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13-0237 (RER)s P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000237 Property Address: 80345 VIA PONTITO APN: 772-450-039-75 -298942- Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or C.y.i4UJtC"tA(k ------------------ LICENSED CONTRACTOR'S DECLARATION 4 am& J BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of r'ur sat l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division a Busi and Professionals Code, and my License is in full force and effect. License Class: B License No.: 457228 Date4 _3 _ 1 3 Contra or: %_44 i) 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, 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.) (_) 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 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: 3/21/13 Owner: ARTHOR, GARY 7600 LANDMARK INDIO, CA & LAURA A TRUST WAY 1206 GREENWOOD VILLAGE, CO 80111 Contractor: MONARCH HOMES DESERT DIVSN INC 49950 JEFFERSON ST, #130-134 INDIO, CA 92201 (760)413-8863 Lic. No.: 457228 ------------------ 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 STATE FUND Policy Number 9045509-13 _ I certify that, ie perform ce of the work for which this permit is issued, I shall not employ any person in d y s o become subject to the workers' compensation laws of California, and agree { , if I should ome subject to the workers' compensation provisions of Section Q / 3700 of the a s II forthwith comply with those provisions. Date: ' 7�` Applic nt: WARNING: FAILURE TO SEC KERS' 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 suc r or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that I above il or tion is correct. I agree to comply with all city and county ordinances and state laws relating to b I co tructi n, and hereby authorize representatives of this county to enter upon the above-mentioned pro arty fo ectio pur oses. ate. Signature (Applicant or Agentl Application Number . . . 13-00000237 ------ Structure Information INTERIOR REMODEL AT MB/DINING/LIVING ----- .Other struct info . . . . . CODE EDITION 2010 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date Valuation . . . . 30000 Expiration Date 9/17/13 Qty Unit Charge Per Ektt&-ftelo1 BASE FEE 252.00 5.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 32.50 Permit ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 53.85 Plan Check Fee 13.46 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/17/13 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 53.00 ---------------------------------------------------------------------------- .4500 EA ELEC DEVICE/FIXTURE >20 23.85 Permit MECHANICAL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/17/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1..00 --------------------------------------------------- 6.5000 EA MECH VENT FAN ------------------------ 6.50 Permit PLUMBING Additional desc . . Permit Fee . . . . 33.00 Issue Date . . . . Expiration Date . . 9/17/13 Qty Unit Charge Per BASE FEE LQPERMIT Plan Check Fee 8.25 Valuation . . . . 0 Extension 15.00 Application Number . . . . . 13-00000237 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 3.00 6.0000 EA PLB FIXTURE 18.00 ---------------------------------------------------------------------------- Special Notes and Comments INTERIOR REMODEL TO MASTER BATHROOM LAYOUT AND DINING ROOM ENTRY WAY, AND RELOCATION AND ADDITION OF ELECTRICAL AT LIVING ROOM AND KITCHEN (ENGINEERED] THIS PERMIT DOES NOT INCLUDE ADDITIONAL SQUARE FOOTAGE. 20i0 CALIF6RNTA DUILDING CODES. March 21, 2013 5:00:24 PM AORTEGA ---------------------7------------------------------------------------------ Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 18.49 STRONG MOTION (SMI) - RES 3.00 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 397.35 .00 .00 397.35 Plan Check Total 213.14 .00 .00 213.14 Other Fee Total 23.49 .00 .00 23.49 Grand Total 633.98 .00 .00 633.98 LQPERMIT Bin # A City of La Quinta Buf*g a Safety Division P.O. Box 1504, *78-49S Calle Tampico Ia.Quinta, CA 92233 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: j O Owner's Name:. Vve A. P. Number. Q 3 Address: . Legal Description:- City, ST, Zip. Contractor. f ` Telephone- Address: Q w3lm �! Project Description: City, ST, Zip: 0 "46V1 v RntK Telephone: �� Q, �13 O� 3 �%— lS t State Lic. # : ' if y City Lic. Arch., Engr., Designer. Address: City, ST, Zip: f Telephone: i y3 y� ConstrudinaType:. jij Occupancy: 3 State Lic. #: Project type (circle one): New Add'n Alte Repair Demo Name of Contact Person: 5 3 Sq. Ft.: # Stories: # Units: ` Telephone # of Contact Person: � 1( �/` ' pI Estimated Value of Project: � Q APPLICANT: DO NOT WRITE BELOW THIS LINE _ M Submittal Req'd Recd TRACKING PERMIT FEES' Plan Sets Plan Cheek submitted Item Amount Structural Caics. Reviewed, ready for corrections Plan Check Deposit. . Truss Ce1cs. Called Contact Person Plan Check Balance Tide 24 Calci. Plans picked up Construction Flpod plain plan Plans resubmitted, . Mecharilcal Grading plan 2'' Review, ready for rnrrec6o ustt .) Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked ap � � r S.KL H.O.A. Approval Plans resubmitted Gradiog IN HOUSE:- Review; ready for corr"donvIssuc Developer Impact Fee Planning Approval Called Contact Person 31 A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ,Mtf� Total Permit Fees ................. . ..............._ . � �'ia,,. *a4 J 6N4 CIL