07-2300 (RER)P.O.'BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r 07-00002300
Property Address: 79170 DESERT STREAM DR
APN: 604-341-008-1 -2.5363 -
Application description: REMODEL.- RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
Applicant: Architect or Engineer:
Iv I�
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT.
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section.70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License as B LicenseNo.: 485114
ate: fi tractor:
/ 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 (5500).:
(_ I 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, 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 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
1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/07
Owner:
MARGARET MILLER
79170 DESERT STREAM DRIVE
LA QUINTA, CA 92253 AD,
u SEP 041001
Contractor:
PROTECH CONSTRUCTION & RESTOR CI�OFj�
EP
2651 SATURN STREET FINANCE p Elly A
BREA, CA 92821
(714)982-5151
Lic. No.: 485114
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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 AMER INS Policy Number 3768850
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
37 of the Labor Code, I shall forthwith comply with those provisions.
ate: 3I d cant:
WAR NG: Al LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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 coup y ordinances and state I ws relating to building construction, and hereby authorize representatives
of this co 2to ente port thea e- mentioned property fo in purposes.
e: / i ture (Applicant or Agent): ,IF
Application Number . . . . . 0.7-00002300
Permit . . . . . . . BUILDING PERMIT
Additional desc
Permit Fee 45.00
Plan Check
Fee
29.25
Issue Date *. . . .
Valuation
. . .
. 2000
Expiration Date 2/27/08
Qty Unit Charge' Per
-Extension
BASE FEE
15.00
15.00 2.0000 HND BLDG 501
---------------------------------- L ----------
2,000
---------------------------------
30.00
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . . 22.50
Plan Check
Fee
5.63
Issue Date
Valuation
0
Expiration Date 2/27/08
Qty, Unit Charge Per
Extension
BASE FEE
15.00
1.00 7.5000 EA PLB WATER
HEATER/VENT
7.50
--------------- ------------------- 7 -------------------------------------------
Special Notes and Comments
FIRE DAMAGE REPAIR TO GARAGE: REPAIR
DRY WALL, REPLACE DAMAGED TRUSS,
INSTALL NEW 40 GALLON WATER HEATER,
REPAIR ROOF.
------------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY
REVIEW FEE
2.93
STRONG
MOTION (SMI)
RES
.50
Fee summary. Charged Paid Credited
-
Due
------------------ --------=------------
Permit Fee Total .67.50
---------
.00
- ----------
.00
67.50
Plan Check Total 34.88
.00
.00
34.88
Other Fee Total 3.*43
.00
.00
3.43
Grand Total 105.81
.00
.00
105.61
LQPERMIT
Sin #
City of La Quinta.
Building lit Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per; nit #
0`00
Project Address:' -710o Qf_5 .9M C, A M De
Owner's Name: G
A. P. Number:
Address: -7l/-7C> f?e S
Legal Description:
City, ST, Zip: � A Qu 17 Z2-5' 3
Contractor: ftzr> c ,VTR - G
Telephone:
Address:.
Project Description:
City, ST, Zip: �j��(1 'LJ1 7i� %i
/2 A
Telephone: J 2 /S
sisal=6—,-A
State tic. # : City Lie. #:
Arch., Engr., Designer:
r E2RL.
-A LC G
Address:
City, ST, Zip: t1C_lv
Telephone: J 915- 3 7 1
Construction Type: R Occupancy: IZ 3 _ CJ
State Lie. #:
Project type (circle one): New Add'n Alter Demo .
Name of Contact Person: S vp^
Sq. Ft.: 1-f 3
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 2 invo •'� '
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
Reed
TRACKING.
PERMIT FEES
Plan Sets
pt
Plan Check submitted
/�Q7
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"Review, ready for correctio sue
�,
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
ha Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
V3 �Lcv -� - e 1-17/0