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06-4035 (DSF)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004035 Property Address: 51355 DESERT CLUB DR APN: 770-152-016- - Application description: DEMO - SINGLE FAMILY Property Zoning: VILLAGE COMMERCIAL t Application valuation: 0 T44t 4 4 Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 License is in full force and effect. License Class: License No.: Date: Contractor: 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 I� 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.). 1 _ 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 con cts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.S. �.f' r^• *hi_ s- r�on ate: 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 ISec. 3097, Civ. C.). I Lender's Name: Lender's Address: LQPERMIT Owner: DAVID MILLS 13055 VENTURA BLVD STUDIO CITY, CA 91604 Other struct info Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/29/06 N 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 --------- -----=- - - - - -- Policy Number I certify that, in the performance of the work for which this permit is issued, I 4I all not employ any . person in any manner as t ecome subject to the workers' ompensati ws of California, and agree that, if I ouId beco a subject to the workers' co ensation p vi ions of Section 70 of the bor ode, I shall forthwith. mp with those r visions. ate: plicant: WARNING: FAI RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (4100,0001 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 Quints, 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 appli tion and state that the above information is orrect. I agree comply it all city and co ty ordinances an tate laws relatinaperr nstruction, an h eby authoriz r present rive of this my to enter�upo a above-mentionection purposes. nature (Applicant or Age Application Number . . . . . 06-00004035 Permit . . . DEMO PERMIT Additional desc . Permit Fee . . . . 45.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/28/07 Qty Unit Charge Per Extension BASE FEE 45.00 ---------------------------------------------------------------------------- Special Notes and Comments - DEMO GARAGE OF EXISTING SFD/INTERIOR CABINETS/CARPET IN PREPARATION OF TI FOR COMMERCIAL BUILDING. NO OCCUPANCY UNTIL C OF 0 ISSUED. Fee summary Charged Paid ------------------------------------- Credited -------------------- Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00 LQPERMIT � Sin # IS//-\ -City of La Quinta� • Building 8L Safety Division Permit rf P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 0� 0 Building Permit Application and Tracking Sheet OF ION- �n- LV9,7_t�� Project Addres45 (• 70 S' G(, L)r,6 Owner's Name:AQ (( z�l RWd A. P. Number. -7 -1 cQ S� Z O (P Address: 3 SS ✓ "-_14�, Legal Description: (zT Contractor: uatTw 1Telephone: City, ST, zip: �v'iJTJt C7 G 1 ITY C44L• Address: V G Project Description: Plan -Check Deposit .City, ST, Zip: �� Ik. %.�^'� 't' tF Telephone: ° Pian Check Balance [ (�, --• it,•6�s State Lie. # : City Lie. #: e� m,%vae.wa CA&t-4jaZC— Arch., Engr., Designer: N,L��.e7 ! R) Flood plain plan Address: •D , �. "D Plans resubmitted City,; ST, Zip: "OZ/! Grading.plan' Telephone: `r(Ap • S^ '• State Lie. #: Z"' Review, ready for eorrectio issue � Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repasr Den Name of Contact Person: �� P L,6f.�t; ,�•�• Sq: Ft #Stories: 4 #Units: Telephone # of Contact Person: �.� Estiinated Value of Project: Grant Deed APPLICANT: DO NOT WRITE BELOW THIS UNE Plans picked up tt Submittal Req'd . RWd TRACK NG .. PEST FEES Plan Check submitted ? Item Amount Plan Sets Structural Calcs. Reviewed, ready for corrections Plan -Check Deposit Truss Cafes. Called Contact Person' Pian Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan' Z"' Review, ready for eorrectio issue � t >c8 Electrical Subcontactor List Called Contact Person Qj' Plumbing Grant Deed Plans picked up $.M.I. ILO.A. Approval Plans resubmitted. Grading IN HOUSE:- '''Review, ready for correetionsrssue Developer Impact Fee. Planning Approval Called Contact n A.I.P.P. Pub. Wks. Appr Date of per t —i'sibol School Fees vti3 j Ac of ow Total Permit Fees pn')- 19 . Sv6r� r-( / J (%ti �S 11 11'710(o `�;' OJ OOARD 11 1 171 V (o ---7 COI) (u' I RrA t� 6