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07-3098 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 1 Application Number: 07-00003098 Property Address: 78065 AVENIDA LA FONDA APN: 770-122-009-14 -000000- Application description: MECHANICAL Property Zoning: VILLAGE COMMERCIAL Application valuation: 4000 Applicant: Architect or Wgineer. V BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: KEVIN FORTUNE 78065 AVENIDA LA FONDA LA QUINTA, CA 92253 D f_.t. Zoo1 Contractor: SO CAL & ASSOCIATES PLMBNG INC UIKr P.O. BOX 955 Ci��PT A YUCCA VALLEY, CA 92286 EPT (760)369-4104 Lic. No.: 793482. -------------------------------------------------- . 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 Professionals Code, and my License is in full force and effect. License Class: B C36 C42 License No.: 793482 spate: 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).: (_ I 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 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prdfessions 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 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 Date: 12/06/07 ----------------------------------------------- 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. 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 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 Code, �shall �rovisions..Date:Applical � 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. 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 �toenteron the above-mentioned propeagDate:ature (Applicant LQPERMIT Application Number . . . . . •07-00003098 Permit . . MECHANICAL INV FEE Additional desc . Permit Fee . . .-, 66.00 Plan Check Fee 8.25 Issue Date . . . Valuation 0. Expiration Date 6/03/08 Qty Unit Charge Per Extension BASE FEE 30.00 2.00 18.0000 EA MECH FURNACE <=100K : 36.0.0 ------------------------------------------ ---------------------------------- Special Notes and Comments INVESTIGATION'FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT.REPLACED (2) 2 -TON HEAT PUMPS 13 SEER Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 66.00 .00 .00 66.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 74.25 .00 .00 74.25 Bin # City of La Quinta. 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 # Project Address:AJOL.4rOwner's Name: r` eU I ��c)747kLP— A. P. Number: �Z� l 2'Z —! Address: Legal Description: City, ST, Zip: Contractor: ��,t Telephone: Address: Or Project Description: r �� City, ST, Zip: L 6 Telephone: .(,> State Lic. # : JC4 3C -PS -Z— City Lic. Arch., Engr., Designer: Address: , City, ST, Zip: Telephone: �.s� Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: I/Y� ` �.{ fL Sq. Ft.: #. Stories: # Units: Telephone # of Contact Person: "7 toO ,tet{ W, 3 L( Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees DEC-6-2007 03:22P'FROM:HI-DESERT RIR,INC 7603652773 TO:7777011 P.1 12106/2007 IWI/ Ibn//fIUII LM nutrv1N c-a+o �• - .,� CU,)jj C!An ()p'COM�'LzANCE:.IiGSIDENIUL (Paget of 4) C 1R • kavj Acd ddross , � nbRa+ak1 Dowmaotiltlon Author Ing— Tcicpb^o — F7FW." 7ak/Dui Cotf�plienmMethad(Practiptive} gimateZoae �rR4?��Y ✓. O Arootnat?ve CompCMt nabge Method: rarJmgoCandPoc oD,choiCeo!e4aU'ei�RSr?t4�ddveri5estim�ndlord�iaafictattie8(see(RIRpvc . , • . • 'For Pr�eDAkcrisuAreceaApPmid'af3iy61e75i-t:FobtrpErs'I-T� ... _ - • Total GbtxTi IOW row Altil (GFA) ' 1�vaago rxi11tt6i�C Y. J R MainmmADOVmdwestFaaogFoneseraf7a�Hvduet{AeiTa6le1S!$a1f1 Mm;xhv n Alktwed 7 W Fmcimdon Piodwz Per rabic 151.8 or isl-t_ OM X CFJIj n .'�d8tdld]og�YPG(dKdtooaormare)_S;aapleFarai�'.,,_,_MnttiAmERy :AQcGI)oa_Alter}tion `11� (lfaefdloE face roti bU QW WS-4P vFamtmgm Mnb wm Allowed Arw.WakabactmW no Swim ".2 . for Addie w and t33 foe A)ten9oas ) NnmbesofSEgfx .f `' ofpwdUeisilhitg�_ HoorGbatstst�on S1s61RalaedF7oer(ohaa0000rl>oQ�) • . Ftooc Namiso�9.fl�elwatf/urbriuoafim+(b�pueBootorGarbiGeniaJc�aest�nmtrae • N� amd drdc•ea�e). ✓ ❑AMIM $A1tRYER fieanitadinaimda zonas z 4. i IS1 O*ROUE S INCI.0 M OPAQUE DQQRS t Amb U� Type(WA Ram hd"(Idr 7oFat RooRRadNmt. . R*4 Floc,' Type- dm* , W04—MM App*U' SMITIC LooafioaQmmmfs' Slob Edge, (Wood kaulafloe lmala6on frtme aid mass IV Iodslled (sttk, ZNM% boas or Valuo lfaiaa. glias Rckarscc ..Ymot23o eee t} See Jolat Appaadix IV 14 Fee6on )V-2. W.3 and 1 VA; WN& lath9buebPor OOLIAc(aaBaioa U Beton an eeo ' MOW ptesat VC Value to show e(mve mm to R-Valoea: ResidentialCemplkq pF0n,4 March2005 Sob cY) out Ob Raeldoatlal('bmplknCeFarma �2p0S