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07-0683 (AR),--- „ ti ' {-, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000683 Property Address: 52425 AVENIDA HERRERA APN: 773-263-020-9 -000000- Application description: ADDITION - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 13041 T444Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty -of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( %LJ 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.). (_ 1 I am exempt under Sec. ' , B.&P.C. for psis reason�-4-2 ate: V' -rte ner: CONSTRUCTION LENDING AGENCY I hereby affirm under Penalty of perjury t at 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: 1 Lender's Address: M LQPERMIT Owner: ORTEGA JOSE 52425 AVENIDA HER LA QUINTA, CA 922 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 7'. APR ' 1007 C�Adlt?��n ------------------ WORKER'S COMPENSATION DECLARATION Date: - 4/24/07 %1 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 ZI 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/fhwith ubject to a workers' compensation laws of California, and agree that, if I should bct to the orkers' mpensation provisions of Section 3700 of the Labo Code, I scom with se provisions. D� - — pPli ant: 5 WARNING: FAILURE TO SECURE I KERS' COMPENS I N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM NAL PENALTIES AND CIVIL FINESUPTO 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 as 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 aboveinforma 'is correct. ree to comply with all city and c my ordinances and state laws relating to building cond hereb thorize representatives of thounty t/o enter upon the above-mentioned property for ipose 0ate: �7 �� nature (Applicant or Agent): Application Number . . . . . 07-00000683 ------ Structure Information 228SF RM ADDITION/V-NR/RES-3/ENGINEERED----- Other struct info . . . . . CODE EDITION 2001/2005 FLOOD ZONE NO -----------=---------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 228.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 153.00 Plan Check Fee 99.45 Issue Date . . Valuation . . . .13041 Expiration Date 10/21/07 ...Qty Unit Charge, Per Extension BASE FEE 45.00 12.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 108.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . 36.75 Plan Check Fee 9.19 Issue Date Valuation 0 Expiration Date 10/21/07 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 15:00 ----------------------------------------------------------------------------- .4500 EA ELEC DEVICE/FIXTURE >20 6.75 Permit . . . MECHANICAL Additional.desc . Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/21/07 Qty Unit Charge Per Extension . BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 ----------------------------------------------------------------------------- Special Notes and Comments 228SF ADDITION TO LIVINGROOM/V-NR/RES-3 [ENGINEERED] 2001 CBC, CMC, 2005 ENERGY April 23, 2007 4:41:04 PM AORTEGA ------------------------------------------- Other.Fees . . --------------------------------- . . . ENERGY REVIEW FEE 9.95 STRONG MOTION (SMI) - RES 1.30 Fee. summary. Charged Paid Credited Due LQPERMIT LQPERMIT 209.25 113.52 11.25 334.02 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's �. compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (76 0) 7 011 O EIN SIG RE/DATE S-2- 41x5 PROPERTY ADDRESS PERMIT NUMBER(S) Date 4/24/07 No. 29370 Owner Ortega, Jose Address 52-425 Avenida Herrera City La Quinta Zip 92253 Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units 4����FtFD!�scyo Q BERMUDA DUNES r rn RANCHO MIRAGE 0 INDIAN WELLS d� PALM DESERT y LA QUINTA QINDIO y� O 773-263-020 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52425 Avenida Herrera 228 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square.feet, detached accessory structures (spaces that do not contain facilities for Irving, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to in the amount of $0.00 X 228 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Jose Ortega Check No. 0.00 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Espe Lara Payment Recd $0.00 .Over/Under — Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this Will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above Will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting u t.N1 JCM Inspections 39725 Garand Lane Suite F i_ _ Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: 'Z—Z-40-7 ProjectName: Project No: KIZ Y Project Address: 1 City -4:5i4— Client: Sub -Contractor: Y1 Q_< - <-GeneralContractor: General Contractor: (� Architect: \ Structural Engineer: lJw o ���'. �� \�M�'cl .n f1Q. �QS �wf �1Q �(1Cf.� k+Q Cir <) Anchor Bolts ®"Rebaar _S\ Epoxy Type �\�Qn . C arc, e Q Epoxy Shelf Life: �1 n"_N',,��• `e��$ Hole Cleaning Method(s): Q�.� ..� , -, CAS,o.1\/ Cn ,r (b re���c� $'� 1� NS� r£` i,,l erq, • Q C` 1_41 ,� ©`IBC Title 24 Other: Unresolved Items: ©None See Below Description of Work Inspected: a�� n:C „eQ h`Ajc,, 3 L4 (q S 3• `� •"1 .i, ev..r- �.n.ae"`\ t1 2 �'r _..� 11,� A'l h b..� O \A1-Q.C'P � D �. C Qin A�� r� � � LTL. nvcarm _ r- "-k h INC.(Ain\ +r Is I, C 11�ce .l��V.IiAQ 1r i (1nG Sa rrnr+"4:N-►6 -f) AA1P _1z N r tangy 1 �f" nC n ra✓f1 -� t.� lrac �„ >,r�cx. ��. S� ,. �2a,r a�Y C° /� . G .�r,,n��,�3 Yca�o� r<R� �;rte; a►� �< no �+,a l FIC k Cil �. CS \r+�Q A n � �., .C+c '• '7 ,• r ..�lF.n �bl�r� n � . \ C'ih%G-0�` _ 1 O _X / V`+Q A Work complies with written approval from Structural Engineer and ICC Evaluation Report # "a 1 hereby certify that I have inspected all of the above 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: Jack C� Millin _ ICC Certification o: 0842216-49 1 Contractor's Representative: - .Wf Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page T of NEW CONCRETE FOOTING SECTION SCALE TA - CITY OF LA QUINTA BUILDING & SAFETY DEPT. 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