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13-0492 (RER)r • P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000492 Property Address: 78630 FORBES CIR APN: 604-221-005-39 -23268 - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:. 10000 4v4 41� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: OCEAN CAPITAL GROUP 6789 QUAIL HILL PRKY, STEr_ IRVINE, CA 92603 ED VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/21/13 Contractor: JUMAY 212013 Applicant: Architect or Engineer: HUITRON CONSTRUCTION 50427 RIGID COURT =FIYNANCE LAQUINTA COACHELLA, CA 92236OEPT. (760)398-3227 Lic. No.: 926190 CENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th t I am licensed under p visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus e s and Pr fessionals Co e, an my License is in full force and effect. License Class: 13 Li n e No 926190 Date: "Z_I r DContractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of p jury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, 6 siness 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 70001 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.l. (_) 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.). ( 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 - 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 _,,_,*sued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performancq of the work for which this permit is issued. My workers' compensation insurance carrier and polic number are: Carrier STATE FUND Policy Number 0013718-2012 1 certify that, in the peIt orm ' ce of the work for whic&ermit ed, I shall not employ any person in any mann r so a to beco a subject to tnsation laws of California, and agree that, if I ou ecome bject to the wion provisions of Section nem., 3700 of the Labor od , I shall f / hwith comply ns. Date:C Z1 ^1 3APPIic t: I WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO aRIMINAL 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 fora act or omission related to the work being performed under or following issuance of this per it. 2. Any permit issued as a result of this application b co es null and void if work is not ommenced within 180 days from date of issuance of Uinforma tion of work for days will subject permit to cancellation. I certify that I have read this application and state that tis correct. I r o co bly with all city and county ordinances and state laws relating to bund hereby a i repr entatives of this county to enter upon the above-mentioned propeposes. Date: �'Z�^1 %gnature (Applicant or Agent):7 Application Number . . . . . 13-00000492 ------ Structure Information 174SF DECK [ENGINEERED] ----- Other struct info . . . . . CODE EDITION' ---------------------------------------------------------------------------- 2010 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 117.00 'Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 10000 Expiration Date 11/17/13 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 ---------------------------------------------------------------------------- Special Notes and Comments 174SF DECK [ENGINEERED] CODE CASE: 12-5223 [KM] 2010 CALIFORNIA BUILDING CODES. May 20, 2013 12:43:55 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES 1.00 Fee summary Charged Paid Credited ---------------------------------------------------------- Due Permit Fee Total 117.00 .00 .00 117.00 Plan Check Total 76.05 .00 .00 76.05 Other Fee Total 2.00 .00 .00 2:00 Grand Total 195.05 .00 .00 195.05 LQPERMIT .E . -� . • Bin '_• ... • • . • of.La Q uinta • • .. • -• • • • . :. . Cray : Buffft a Safety DWsian P.O Box 1504,•78-495 Cab-Tampko I " ftinit # L . QLMta, CA •92283 - (760) 777-7012 BuDdrig Permit'Awlicadonand Tradan gSheet ProjoaAaerrss: owner's Names . `,, A. P. Number. .. Z Addrwr. %gel Description 23 acyv ST, Zip: ILAS i • Contrstibo Address: — Z o Pr' c4Dmiption: j city. 41 zip• k�,, S= UQ ## :��}�I��. Qty ue&- s cl, WHY arv.'ipw. '- • • .. ' '. aty. ST. zip: l E iTelephone: -7 ConsLntction Type. 0- 3 State Lir: #: prplect type (circle otro}: New AMn Alter Demo Nems of costal t Person: S4 Pt: 7 ' t1 Starless L o uuiw I Ldephoae d of Contact Person: -� Esdmatod Vahm of Project: , APPLICANT. 1> 0 NOT WRITE BELOW TM LIRE N Submittal Req'd 8ec'd TRACKM PBRM[MU. • I��s� � Pt,zar " • Y � • �� . f strgeturaiCai� ReNerled,rel* for a PhuCb=k-Depodt:_....................._......... _.....:_..........__.. T1 sa Cates. = ckned Contact Persoa Pisa Check Sstanee_ Title u Carl. Piaw pMced up Conrerautioa , Flood pieta planPlans nesabmtHed: - Mechaiieal "I S fiindinppta» 2'!Ralar;readyfor race BiecMeal 'i _ SnbcoatactarList C1wCsaladlersoor Ph�mbisg Cram Deed Phm ~ up SELL • H.O.A.Appeovai Pharesabaalloai .. G�adia; .. •. iIN SOUSBt '" I�tier►; rndy for urratteorl6eae Derdoper Iapaet Fte j Phnutug ppmd CauedCWataetPMM A.LY.T. V Pnb. WkL ApprNo ' bsae i 6 2,01 t Permit Fees e'