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14-0311 (RER)P.O-BOX11'SO4 % VOICE (760) 777-7012 78-495 CALLE TAMPICOFAX (760) 777-7011 3 LA QUINTA, CALIFORNIA 9225 ^Y BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 r BUILDING PERMIT - Date: 5/12/14 Application, Number: 14-00000311 Owner: Property Address: 53364 VIA PALACIO TAUBER 'JACK & ELIZABETH. APN: 772-560-061- - - 53364 VIA PALACIO kr-ITY Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (310)413-0804n1Application valuation:8000 MAY F 20+4 Contractor:Of LAQUINTA Applicant: Archite�t�'r Engineer: D &S HOME SERVICES CEOEPT.; 19489 JENNINGS STREET ,.4 (i �(/ RIVERSIDE, CA 92508 (909)900-5341 Lic. No.: 904397 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 Professionals Code, and my, License is in full force and effect. `x/License Class 13 icense No.: 4397 .G `Date: / contractor. O ER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury th a xempt 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.). l _ 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 WORKER'S COMPENSATION DECLARATION 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, 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 c e subject to the workers' co pensation provisions of Section 3 00 of the Labor Code shalt orthwith comply with tho provisions. , Date:.�r %Applicant, WARNING: FAILURE TO SE RE RK PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO INAL NALTIES 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 relatingto building c ruction, and hereby authorize epresentatives of this cou y to nter upon the above-mentioned property fo insp put oses. � ,4 1l Date: S 2 ignature (Applicant or Agent): - c -r Application Number _ '14=00000311 Permit . . ELECTRICAL 2013 Additional desc . Permit Fee 23.83 Plan Check Fee .00 Issue Date . . Valuation.- 0 Expiration Date 11/08/14 Qty Unit Charge Per: Extension 1.00 23.8.300 LS ELEC FIXTURES; FIRST 20 23.83 Permit REMODEL 2013 Additional desc . Permit Fee . . . . 60.06 PlanCheck Fee .00 Issue Date Valuation . . . . 0 Expiration Date 11/08/14 Qty Unit Charge Per. Extension 1.00 60.0600 LS MISC DR/WIN,"REPL, 1-7 60.06 Special Notes and Comments REPLACE WINDOW WITH BI FOLDING DOORS SAME HEADER. ADDITIONAL PLAN CHECK FEES WERE CHARGED FOR EXPIRED PLAN CHECK - NUNBER 13-643. ESGIL FEES $217 CHARGED CITY. 'April 2, 2014 12:46:49 PM JJOHNSON. Other'Fees . . . . . . . HOURLY PLAN CHECK 217.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, REMODEL 108.•68 STRONG MOTION (SMI).- RES .80 Fee summary Charged Paid Credited -Due Permit Fee Total 83.89 .00 00 83.89 Plan Check Total .00 .00 .00. .00 Other Fee Total 350.31 .00 .00 350.31 Grand Total 434.20 :00 .00- 434.20 LQPERAIIT,. . .. Din # i a t City of La Quinta Building 8t 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: 5 3 �A P,4i_Ae_O Owner's Name: �i- A. P. Number: .7 -�j;' ��z�{ Address: 533&y _Y'/lfi--l'At-f--/v' Legal Description: City, ST, Zip: J,+ Contractor: or: ,rj /t'l� �V�C� Telephone: Address: ; :% �O / J ��� f�S i Project Description: JA)//✓DatJ C'ty, ST, Zip: � F'' Telephone: :>rs>:;:>:;r >�::>:;:::>;� ;:,;r�;r::: State Lic. # : D �i 3q % ,' City Lie '# Arch., Engr., Designer: Address: City., ST, Zip:. r hone: CoTele :. structi n Type: • Occupancy:. cY State Lic. #: Project ci w dd e re a ne N A Alte e i I o e R air Dem 0 Name of Contact Person: 3eA�D SGF•iwi L_K Sq. Ft.: # Stories:— # Units: ` Telephone #,of Contaet.Person: �ilLd �y'—D�o.� Estimated Value of Project: g ODv - APPLICANT: DO NOT WRITE BELOW THIS LINE " # Submittal Req'd Recd TRACKING PERMIT FEES s Plan Sets Plan Check submitted 'Item Amount Structural Calcs. Revicwed, ready for corrections Plan Check Deposit Truss Calcs. • Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up. Construction Flood plain plan Plans resubmitted Mechanical 10,� . Electrical Grading plan 2qd Review, ready for corrections/issue Subcontactor List Called Contact Person Plumbing S.M.I. Grading u Grant Deed Plans picked. up. -H.O.A. Approval Plans resubmitted .. IN HOUSE:- Reyiew, ready for correctio/issue Z h Developer Impact Fee 4 r Planning Approval Called Contact Person Z A.I.P.P. • Pub. Wks. Appr Date of permit issue , School Fees Total Permit Fees . `AD®cnOt,�►.Q - ' W bR �- Gf�>'R-G ibp- C P/ C_ ,.