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13-1370 (RER)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001370 Property Address: 78705 AVENIDA TORRES APN: 770-172-005-162 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning:. LOW DENSITY RESIDENTIAL Application valuation: 5000 Ti&t. 4 �{�NINW BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: 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 Profes ionals Code, and my License is in full force and effect! License Class: B License No.: 717813 kDate:./'� 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 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.). (_) 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 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 Owner: SWARTHOUT, PATRICK E 78705 AVENIDA LA TORRES LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/30/13 Contractor: kcll.� AERY CONSTRUCTION20152641 AVENIDA BERMUDASN®Vi0LA QUINTA, CA 92253V(760)200-7910 Qu1MdTA Lic. No.: 717813 OF1tnrDT ---------------------------------------------- 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. 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 1960112-10 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 3700 of the Labor Code shall Irth comply with those provisions. Date: — 7 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 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. 1 certify that) 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, antereby.authorize representatives of this county to enter upon the above-mentioned property for ins 'on p oses. kDate:J --- ignature (Applicant or Age Application Number . . . 13-00001370 ------ Structure Information INTERIOR REMODEL - ----- Other struct info CODE EDITION 2010 # BEDROOMS 2.00 Permit REMODEL 2013 • Additional desc . Permit Fee . . . . 70.07 Plan Check Fee 00 Is.sue Date Valuation 0 Expiration. Date 4/28/14 Qty Unit Charge Per Extension 1.00 48.6200 LS .'MISC REMODEL, IST 100 SF 48.62 1.00 21.4500 EA MISC REMODEL, ADDL 500.SF ---------------------------------------------------------------------------- 21.45 Permit PLUMBING Additional desc'. Permit Fee . . . . 42.00 Plan Check Fee 10.50 Issue Date Valuation 0 Expiration Date 4/28/14 Qty- Unit Charge Per Extension BASE - FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date. Valuation . . . . 0 Expiration Date 4/28/14. Qty Unit Charge Per Extension 1.00 11.9200 EA MECH VENT FAN ---------------------------------------------------------- 11.92 -------------- Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee 00. Issue Date . . . . Valuation 0 Expiration Date ... 4/28/14 Qty Unit Charge Per Extension 1.00 23.83,00 LS ELEC DEVICES, FIRST 20 23.83 ------------------------------------------------------------------------------ Special Notes and. Comments INTERIOR REMODEL TO CONVERT BEDROOM INTO LQPERMIT - LQPERMIT Application Number . . . . . 13-00001370 Special Notes and Comments BATHROOM AND SITTING AREA FOR SECOND MASTER BEDROOM -[CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ALTERATION OR DEMO TO THE REMAINING DWELLING AREAS. 2010.CALIFORNIA BUILDING CODES. October 30, 2013 3:10:37 PM AORTEGA -----------------------------------------------------=-------- Other Fees . ... . . BLDG STDS.ADMIN (SB1473). -------------- 1.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, REMODEL 150.15 PLAN CHECK, MECHANICAL 4.77 PLAN CHECK, PLUMBING 59.60 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due Permit Fee Total 147.82 .00 .00 147.82 Plan Check Total 10_50 .00 .00 10.50 Other Fee Total 239.85 .00 .00 239.85 i Grand Total 3.98.17 .00 00 398.17 LQPERMIT Din # 41 4Qty of La Quinta Building 8T SafetyDivision OCT 18 2Qj3 P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 CIN r- LA QUINT Building Permit Application and TrackingC6*ONITY DEVELOP Permit # Project Address:ZY D A tl";da m Ane5 Owner's Name: Ct:� Akkpjp A. P. Number: 27617'Z 00,5 Address: ?05 tgve&t4Q Lt~ T'o& Legal Description: City, ST, Zip:LA(5tj4 A 44 .92 - Contractor:` Telephone: y 4> ? j Address: S 2tJPiti'tC6� �/C� Project Description: LO Ocl e. City, ST, Zip: e—'O 'Z Telephone: - 00 ,:::::::.:.: <>'<:> •'':'#s :..; State Lic. # : %/ 1-3 Y4141 city Lie. #... �v . Arch., Engr., Designer: 5�uwCS4 GC+N t:p tS Address: IS CAA-' 45644 5 0 5 City., ST, Zip: i,,A40 N*• CA- -52153 Telephone: 7�~ 33 .<•:.ons > truction Type:/&MOd, Occupancy: <:i•:4<ti�i}}:i}i>'ry�.v�iiS:l:R:}`r is?:t;• :iiiii�. , State Lie. #: % �<3/ : ? .; •.,::;::»:%>l::;<,;;:.::<.;;:.; Project type (circle one): New Add'n ter Repair Demo Name of Contact Person: Jf.CV� � C71�. Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: -7 6 © - 26 0" 7 %/ O Estimate Value of Project: • J �� C/ APPLI ANT�MOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING f 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21' 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:- 31' Review, ready for correction i ue Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees V0 14o [let- k*-. wl Wwma+c4 .NT