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12-1235 (RER)Pim P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 112-00001235 Property Address: 79300 DESERT STREAM DR APN: 604-321-008-8 -23935 - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8000 T4'vl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WONG ROY B 79300 DESERT LA QUINTA, CA STREAM DRI 92253 Contractor: Applicant: Architect or Engineer: VISIONS WEST REMODEL & 46491 ROUDEL LN LA QUINTA, CA 92253 `�fL (760)347-2233 PIP Lic. No.: 722925 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 Li nse No.: 722925 Date: �1%���ib /1 L ntractor: J 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).: (_ 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, 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.). (_ 1 I am exempt under Sec. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/06/12 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 EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, 1 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 aabor�Code, I/"Shall forthwith comply with those provisions. Date: *450�� ,D,,cant.-VGO��,.a ceY�idd CJS G. 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 1$100,0001. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon t ove-mentioned property for nspection purpooss_e}J� Date: 25i ature (Applicant or A e LQPERMIT Lication Number . . . . . 12-00001235 nit BUILDING PERMIT itional desc . nit Fee . . . . 99.00 Plan Check Fee 64.35 ue Date . . . . Valuation . . . . 8000 iration Date 5/05/13 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU. BLDG 2,001-25,000 54.00 -------------------------------------------------------------------- nit itional desc . nit Fee . . . . ue Date . . . . iration Date . ELECT - ADD/ALT/REM 22.68 Plan Check Fee . . 5.67 Valuation . . . . 0 5/05/13 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 1.68 B.00 .7500 --------------------------------------------=----------------------- PER ELEC DEVICE/FIXTURE 1ST 20 6.00 nit MECHANICAL itional desc . nit Fee 19.50 Plan Check Fee 4.88 . ue Date . . . . Valuation . . . . 0 iration Date . . 5/05/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 -------------------------------------------------------------------- cial Notes and Comments VERSION of 84 sf (61x141)OF GARAGE D LIVING AREA (LIBRARY AREA). 2010 ES. FIELD VERIFY BEARING OF EXISTING DER TRUSS PRIOR TO ROUGH FRAMING. DR ADJUSTMENT 2012-658 APPROVED. -------------------------------------------------------------------- vuzier Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 6.44 STRONG MOTION (SMI) - RES .80 Fee summary Charged Paid Credited Due -------------------------'-------------------------------- Permit Fee Total 141.18 .00 .00 141.18 LQPERMIT 10 A �2 z 3 b oow- UI TY OF LA (�UINTA [VA UILDING & SAFETY DEPT. APPROVED. FOR CONSTRUCTION . �o L _ 8Y "All construction shall comply with the 8010 California Residential, Mechanical, Electrical, Energy, and the La Quinta Municipal Code." V ox _ fCr�Te�ti -- r �r 'iy►cY ��, ��2-'G58 7 //;6 J 01 -A--I2_ 123 Lauu eaY S,Crv,wr/s SOX Fove R 6 CiosET C�c�s;,av �pEMov� „qtr Ota"x 6 =e I, S4,v,Ntr6L, D,P. . APrs7—trz2 ,a C—: � DR edlA, M777TM aeFpAoeM ;-�4 I - I .tJsFL'CoFZ ipy li �.loCz. To �t.Y�l��Wll,fiC� . W J_^ Wow; Rc—sloo5,Nce7 r 79-300 2.060 sQ. .S C-6 PE ©G Wo eK I� PeuR Cew�e�7E►4B ole[ Tod o� C�e,s>i,uG l�+Nclz�7e n fit r4K E S u ftFva c� FLu siF �/1 YM 5xrs r�wi 6 �1ov>� �� �LSGT2 eR L 3, r ZAAI a-r(4P wPrCt �,l R-13 f�ISctLA'>iON -11.I (A/OLLS P, -30 i,U5i,44-r104 )Ly CC -/UN&- OCT 16 2012 By ��Dt�lD� C sey2e 1 GyIDMpxfpE- N J -N�• ` Bin. CIS}/ Of La Quth d `71.ecd2o �$L . Btdkgng sf Safety Division . P.O Box 1504, 78-495 Calle Tampico Permfc La.Qnalta, CA 92253 •x(764) 7777012 1 Building Permit Application* and Traefdng Sheet t'rojecx.Addtcss - > Owner'sNamm. A. P. Number. Address: ff— ! Legal Description: city. ST, 3 Contractor.. Tdephonc- �.) Ing Address: PmjeaDewiption r 7 city, n zip: Y 9A1' -ex Telephone: - State Lie # - �' City Lie. Arcfi , FjW, Desi e City. ST, Zip; Trdcphone: Conshuction Type: ' Stater Ur, MProject type (crtde one): New Add ( Repair Demo Nems of Contmrx Patsaat7�� Sq__Ft: �� O(Qd Stories: # Unity f Perso Telephone f of Contact m- Eshmatad Value of Project ' �� APPLICANT: DO NOT WRITE BELOW THIS LANE N Sabmitml Bsq'd lleQQc'dPERMIT' FM- P1in�Seb J Play Check sa6miued Amomu �Shvdaiai Calls Reviewed, ready for P Deposit Ttnss Calces. Called Contact PcnonlulBalance _ i Tide 24 Career. � Picas picked up on Grading plait ltaricw, ready for oorregi rsstte wt - - - - 3ubcoitaetor Inst Called CoutactPoson 1 Eing Grant Deed Pians picked up H.O.A. Approval Pians resubmitted Gradtag - IN MUM- '" Review{ ready for correctlons/issae Developer Impact Fee Plandug Approval GAed Confad Person A,..P.P. Pub. Wka. Appr ' Date of permit issue School Fees Total Permit Fees • - (%lv�l2 �'i'1l��- ,�',rJ�/!�S?7il�i 2oli 'liS'S ��,L-. • •