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08-1506 (CRES)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: ; 08-00001506 Property Address: 51900 AVENIDA ,VALLEJO APN: 773-172-008-17 -000000- Application description: CARPORT - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: • • 4309 Applicant: Architect or Engineer: 41A BUILDING & SAFETY DEPARTMENT ' BUILDING PERMIT Ovvner: MELKESIAN 51-900 AVENIDA LA QUINTA; CA 9 Other struc.� Contractor: Owner A VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/04/08 - -------------------------------------------------------------------------------=---------------- LICENSED CONTRACTOR'S DECLARATION' WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with' I hereby affirm under penalty of perjury one of the following declarations: o Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I haveland will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: - ' License No.: - - - - - - - - - - - - - for by Section 3700 of the Labor Code,,for the performance of the work for which this permit is issued. - Date: Contractor: - _ 1 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 i OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier - NO Policy Number , following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that4boe Id ecome subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the L I shall forthwith co pl w' t ose provisions. that he or she is exempt therefrom and the basis for the allegedexemption. 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 (5500).: ate: lican1, 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 - WARNING: FAILURE TOSECKERS' COMPENSATI N COVERAGE IS UNLAWFUL, AND SHALL ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN _ ' improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. • property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon Whose behalf this application is made,, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, ' 1 _ 1 lam exempt under Sec. _,ByCthis reason 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. . ' ��AONSI.UCIIIN 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 subjecLENDING AGENCY permit to cancellation. I hereby affirm under penalty Of, perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree.to_ comply with all " work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize r presentatives- - - of .this county to enter upon above-mentioned ope r spection purposes. - Lender's Name: lU _ e , r •IK gnature (Applicant or Agent). Lender's Address: - Application Number 08-0000.1506 - Permit—. . . . ELECTRICAL-CARPORT/GARAGE.. Additional desc " Permit Fee."... 21.48 Plan Check Fee 5.37 Issue Date Valuation 0. Expiration Date :. 4/25/09 - Qty. Unit Charge Per. Extension BASE FEE- 15:0`0 .. 324.00 0200` ELEC GARAGE OR -NON-RESIDENTIAL 6.48 ' Permit CARPORT/GARAGE . Additional desc Permit Fee 72.00 Plan Check Fee 46.80. Issue Date . > -- Valuation -- - 4309- - Expiration Date,. 4/25/09 t y Qty Unit Charge Per Extension - BASE FEE 45.00 ,3.00 9.0000 THOU BLDG 2;001-25,000- 27.00 ------------- Special Notes and Comments -------- ------------- CARPORT ADDITION. 324 SQ.,FT. ----- - - - - -- --------------------------------- Other Fees STRONG•MOTION (SMI)-- -------- RES ------------- .50 . Fee summary -Charged Paid Credited Due ----------------------------- Permit 'Fee Total 93.48 .00, --- .00 ------ 93.48 Plan Check Total 52.17 .00 .00 52.17 -Other'Fee..Total .50• .00 00 -.50 ,.Grand Total ";' 146.15 .00 00 . 146.15 LQPERMIT - - • - ,' Bin # City of LaQ Uinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # j� / Project Address: -5-17,00 Q V9.AJi b A j h -/le D L461t;414- ` Owner's Name: K a e a- A. P. Number: Address: - Legal Description: Con �%/!� l/4 7�j' �/✓1Led2 QtSes � � Telephone: Address: Z Project Description: Alek dS'• ,Pe oL.7L yt/&,; — City, ST, Zip:A(4-, V,4 X Z-0 /27ZD y V Telephone: - 77^ c. # : (o 5'7S City Lic. #: Arch. Gngr., Designer:A/ZS ��/f,NS �r�w1,/ X=/ Address: S'%•y-9L - 2 9 74lws City, ST, Zip: K e- e- .¢ !ii¢ /ley , CA g2 4/ Telephone: 71, 0 - State Lic. #: to - Name of Contact Person: A, 4r'g 11,,N S Construction Type: Occupancy: 51,vfle �,vr. Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 32#, 6 7 1 # Stories: Ie # Units: Telephone # of Contact Person: 766 - 3toS�� Z ,�yCC� Estimated Value of Project: $/7, 600, APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, res for corrections Q Plan Check Deposit Truss Calcs. Called Contact Person q Plan Check Balance \ Energy Cale -s. Plans picked up (Bill 15 Constructio i Flood plain plan Plans resubmitted �� Mechani al Q o ' Grading plan god Review, ready for correctiotissue Electrics &,,W, Cb.)i5i% Subcontactor List Called Contact Person Z Plumbin b,OP (RAD 9I • `0i Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted ng IN HOUSE:- ''" Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 4 (5k -Wt -114 tuc Dkfv 511ZuC a CDO �q (ave U ''� 7�" all, ems'R,��-