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13-1437 (RER)P.O. BOX 1504' VOICE (760) 777-7012 or .'78-495 CALLE TAMPICO 7.�, ' ' �" !!! ' r a+. FAX (760) .777-7011 LA QUINTA; CALIFORNIA 92253r ,`'BUILDING & SAFETY DEPARTMENT.'INSPECTIONS (760) 777-7153 x ` BUILDING PERMIT t i ry ' �.- • ' Date: 2/05/14.' Application Number: _ 13-00001437 - .h Owner: Property Address: 48705. VIA SIERRA "- URQUHART r APN: 658-200-015- -. -_ 48=705 VIA SIERRA .. ,, Application description: REMODEL - RESIDENTIAL LA'QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 150000 x� " . _ •.� � � '� M Contractor. .,• '!j ,y.' (.% .s `rr _�2, . Applicant: ` ' Architect or..Engineer. ^ DESERT BUILDERS INC; ° + n;' ;; j'''f t +�•{ A,�L,� 71537 HIGHWAY 111,'UI>TF�A RANCHO MIRAGE, CA' 9?1270 CfT►�c�-Cfa�_ 11 « r (.760) 568-1793 riel�;, ,'a+SlilV r r Lib.-No.. 472150 y — LICENSED CONTRACTOR'S DECLARATION tet• yy WORKER'S COMPENSATION DECLARATION + • ' _ . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. ; Z 1 hereby affirm under penalty of perjury one of the following declarations:. Section,7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. r _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided r ' ., License C ss: B License No.: 472150 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `'' �— G .r�� � /� �+�-+ ��' •- .. _ i" - -. • issued: .. ; ... ,-.. w _, .... � 1- . «... � •' � . '•" f L F Datt:!� S _�Contracto/�� _ -r ' _ I. have and will maintain workers'- compensation insurance, as required by Section 3700 of. the Labor -• - r • Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER-BUILDER DECLARATION - insurance carrier and policy number are: - - - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - - Carrier BENCHMARK INS t - Policy Number CST5001514 - ' following reason (Sec. 7031.5, Business and Professions•Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject 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, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7.000) of Division 3 of the Business and Professions Code) or _ _ '3700 of the Labor Code, I shall forthwith' comply with those provisions. ,' r 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)•: Dare_" S Applican �-�.J :.�•��`:.. --� - ' ' ' 1—) I, as owner of the property, or=my employees with wages as their sole compensation, will do the work, -and ` r - ` the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING:-FAILURE TO SECURE WORKERS' COMPENSATION 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 own 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, however, 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 burden of proving that he or she did not build or T _ improve for the purpose of sale.). - - APPLICANT ACKNOWLEDGEMENT r ' (_ 1 •1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec._ IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. • "; x"' �, i property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). r - whose benefit work is performed under or pursuant to any permit issued as aresult of this application, - - - r` (_ 1 I am exempt under Sec, , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City - - - of La Ouinta, its officers, agents and employees for any act or omission related to the work being - - performed under or following issuance of this permit. - - �. Date: Owner: 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 ' ' 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 certify that I have read this application and state that the above information is correct. I agree 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 construction, and hereby authorize representatives of this co my to enter upon the above-mentioned property for inspection purposes.- Lender's Name:- -TAt!t Date: Signature (Applicant or Agent): e _ Lender's Address: LQPER.MIT - Application Number . .. 13-00001437 Permit ELECTRICAL 2013 Additional desc . Permit Fee . . 23.83 Plan Check Fee .00 Issue Date Valuation `. 0 . Expiration Date 8/04/34 Qty I Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 Qty Unit Charge Per Extension 1.00 11.9200 EA MECH APPL REP/ALT 11.92 5.00 11.9200 EA MECH VENT FAN 59.60 Permit. . PLUMBING 2013 Additional`desc . Permit Fee 154.96 Plan Check Fee .00 Issue Date . . . .. Valuation 0 Expiration Date 8/04/14 Qty Unit Charge Per Extension .12.00 11.9200 EA PLBG FIXTURE/TRAP 143.04 1.00 11:9200 EA PLBG WATER INST/ALT/REP 11.92 Permit . . . REMODEL 2013 Additional desc - Permit Fee . . . . 112.97 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/04/14 _ Qty Unit Charge Per Extension 1.00 48.620,0 LS MISC REMODEL, 1ST 100 SF 48.62 3.00 21.4500 EA MISC REMODEL, ADDL 500 SF 64.35 ----------------------------------------------------------- Special Notes.and Comments FLOOD RESTORATION/ REMODEL IN 4 BATHROOMS CHANGE 2 STRUCTURAL BEAMS, ELEC, A/C, RECESSED LIGHTING CHANGEOUT WINDOWS'. - LQPERMIT . .Y,., w �� T ... � ..— . ...,1—. _ ��r ��.,.�..�..•-..+�... _.,R3..: �w •..cam 2, _ ._ ...w.+w..+:. w.+Yw _ _ � _ _ �r . i. � - - n=.�.xC.wn � .�1 +w�i.�.•._..^,.: a�iw�.,.i+.`.,.TN+�-^ ,S .. _ � _ . - x. r y .Application Number 13-00001437 - - ----------------------------------- --------.--------------------- ----. --. - SpecialNotes and Comments -----January-17,_2014-11_11_29-AM_-jjohnson--------------------------------- Other Fees . BLDG STDS ADMIN(SB1473) 6.00" PLAN CHECK, ELECTRICAL 23,.83 PLAN CHECK, REMODEL '184.47 PLAN CHECK, MECHANICAL 28.62 PLAN -CHECK, PLUMBING 154.96 STRONG MOTION (SMI) -. RES - 15.00. • Fee summary Charged . Permit Fee Total 363.28 --_Paid-_- .00 - - ----CreditedDue--- * .00 363.28 Plai Check Total .00 .00 00 .00 Other Fee Total 412.88 00 .00 412.88 Grand Total 776.16 .00 .00 776.16 el ..LQPERMIT { Bin # City of La � Quinta R E Building &r Safety Division P.O. Box 1504, 78-.495 Calle Tampico NOV 0 5 2013 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking SheetIV OF ua Qu1N r, Pe it ? " r►^ly Project Address: T O S u I C(- S p Q f t!` o_ wner's Name: �� t ✓� a A. P. Number: Address: 419-- 7D,�—. (%4 S� e ✓'�q Legal Description: City, ST, Zip: Loi G'Ai"'R .Contractor: Tel >a>`::<:?.'s`':::•.`:%.<{. 1,11 Address: 7 -/a --_-?,r S, Project Description: , 54_tL 4� " j� City, ST, Zip: � t\/2 P- CR 5'aZ;L % b Telephone:>:'s:>`'s``'i:.<>z? �s Stats Li c. # : 4-7. 7— / j' Q City Lie. Arch., Engr., Designer:„'Oh/ eV S Address: 1 City., ST, Zip: Telephone: osrucon CnttiType: yP 1' Occupancy: .•YiJ�::i� n!in L^::'{':i!f:? f(,j}y:!iy�: •ii:%{r:li>:_i'1,.;:i:: ii'?�iiiiiii':/'•iiitii\ii:•i:� ::> ="<<•<«:::::>: •>•'>•::^>«,<:'>.:> >.><•:::•? Project type (circle one): New Add,n Alter Repair Demo . State Lie. #: Name of Contact Person: k�vkwk ��y�J �� Sq. Ft.: #/14 # Stories: ` # Units: Telephone #,of Contact Person: % 60 Estimated Value of Project: .r�v 6040 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Z t / Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted ��, �� Mechanical Grading plan 21" Review, ready r corrections 'ssue III 71/qElectrical SubcontactorList Called Contact Pers ' ; I_z Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading INHOUSE:- '"' Review, ready for correctio s�ssue Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. Pub. Wks. Appr Date of permit issue ` School Fees Total Permit Fees 'r 2ci13--�15 P,r-C LENT .