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07-0277 (RER)x.01 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00000277 49770 ENTRADA CIR 646-240-001- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 12650 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 I - Anse is in full force and effect. License Class: B ice a No.: 4 118 Date: Contractor: OWNER•BUILDE CLARATION I hereby affirm under penalty of perjury that I am exempt from Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Cod 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 1 1, 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 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 contractors) licensed pursuant to the Contractors' State License Law.). ( 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 Owner: SKENDARIAN 49-770 ENTRADA CIR_. LA QUINTA, CA 92253 Contractor: KENNEDY CONSTRUCTION 48751 SAN PEDRO STRE. LA QUINTA, CA 92253 (760)275-3003 LiC. No.: 442118 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/06/07 FEB 06208, 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 4 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 0024567-2006 _ 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 b ome subject to the orkers' pensation provisions of Section 700�!of the Labor Code II forthwith co with th provisions. Date: �7`Applicant: WAR NIN FAILURE TO SECU RKERS' COM NSAT N VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND Cl 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 ubject permit to cancellation. I certify that I have read this application and state that the above information is correc I agree to comply th all city and county ordinances and state laws relating to building construction, and .r 'authorize represen as of this co ty t enter upon the above-mentioned proper[ or ' pection purpos i Date: d�Signature (Applicant or Agent): �'`"�'� Application Number. . . . . . 07-00000277 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 144.00 Plan Check Fee 93.60 Issue Date . . . . Valuation . . . . 12650 Expiration Date.. 8/05/07 Qty Unit Charge Per .Extension BASE FEE 45.00 11.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 99.00 ,; Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 20.25 Plan Check Fee 5.06 1. Issue Date . . . . Valuation 0 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 7.0.0 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 5.25 Permit . . . MECHANICAL Additional desc . Permit Fee 30.50 Plan Check Fee 7.63. Issue Date Valuation . . . . 0 Expiration Date 8/05/07 Qty Unit Charge, Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 42.00 Plan Check Fee 10.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/05/07 �. Qty Unit Charge Per Extension BASE FEE 1S.00- 5.004.00 4.006.0000 EA PLB FIXTURE 24.00 1.00 3.0000 EA , PLB WATER INST/ALT/REP 3.00 ----------------------------------------------------------------------------- Special Notes and Comments REMODEL BATHROOM PER APPROVED LQPERMIT LQPEPWIT Application Number . . . . . 07-00000277 ----------------------------------------- Special Notes and Comments ----------------------------------- PLANS.February 6, 2007 9:46:57 AM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 9.36 STRONG MOTION (SMI) - RES 1.26 Fee summary ----------------- Charged ---------- Paid -------------------- Credited ---------- Due Permit Fee Total 236.75 .00 .00 23.6.75 Plan Check Total 116.79 .00 .00 116.79 Other Fee Total 10.62 .00 .00 10.62 Grand Total .364.16 .00 .00 364.16 L U �' f�� City of La Quints Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Pennit # DEEM Project Address:' 't10 A 2cLir Owner's Name: S A. P. Number: Address: �,� 110 Ci a4j L� Legal Description: City, ST, Zip: L-41)- �- '�,} 5223—j Contractor: Telephone: Project Description: rLR ANI i&qn Address: lj� 1 ' ��� 5�- City, ST, Zip: Telephone: 2,17 30033 State Lic. # : ���, °' City Lic. #: t, Arch., Engr., Designer: Address: City,,ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: G31N� . LG.�.�a9 Sq. A { ©8 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 2 , �, $ O APPLICANT: DO NOT WHITE BELOW THIS UNE # Submittal Req'd - Ret'd TRACKING PERMIT FEES Plan Sets +' Plan Check submitted 1 0 &1/0 Item Amount . Structural Cities. y [o Reviewed, resr corrections ` Plan Check Deposit Truss Calcs. Called Contact IM Plan Check Balance Energy Cities. LW Plans picked up AL.v $o Construction Flood plain plan Pians resubmitted Z p' . Mechanical Grading. plan 2' Review, ready for correctio issue ` Electrical Subcontactor List Called Contact Person 2 ` 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 Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ll07 -� AOR RD in ov5e B�*e,00(n Refr®dg-1 is NOT PERMIITFD' -wing Code. Holi ys: ;)-;w Year's Day 'Ur. Martin Luther I(IngJ r. Day President's Day Memorial D y I pen :Day L a a , eIsvve4' Vetera* Day Thanksgiving Day Christmas Day N 'AN ADEQUATELY SIZED DEBRI CONTAINER IS REQUIRED ON THE JOB S DURING ALL PHASES OF CONSTRUCTION D MUST BE EMPTIED AS NECESSARY. FP RE TO DO SO MAY CAUSE THE CITY TO HAVE E CONTAINER _ DUMPED AT THE EXPENSE OPTHE OWNER/ CONTRACTOR.' , If i CY h LL_-,LN G Roo rr, , SI► a C LOSET CONSTRUCTION HO October 1st -April.3. 00 April30 Monday - Friday: 7:00 am to :30 p.m, — Saturday: 8:00 am. to 5:0 pm. Sunday: None Govern t 4,1 Oo polidays: None May 1st - September 30th Monaa.7 - rb qday: 6:0o a.m. to :0o p.m. A RE -INSPECTION FEE O �0 Saturday: 8:00 a.m. to 5:0 p.m. WILL BE CHARGED IF THE Sunday: None PLANS AND JOB CARD ARE i0T O>� Government Code Holidays: None THE SITE FOR A SCH ULED INSPECTION. NO EMnONSI a Uy -7 1 1-A_ O P. 0_TV R Z._.._.. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSSc�UG,TIOR✓ ~ i -h &torn Fecnode•0 1.�J-eel- e CD w Nein ' I list. qp Ad6l cu lef HA«wA? ENTFL� �u O J a )-A �� [�a i�c� 6 ic �Gmaln 3AmF W� M 1 n a CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION )ATE BY f�o ©iRllL. Co�►c4�c 4 ►� ccs. w� i�+ C.NIJ 6"kiJI"'y coo £�4cta� J � iwLc1^u►r�aK� 2 � � IIA ®I�C,✓rr�a.+w cokd�de.cd v+.a L �a r,N: —1-Y i e Ifo •• � �( Zo Aw'? G��2t>i'! hat�e..or• A. KENNEDY CONSTRUCTION GENERAL CONTRACTOR CUSTOM HOMES 3 [' Co -1 48-751 San Pedro Street • La ®uinta, CA 92253 • (760) 564-4660 9 LIC. NO. 442118