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11-0960 (RER)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO 414 QsAmFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/14/11 Application Number: 7 11-00000960 T Owner: Property Address: 79625 STAR FLOWER TR CORA HAWLEY APN: 604-253-001-63 -24208 - 79652 STAR FLOWER TRAIL Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Contractor: Applicant: Architect or Engineer: DE GEARE BUILDERS INC D a 42335 WASHINGTON STE, F#344 PALM DESERT, CA 92211 ry �wR'1/�gCsst��- (760) 345-1216 c'r'f 1, 5 2011qq LiC. No.: 795830 J UCENSED 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 Code, and my License is in full force and effect. License Class: B License No.: 795830 Date: IJ -IS��� 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.). (_ 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 _ 1 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 --------------- - -- 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 STATE FUND Policy Number 0013415-2010 1 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, I shall forth ith com0 ply ith those provisions. Date: /5 Applicant: i/ 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. , APPUCANT 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for ' pection urposes. ;Date:-isii Signature (Applicant or Agent): Application Number . . . . . 11-00000960 ------ Structure Information BATHROOM REMODEL [CONVENTIONAL] ----- Other struct info . . . . . CODE EDITION 2010 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 162.00 Plan Check Fee 105.30 Issue Date . . . Valuation . . . . 15000 Expiration Date 3/12/12 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ---------------------------------------------------------------------------- Permit . . . MECHANICAL Additional desc . Permit Fee 21.50 Plan Check Fee 5.38 Issue Date Valuation . . . . 0 Expiration Date.. � 3/12/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.5000 EA MECH VENT FAN 6.50 L Permit ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . Valuation . . . . 0 Expiration Date 3/12/12 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 9.00 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc Permit Fee . . . . 42.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/12/12 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 LQPERMIT Application Number . . . . . 11-00000960' -------------------------------------- Special Notes and Comments ` MASTER BATHROOM REMODEL - REMOVE TUB TO INSTALL SHOWER, RELOCATE WATER CLOSET TO WHERE EXISTING SHOWER IS LOCATED TO EXTEND COUNTER [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO LOAD BEARING OR LATERAL RESISTING CONSTRUCTION. 2010 CALIFORNIA BUILDING CODES. September 14, 2011 3:40:46 PM AORTEGA --------------------------------------------------------------------------=- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 10.53 Fee summary Charged Paid Credited ---------- Due ----------------------------------------------- ` Permit Fee Total 249.50 .00 •.00 249.50 Plan Check Total 126.43 .00 .00 126.43 Other Fee Total 11.53 .00 .00 11.53 Grand Total 387.46 .00 .00 387.46 LQPERMIT CONSTRUCTION HOURS _ October 1st - April 30 Construction is NOT PERNlIiiFD Monday - Friday: 7:00 a.m. to 5:30 p.m. on the following Code Holidays: Sunda ay: s:oo a.m. to 5:0o p.m...:. Sunday: None _ •. > > - - �• R _ _ _ _ Government Code Holidays:- ` None y NewYear's Day \ E 11(ay 1st - September 30th y' Dr. Martin Luther Krnglr. Day �1Vd'q'nday -Friday: 6:00 a.m. to 7:00 p.m. Satnrda : 8:00 a.m. to 5:00 .n4 _ Presidents Day y . p . Memorial Day _ Sikuday.:: ,,.1 None t Independence Day ��.IG`ei"e�nt Code Holidays: None t Labor Day Veteran's: Day t.. a A6E UATELY SIZED -DEBRIS CONTAINER Thanksgiving Day , ,~ Christmas Day L,` ,- IS REQUIRED ON THE JOB SITE DURING ALL H 0PHA �1SES OF CONSTRUCTION AND: MUST BE EMPTIED AS NECESSARY.`FAILURE TO DO SO ' 7 MAY CAUSE THE CITY TO HAVE THE CONTAINER . -RE-INSPECTION FEE ;OF $30 Df1MPED AT THE EXPENSE OF -THE OWNER/, -- A' WILL BE CHARGED IF THE APPROVED CONTRACTOR. PLANS AND JOB CARD ARE. NOT. ON U THE SITE -FOR A SC - INSPECTION. I �--- 1 CITY OF LA-OU_INTA NO F3(EPiIO CNS. , _ BUILDING & SAFETY'DEPT. - . FOR CONSTRUCTION DATE °� !� %Ota gy�_' dam— `A­ r�,, SEP 0 6 2011 - r < v [-",A �'T 1-11 14.� L-�- [-� T-- 7- 1T . R [Z--- m0 11--j 6- L A K IF-. A _ V1 A.ST P.. arE.-D i� M CITY OF LA QUINTA BUILDING& SAFETY DEPT APPROVED FOR CONSTRUCTION DATE BY L V ky 6 rZ M. . F ��p � �,�,�� ��� � � 'Ef�� .lac„ ��-c u.t4 . Bin #... ., City of La Quints .. . Building 81' Safety Division Permit #P.O. Box 1504, 78-495' Calle.Tamplco La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address. _ 2S' 5—Po, Owner's Name: Cod.HCL LAk e- A. P. Number: Address:. S Legal Description: City, ST, Zip: u � x%02. Contractor: Telephone: 76C Lq qL4 Address: �i 23 ?� 33 Project Description: City, ST, Zip: Telephone: %O Vim. .ccx. >:::ez ;F City Lic. #: ,,a✓ IAIILX State Lic. # : 7off-0 316— Arch., Engr., Designer. v7 Address: City, ST, Zip: Telephone: � State Lic. #: of Contact : erson vu; ' r� Constivaion Type: Occupancy: -":;x ; = Project type (circle one): New Add'n Alter RepJI)c-oName ,� Sq. Ft -�sTelephone# of Contact Person: (0-b �j �� CTS Estimated Value of Project: O �APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Pisa Sets Req'd Rec'd TRACMG PERMTT FE Plan Check submitted Item ount Structural Cala. Reviewed, ready for correetioos Plan Check Deposit Truss Calm Called Contact Persou Plan Check Balance Title 24 Calm Plans picked ■p Construction Flood plain plan Plans resubmitted Mechanical Grading pian 2'' Review, ready for correctionarrsue Electrical Subcontactor List Called Contact Person ` Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plana resubmitted Grading IN HOUSE:- Review, ready for correctionsf �" Developer Impact Fee Planning Approval Called Contact Person q i A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 1 00W -b i5svF C&yqWV^#]