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13-0081 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000081 Property Address:, 48747 VISTA PALOMINO APN: 649-540-017- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000.0 e / I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HAY BILL R & KAY 48747 VISTA PALOMINO LA QUINTA, CA 92253 (760)774-7660 VOICE (760) 777-7012 FAX (760) 777-7011 �••/ INSPECTIONS (760) 777-7153 Date: 5/02/13 Contractor, Applicant: Architect or Enginee D _ Owner or JUN � � 2013 sem- t� t R�� CPiY OF LA QUINTA FINANCE DEPT LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of -perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following larations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consen to self -insure for workers' compensation, as provided License Class: License No.: for by Section 3700 of the Labor Code, fo the performance of the work for which this permit is issued. Date: Contractor. I hav and will main4cpensarkers' compensa on insurance, as required by Section 3700 of the Labor Cof r the pee of the work r which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION a carriercy number ar1 hereby affirm underpenalty of perjury that I am exempt from the Contractor's State License Law for the CarrierPolicy umberfollowing reason(Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in theance of the for which this permit is issued, I shall notemploy any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any maas to bject to the workers' compensation laws of California,permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, ibe me to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or /y 3 of the LabI all omply with those provisions.that he or she is exempt therefrom and the basis for the alleged exemption: Any violation of Section 7031.5 byany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: Date Applicant: 1_ 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 WARNING: FAILURE TO SECURER COMP SATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does -the work himself or herself through his or her o n employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, howe the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the bur en f proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEM T . ( 1 I, as owner of the property; am exclusively co4ct d contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Saf for a permit subject to the - 7044, Business and Professions Code: ThLicense Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, athe projects with a contractorlsl licensed 1. Each person upon whose behalf this application is)defen each rs- n at whose request and for pursuant o the Contractors' State License whose benefit work is performed under or pursuany per it i sued as a result of this application, ( 1 I exempt nder Sec' B.&P.C. fthe owner, and the applicant, each agrees to, andefen ind mnify and hold harmless the City of La Quinta, its officers,agents and employees fact o o ssion related to the work being performed under or following issuance of this perDate: Owner: - 2. Any permit issued as a result of this application bevoid if work is not commenced within 180 days from date of issuance of such por work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certifythat I have read this application and state that the abor do r gree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building on, reby authorize representatives of�tplS�coun t terupon the above-mentioned property forn pu Lender's Name: //� $oateP Signature (Applicant or Agent): Lender's Address: - - 15 LQPERMIT Application Number . : . 13-00000081 ------ Structure Information 118SF GARAGE EXTENSION [ENGINEERED] ----- Other struct info . . CODE EDITION 2010 ----------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee 207.00 Plan Check Fee 134_55 Issue -Date . . Valuation 20000 Expiration Date 10/29/13 Qty Unit Charge Per Extension - BASE FEE 45.00 18.00 9.0000 THOU BLDG�2,001-25,000 _ 162.00 " Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee 17.36. Plan Check Fee'. 4.34 Issue Date . . . . Valuation . . . . 0 Expiration Date-: 10/29/13 Qty 'Unit Charge Per Extension , BASE FEE 15.00 118.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 2.36 Special Notes and Comments 118SF ADDITION. TO EXISTING THREE -CAR GARAGE [ENGINEERED] THIS PERMITDOES NOT _. INCLUDE CONDITIONED/HABITABLE SQUARE ` FOOTAGE. SEE PLANNING MEMO FOR -- CONDITIONS •OF, APPROVAL.L 2010 'CALIFORNIA BUILDING CODES. May 2,, 2013 8:12:03 AM AORTEGA ---------- -------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES 2.00 Fee summary-, Charged Paid Credited Due Permit Fee Total 224.36 :00- .00 224.36 Plan Check Total 138.89 .00 .00 138.89 • Other Fee Total 3.0.0 .00 .00.. 3.00 Grand Total 366.25 .00 .00 366.25 LQPERMIT # SabnAtal Plan xfs Wd Recd 701,Pian TRACMG PB[t14IIi' FBFS Ch� eck s ibmltted- ' Them - Amount calm City of La Qu19Maa Reviewed, ready for corrections Plan Chcl9cDeposit, - Bddlw 8t Safety Division' JAN 2 4 .2013 Permit # P.O. Box 1504,:78-49S Ute Tampico Called Contact Person �j Pian Check Balance 4.Quinta, CA 92253 -:(760) 7774012 Buiiding P rrnit'.Applicaiion and Trackin PMject,e\&=: '!4 TI10AL)MIA10. I.A.P.Nmben Owner's Name:.K F1009 plain plan .100 • .l�� • 0 Add= '7 �g 1A JA No Legal Description 5 7 0 City, ST, Zap: 0.0 Z`! Review, ready for oorrectio Electrical Contractor. �' �• Telephone: ' % 60 Address: '¢VL420 IMP PmjectDescsiption: Gram Deed City, ST ZiE:: 4 D Telep, hone: 7 • % 4 H.G.A. Approval State Lic. # : City Lic, #; Arcb., Bngr. Designer a Address: ' i5 Pla ening Approval. City, ST, ZO• Called contact Person ,p, • Telephone •5 a Construcdon Type. aacy: State Lic #_ Project type (circle one): NewdJn Alter Repair Demo Name of C4ntat;t Person: e Stories: # Unit - Telephone I of Contact Person: Esdinated Value of Project: j APPLICANT! nn IUAT Wnrm nci neer v:ae r rue # SabnAtal Plan xfs Wd Recd 701,Pian TRACMG PB[t14IIi' FBFS Ch� eck s ibmltted- ' Them - Amount calm Reviewed, ready for corrections Plan Chcl9cDeposit, - Tram Cities. Called Contact Person �j Pian Check Balance Md 24 C&I*L Plans picked up g Constructlov F1009 plain plan Plans resubmitted .. Meeha ac d Gra ling plea Z`! Review, ready for oorrectio Electrical Sait_oatactor list Called Contact Person Pivatbing Gram Deed pians pteked up S.M,L H.G.A. Approval Pians resubmitted GradingXv W HOUSE-.. ''`Review; ready for corrcctions/issae Devdoper Impact F Pla ening Approval. Called contact Person ,p, • Puts. Wks. Appr • Date of permit issue School Fees Total Permit Rees 315 7*3 ^ TO VLAPWOX --y 3112-14710i - - 5I2 �ot3. JJSlstn-I I • Q6.+�lAf 'Eb KAT W ewe- ���