07-3252 (RER)t
P.O. BOX 1564,-
78-495
564,-78-495 CALLE TAMPICO
_ LA QUINTA,-CAL'IF.ORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: -2/22/08
Application Number: 07-00003252 Owner:
Property Address: 52201 AVENIDA VILLA SAMUEL & KARINA SOSA
AM 773-233-024-9 -000000- 52201 Avenida Villa
'Application description: REMODEL - RESIDENTIAL " •.a LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL
Application valuation: 5000
Contractor: D n
'Applicant: Architect or Engineer: Owner �J
APR 1 2008
CIT yOF L,q QU1NTq
F/NgNCE pEPT
-------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of .perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
• issued. -
Date: Contractor: - _ 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
IOWNER-BUILDER DECLARATION 1 insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Policy Number
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to ..I certify that, in the performance of the work for which this permit is issi'Pi
, I Shall not employ any
construct, alter, improve, demolish, ui repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to filea signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the worke ' c pensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) or - 3700 of the Labor A shall forthwith comply ' tho a ro_visions.
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).: Date:9 Applicant: i
P 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 - WARNING:. FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLA UL, AND SHALL
- Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
'- - and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If; however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
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.). APPLICANT ACKNOWLEDGEMENT
( v 1 I, as owner of ihe,property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the�Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
nrOnPrtv whn hnilrls nr imnrm(as ihsamnn, anrt +e+r,n rnnr.ngto fv. thii prcjoate v:ith a as+tihasta�lol fva.�J I. Cacii petsun upuu wttuse uanan tnis applllla1116n it M06, each person at whose requesi and for -
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. ,. B.&P. or this reason 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. _
Date: �� Owner) - - 2. Any permit issued as a result of this application becomes null and void if work is not commenced
F -- - - - within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
ONSTRUCTION LENDING AGENCY - permit to cancellation.
. I hereby affirm under. penalty, of perjury that there is a construction lending agency for the performance of the - " I certify that I have read this application and state that the ove information is correct. I agree to comply with all
• work for which this permit is issued (Sec. 3097, Civ. C.): - city and county ordinances and state laws relating t u construction, and hereby auth representatives
r - of this county to enter upon the above-mentioned ope or inspection purposes.
Lender's Name: 1 _
Dat Signature (Applicant or Agent) L{�
Lender's Address:
LQPER1111T
. Application Number . . . 07-00003252'
Structure Information 670 SF GARAGE
Other struct info CODE EDITION 01BMP04EOSEN
# BEDROOMS
3.00
Permit BUILDING• PERMIT'
Additional desc:.
Permit Fee '.• ; . 72.00 Plan Check Fee
46'.80
Issue _-Date :. ' .... Valuation
5000 '
Expiration Date 8/20/08
Qty Unit Charge Per
Extension
BASE FEE
45.0.0
'3. 00 9.0000 THOU BLDG 2,001-25,000
27.00
Permit. ELECT - ADD/ALT/REM
Additional desc. -
Permit Fee" 28.40 Plan Check Fee
7.10
Issue Date Valuation
0
Expiration Date 8/20/08
.Qty Unit Charge Per
Extension
BASE FEE
15.0.0
670.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
13.40
-------------------------------------------------------------
Special Notes and Comments.
**code case** DEMOLITION OF APPROX. 268
SF PORTION OF GARAGE BUILT W/OUT PERMIT. �.
REBUILD GARAGE LOCATION TO LOFT REAR
SETBACK 670 SF (2.2:33X30 FT)[Note:See.
permit 07-3253 to BUILD 10 LIN FT. OF
5FT GARDEN WALL Q SIDE PROPERTY LINE as
part of code case]. 2001 CBC,CMC,CPC, .
2004 CEC,.2005 ENERGY CODES
--------------------------------------------
Other Fees. _ . . . . ENERGY REVIEW.FEE
-------------
4.68:
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 100:4.0 00 QQ
100.40,,
FlaII Cheuk TuLal 53.9u 00 00
53.90
Other FeeTotal• 5:18. 00 00
5.18
Grand Total 159.45 00 00.
159.48 _ --
LQPERAIIT . '
.
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o�--Cityof La Quints =`
Building & Safety Division � (e tjE
P.O: Box 1504,78-495 Calle Tampico
La Quinta; CA 92253,- (760) 777-7012• ,
Building Permit Application and Tracking Sheet
Permitfl,,
Project'Address:s
Owner's Name:
A. P. Number:
` ..
Address: get
Legal Description:
Contractor: •�
Address:
City, ST, Zip: • Iti
Telephone:
Project Description: .l
City, ST, Zip:, .
Telephone:
-'
City Lie. #:.
.
State Lie. # :
Arch., Engr:, Designer:
14{Oy1
Address:
Y •
City, ST, Zip:
'
•
Telephone:
State Lie. #:
Name of Contact Person'
'
'k1,0
1Azs
k
ra a4Sq.
. .
Construction Type: Occupancy:
Project type (circle one): ,New Add'a Alter Repair Demo
Ft.: b
# Stories:
# Units:
Telephone # of CoattfeVW3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE ilo►'IS oi� alJ�p . 010 11 QO
#
Submittal
Req'd
Rec'd
TRACKING.— PERMIT FEES
Plan Sets
Plan Check submitted
S 0 ' Item
•Amount.
Structural Calcs..
Reviewed, ready for corrections
Flan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy, Calcs.
Plani picked up,
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2"d Review, ready for'corrections/issue
Electrical
+�
'Subcontactor List
Called Contact Person Mic45
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 Contac -er !
A.LP.P. ,
Pub. Wks. APpr
Date o er t issu
i 3
School Fees
Vv
s
_
Total Permit Fees
2 M. '
f _
r Page 1 of.I- .
Street Map Plus_ Report ' ' REaiQuEst corn y
For Property Located At . •
52201 AVENIDA VILLA, LA QUINTA CA 92253-5209 -