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06-0679 (PLBG)'t A P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: -Application valuation: Applicant: 06-00000679 44125 TIARA PL 604-141-003-3 -23269 PLUMBING LOW DENSITY RESIDENTIAL 500 Architect or r a 44-.-4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- -------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of jury that I am 1I nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t Business and Pr fessionaIs Code, and my License is in full force and effect. License Class: A License No.: 269.354 Date: -'I I J I— Contractor: OWNER -BUILDER DECLARATION 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 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.). (_ 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: LQPH T VOICE (760) 777-7012 FAX (760) 777; 7011 INSPECTIONS (760) 777-7153 Date: 2/15/06 Owner: KILDAY CRAIG S 44125 TIARA PL LA QUINTA, CA 92253 Contractor: COVEY INC, H B 309 E COMMERCIAL STREET POMONA, CA 91767 (909)623-2502 Lic. No.: 269354 ------------------ 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. _ 1 have and will maintain workers' pensation insurance, as required by Section 3700 of the Labor Code, for the performance th work for which this permit is issued. My workers' compensation - insurance carrier and policy number are: Carrier STATE FUND Policy Number 1755312-2005 _ I certify that, in the erformance of the work for which this permit is issued, I shall not employ any person in any nner so as to become sdbject to the workers' compensation laws of California, and agree that, i should become sub' ct to theme orkers' compensation provisions of Section / 3700 of the Labor , I f ith y with those ' 'ons -- Date: �� Applicant: 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 per it!� 2. Any permit issued as a result of this applicat ecomes null and void if work is not commenced within 180 days from date of issuance such permit, or cessatio f work for 180 days will subject .permit to cancellation. I certify that I have read this application and state t t the above i ormation ' correct. I agree to comply with all city and county ordinances and state laws relating to ilding co ruction, dWby authorize representatives of this county//to enter upon the above-mentioned grope y f ection p p s. Date: ��sja Signature (Applicant or Agent Application Number 06-00000679 Permit . . . PLUMBING Additional desc . Permit Fee 22.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date '. 8/14/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB.WATER HEATER/•VENT 7.50 Special Notes and Comments �T REMOVE/REPLACE WATER HEATER WITH EF.63/50 GALLON NATURAL GAS. Fee summary Charged - - - - - - - - - - ------ - - - - ---- Paid Credited -- - - - - ------ - - - - --- Due --- - - - - -- -- - - - • Permit Fee Total 22.50 .00 .00 .22.50 Plan Check Total .00 .00 .00 .00 Grand Total .22.50 .00 .00 22.50 LQPERMIT B'° # City of. La Quinta . Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit d 6"7 Project Address: y 2 S I Q fC� / Owner's Name: G f� I. I !i� G A. P. Number: Address: yto, 7-S Legal Description: Contractor:/ l" . Cove L. Pity, ST, Zi / �' ` `" Telephone%!7a �o - a'� a-o Address: l l �"7 Ce^ Nu 1 AL e, Project Description: City, ST, Zip: C I✓1D CA 9 (710 e^-, o, e- Tele hone: p 905-6 3-a d2 - �`- State Lic. # City Lic. #: Arch., Engr., Designer: Address: ' City, ST, Zip: Telephone: Construction Type: r Occupancy: State Lic. #: Project type (circle orie): New Add'n Alter RepairDemo Name of Contact Person: Sq. Ft.:, # Stories: # Units: Telephone # of Contact Person: 070 `j' - 6Y/' 13 S L- Estimated Value of Project:. APPLICANT: DO NOT WRITE BELOW THIS LINE 11 Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets. Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading,plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing 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 Pub. Wks. Appr Date of permit issue - School Fees r i Total Permit Fees a