �i. }-�r3 v• rl.+s,CL�1^-�ws�i,Y1 �. , � �_:�- mn- r �-r�m.�t.r s Applcatiori Inquiry. L a.f uF," -4 .n„ SUNGAIWPUBLIC SECTOR (T Sjy HTE Navil.ine' Tv Y", Application 06-00000 ,D Bonds Property Information Application Information = Contractor escrow Address: 54393 AVENIDA VELASCO Application status: PERh1IT ISSUED Fees LA QUINTA, CA. 92.253 # Status Date: 7/24/2006 Global balance du Location ID: 29372 Application type: ADDITION - RESIDENTIAL p; �/!Inspectionhistory Owner name: GOVZALEZ GENOVEVA _ — Application date: 2/02/2006 miscellaneous info APN: 774-251-018-7 -000000- Valuation: 15,901 -� Names Alternate ID: Square footage: 0 © Permits Zoning: RC COVE RESIDENTIAL Public building: NO 0 Plan tracking- T ^` - Receipts Q Square footage cal "Contractor Information Outstanding Inspections Structures Contractor Name: ONNER * Insp Schedule Confirmatio { Valuation cal,ul,tidli Contractor Number: _ Type ID Date Number j Type: GENERAL CONTRACTOR --------------- ------ ---------- ------------ Status: q DRYWALL NAIL Contractor Requirements Doc Number 4 ELECTRICAL FINA --------------------------------------------- q MECHANICAL FINA 11 1 OOTINGS II_I:.--I I /l .IOKAY TO WRAP X0001 I KK 10/19/2006_ i -AP 11 10/19/2006 � +4t FRAP7ING ,000 KK 10/19/2006 W—F-10/f9/M-0 10/19/2006 45 Print INSULATION 000r 1 KK 10/20 2006' 10/20 2006 2ATH 0001 KF: 10 27 2006 10 10/27/2006 Cancel ROUGH ELECTRICAL 0001 KK 10/19/2006 6 �C Exit _ �ltOp Refresh Land Inquiry Documerrt!5 . .�-iw+�^.M_.'-[�'lk wl. Y i'��'J't .:--t..."T T.'dR.. ,a :`�,•a'-:'�`.fII C.4'.y�.'S�'.^.M: cT�E*:- 1�4:.r.... -.xT 'r+.'^:.:.�•ywrr.�Epr'. '/ r. '' �i. }-�r3 v• rl.+s,CL�1^-�ws�i,Y1 �. , � �_:�- mn- r �-r�m.�t.r s