07-3136 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00003136
Property Address: 45270 SUNBROOK LN
APN: 604-'301-006-6 -23995 -
Application description: REMODEL RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000.
Applicant:
3
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Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/12/07
Owner:
AIESHA INSINGO
.45270 SUNBROOK
LA QUINTA,. CA 92253
Contractor:
13
2007
J82567
AVILA CONSTRUCTION,rED�C
AVENUE 48, #50
INDIO, CA. 92201•FLA
NTA
(760) 793-2728
FINANCE
DEPT.
Lic. No.: 412506
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.: 412506
Date: 12' 131, G . Contracto
OWNER -BUILDER DECLARATION
1 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 1$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, thebuilding 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 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
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
t, insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
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 Coshalle`' II fforrthwith comply with those provisions.
Date: 12423 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 apermit 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 Ouinta, 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 inspection purposes.
Date: Ii ►�, Signature (Applicant or Agent):.
FA
` .Application Number . . . . . 07-00003136"
;'.. Permit . . BUILDING PERMIT
Additional desc..
Permit Fee 45.00 Plan Check Fee...
29.25
Issue Date Valuation
2000
Expiration Date 6/09/08
Qty Unit Charge Per
Extension
BASE' FEE
15.00
15.00. 2.0000 HND BLDG 501-2,000
30.00
Permit ELECT,-'ADD/ALT/REM
Additional. desc ..
Permit Fee 20.25 Plan Check Fee
5.06.
Issue Date . . Valuation
0
Expiration Date_. 6/09/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00 _7500 PER ELEC.DEVICE/FIXTURE 1ST 20
5.25
----------------------------------------
Special Notes and Comments
8FT WALL ENCLOSURE IN EXISTING LIVING
ROOM TO ENCLOSE OFFICE COMPLYS WITH
NATURAL LIGHT 2001 CBC 2004 CEC PER
APPROVED PLANS/ AJ.ORTEGA .
------------------------------------------------
Other Fees . .. . . . . . ENERGY REVIEW FEE
2.93
Fee summary Charged Paid Credited.
Due
- ---------- ----------
Permit Fee Total 65.25 .00 .00
65.25
Plan Check Total 34.31, .00 .00
34.31
Other Fee Total 2.93 .00 .00
2.93
Grand Total 102.49 .00 .00
102.49
LQPERMIT
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Bin #
Cit y4 of La Quipta '
} Building U Safety Division
y P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pertnit.#
3l3
Project,Address: A115a70 6 ' ._
Owner's Name: esdl el
A. P. Number: '
Address: /M2 76 . e,441-crVIL
Legal Description:
City, ST, Zip:
.Contractor: /-red C& 17-3 ]�
Telephone:.
Address:
Project Description:
City' , ST, Zip:
Telephoner %(�d TC1.3
mein ..
City Lic. #:
�•l�/� �--.
State Lic. #., 7~�aZSQ 6.
Arch., Engr., Designer:
Address:
S' T
City, ST, Zip:
,
Telephone:.
P
1.
air
� r`
VProject
Construction Type: 'Occupancy:
State Lic. #:
type (circle one): New Add'n Alter. Repair Demo
Name of Contact Person: -�-�+^
Sq. Ft.: �'
f' "'
# Stories:
Units:
Telephone # of Contact Person: :743• a -7a.8
Estimated Value of, Project:�� = 1
�• APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING'
PERMIT FEES
Plan Sets ,,
Plan Check submitted
Item 3 '•
Amount l
. u
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
V
[ •
Energy Calcs.
Plans picked up '
Construction i
41 Pew.'
Fiood.plain plan
Plans resubmitted
Mechanical
U
Grading.plan"
2nd Review, ready for corrections/issue,.
r
Electrical
Subcontactor List
Called Contact Person
Plumbing'
Grant Deed
+,
Plans picked up
S.M.L.
I
H.O.A. Approval''
Plans "resubmitted'
Grading';
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P P. '
Pub. Wks. Appr
Date of permit issue -P
tt
School Fees
i
Total Permit Fees
•
..
1.
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CITY OF LA QUINTA
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