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07-2094 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ` Property Address: APN: Application description: Property Zoning: Application valuation: 07-00002094 611157IRE BARREL DR 764-280-999-69 -300235- ADDITION - RESIDENTIAL MEDIUM HIGH DENSITY RES 5958 T4ht 4 4 Q" Applicant: 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 ag Professionals Code, and my License is in full force and effect. License Class: B / LicenseNo.: 828575 ate:! Z7� mractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury at 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. Anyviolation 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 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 Owner: BILL & MARGE GUENTZLER 61-115 FIRE BARREL DRIVE LA QUINTA, CA 92253 Contractor: PARKER CONSTR COMPANY, 72870 TAMARISK STREET PALM DESERT, CA 92260 (760)340-2482 Lic. No.: 828575 ------------------------- WORKER'S COMPENS. I hereby affirm under penalty of perjury one of the following df I have and will maintain a certificate of consent tc 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 bec a subject to the workers' compensation provisions of Section 3700 of the Labor Cod forthwith comply with those provisions. �—�� A ant: 4�� WARNING: FAIL RERE TE W 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. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: 9/26/07 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 c tructian, and hereby authorize representatives of this c ty enter upon the above-mentioned property pection p sas. Signa Applicant or Agent): .1 Application Number . . . . . 07-00002094 Structure Information 304SF ADDITION TO GARAGE Other struct info . . . . . CODE EDITION 2001/2005 # BEDROOMS ..00 FLOOD ZONE NO GARAGE SQ FTG 304.00 PATIO SQ FTG .00 1ST FLOOR SQUARE FOOTAGE .00 2ND FLOOR SQUARE FOOTAGE ------------------------------------------------------- ---------------------- .00 Permit . . . BUILDING PERMIT. Additional desc . Permit Fee .. . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 5958 Expiration Date 3/24/08 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 36.00 Permit . . . ELECT -'ADD/ALT/REM Additional desc . Permit Fee . . . . 21.08 Plan Check Fee 5.27 r Issue Date Valuation . . . . 0 Expiration Date 3/24/08 Qty Unit Charge Per Extension BASE FEE 15.00 304.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 6.08 -------------------------------------------=-------------------------------- Special Notes and Comments 304SF ADDITION TO GARAGE/V-NR/U-1 [ENGINEERED] 2001 CBC; 2004 CEC, 2005 ENERGY CODES. THIS PERMIT DOES NOT INCLUDE ANY MODIFICATION TO DRIVEWAY APPROACH. September 26, 2007 10:2.3:52 AM AORTEGA ------------------------------------------------=--------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 5.27 STRONG MOTION (SMI) - RES .59 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit•Fee Total 102.08 .00 .00 102.08 Plan Check Total. 57.92 .00 .00 57.92 Other Fee Total 5.86 0.0 .00 5.86 LQPERMIT LQPERAIIT 165.86 i -1 .- Bi" # ` ' -Y City of la Quinta Building & 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: Owner's Name: A. P. Number: Address:(p,•-11� �� ,v Legal Description: Contractor:�� Q0. j City, ST, Zip: Telephone: Address: "�j lQ a� �5 Project Description: City, ST, Zip: ,-(1 c�t� Telephone:(% State Lic. # CityLic. #: ' Arch., Engr., Designer: Address: City,)ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): NewAdd'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person:e,�' Telephone # of Contact Person: ( Estimated Value of Projec000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING. Aolol PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections S Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Cal cs. Plans picked up Construction Flood plain plan Plans resubmitted ` Mechanical Grading plan 2n' Review, ready for correcti issue LElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval . Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impac Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees -9 79-811 B Country Club Drive Earth Systems Indio, CA 92203 1� -Southwest (760) 345-1588 (800) 924-7015 DAILY REPORT OF INSPECTION .OF CONCRETE SB/R.S CO. GOV. UBC TITLE 21/24 OTHER Building Permit No.: 02,9006220 �� DSA Application No.: Date of Inspection: (]� �-y % Project Name: ��/ / 11 r'/'" t- e., �U c IV -1 7- _i "='t Job No.: Project Address: y, v Architect: / Structural Engineer: /391WX1 General Contractor: ��'� �� (� '`� f Sub Contractor: TYPE OF INSPECTION: Reinforcing Placement Other Description of Work Inspected: a I 4 r J Unresolved Items:- Descriptive Location of Samples: Slump: Cone Temp: Time in Mixer: Supplier: Admixture: Water Added: .Air Temp: Specified Strength: Mix Design: Truck #: Air Content, %: Unit Wt.: Sample Time: # of Samples: Field I.D. Marking: I hereby certify that I have inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. Inspector's Name/No.// YZ / 07/ 1 Inspector's Signature All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum.,,, In addition, any inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative BD -M-402 (10198) Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Governing Agency