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14-0652 (RER)Tdy P.O. BOX 1504 ^' VOICE760 777-7012 VOICE(760) 78-495 CALLE TAMPICO ,t• FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: .14-00000652 Property Address: 53330 AVENIDA VALLEJO APN: 774-083-005-20 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 0 Applican ; Architect or or�Enngineer: Owner: - AMY KRAMER 53330 AVENIDA VALLEJO LA QUINTA, CA 92253 (310)880-2203 Contractor: JV CONSTRUCTION COM P.O. BOX 3002 BLUE JAY, CA 92317 (818)314-1179 Lic. No.: 568102 J Date: 6/02/14 J11N Q 2,0gfs -------------------------------------------------------------------------------------------------- CENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I he y affirm under pen of perjury that m licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 000) of Divisio 3 of the Business an Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licen C s: B License No.: • 568102 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - issued. - - 'Contra - 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 OWNER -BUILDER DECLARATION – insurance carrier and policy number are: I reby affirm der penalty of 'jury that I m exempt from the Contractor's State License Law for the Carrier EMPT Policy Number EXEMPT following reaso (Sec. 7031 .5, B smess a 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, demolis or r it any structure, prior to its issuance, also requires the applicant for the person in any manner so as come subject to the workers' compensation laws of California, - permit to file a igned statement that a or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I sho ecome bject to the workers' compensation provisions of Section 'cense Law hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or the a is exempt therefrom.and the basis for the alleged exemption. Any violation of Section 7031.5 byany 00 of the Yor C e, I sh with comply with those provisions. applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e• ice - (_) 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 ARNING: FA URE TO SECURE WOR ERS' COMP NSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, S BJECT AN PLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the D LLARS ($1 0,000). IN ADDITION T THE COS OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. improvements are not intended or offered for sale. If, however, the building or improvement is sold within SE TION 37 6 OF THE LABOR CODE, IN ES 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.). 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—) 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 v 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 orpursuantto any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnity 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 o permit, or cessation of work for 180 days will subject ermit to cancellation. I certify that I\avreread this application and state hatthe abovformationiscorrectI agree to comply with all city and couninances and state lawsreing o building con ruction, and hereby authorize representatives of this c nt upon the above-mentioned p arty�c.insp tion purposes. Signature (Applicant or Agent): .y f Application Number . . . . 14-00000652 ' Permit REMODEL 2013 Additional desc . Permit .Fee . 31.46 Plan Check Fee .00 „ Issue Date Valuation . . . . 0 v Expiration Date 11/29/14 Qty Unit Charge Per. Extension 1.00 24.3100 LS MI EXT PLASTER, -1ST 500 SF 24.31 1.00 7.1500 EA MI EXT PLASTER, ADDL 500 SF 7.15 Special Notes and Comments STUCCO EXISTING SIDING.PER 2013' CALIFORNIA BUILDING CODES. 551X8' TOTAL OF 440 SQ FT APPROVED PER G.B. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, REMODEL 72.93 Fee summary Charged Paid Credited Due - --------------------- ---------- - Permit Permit Fee°Total 31.46 .00 .00 -------- 31.46 Plan Check -Total .00 .00 :00 .00 Other Fee Total 73.93 .00 .00 73.93 _ Grand Total 105.39 .00 .00 105.39 7W a Bin # City of La Quinta Building 8T Safety Division ' Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BuildingPermit A lication Trackin Sheet. -Application g and Project Address: S 5d 'Owner's Name:. A. P. Number i Address: Legal Description: City, ST, Zip: Z* ' (� Contractor: Tele Hone. ©` ® r 2-O p 3l �� 2 <> Address: �3 p p.2— Project Description: City, ST, Zip:` Tele hone: �y. 7 P 3 / iiF^{.•'`} State Lic. # : pJ �l GZ tyL lip Arch., Engr., Designer: Address: City., ST, Zip: \v 44 Telephone: p <<::>s:..::•?:;::.:::::::::.>:;;?.•?:•?>:;<:?:::»:::»>::: Construction Type: Occupancy State,Lic. #:??? _?? ?< ' "? ° ;•??:<:?:><>:::>?>>>:':.:<•..?:..;::?:•:;< .......:::::::......... Pro'ect' a circle one): New Add'n Alter Repair J tyP ) P Demo Name of Contact Person: Sq. Ft.: ` # St # Units: _a 00, Telephone # of Contact Person: Estimated Value f Project: 1. APPLICANT: DO NOT WRITE BELOW THIS INE # Submittal Req'd Recd a TRACKING PERMIT FEES. Plan Sets -Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit - Truss Ca16. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted . Mechanical Grading plan 2pd 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 corrcctionsCssue Developer Impact Fee + Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees r -odTotal Permit Fees 40 t a �- V