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11-0552 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 7&-ty�, 4, 4 Qaul BUILDING & SAFETY DEPARTMENT ' - BUILDING PERMIT Application Numbe��li-000005.5-2 Owner: Property Address: 48390 VISTA CALICO CHARLES CARTER APN: 649-530-030 - - '.0 48-390 VISTA CALICO Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 668-3668 Application valuation: 2500 Contractor: ?Applicant: ArchYtect or Engineer: MORRIS CONSTRUCTION INC, RO 51200 CALLE PALOMA �.! T LA QUINTA_CA CA 92253 G (760) 272-.9292 Lic. No. 867583 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)'777-7153. 10 Date: 6/07/11 ll � d i;¢ �>.:: , 0 a � ZG � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — LICENSED'CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of pert I am Ii ad under provisions of Chapter 9 (commencing with I herebyaffirmunder penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busi a and r als Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided icense Class: B 1 41 License No.: 867583 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � issued. Date:�V Contractor: _ 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 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 EXEMPT Policy Number EXEMPT 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 jk 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 bee 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 shoul a me surkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co I all forthith those provisions. - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by Ij�'Iy'y jll ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): Date: L V �pplicant: (_) 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 SECURE RKERS' 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 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, 0W*ingo and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who emtracis Tor ine piujects Wlui a wnuauui(a) I1 --d pursuant to the Contractors' State License Law.). (_) 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made fo the Director of Building and Safety for a permit subject to, the conditions and restrictions set forth on this application. 1 e,rh parcnn u(7nn whose hrhalf 1hj5 itOgllGatl911 Igmade, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result df MIS appllcatlun; 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 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 ce sa ' n of work for 180 days will subject permit to cancellation. ' certify that 1 have read this application and state that the o e inform o is correct. _ I ree to comply. with all,.. city and county ordinances and state laws relating to bu'I onstruct n, hereby a orize representatives of this count to enter ypon the above-mentioned prop r inspe ti p rpose Date: Signature (Applicant or Agent): Application Number 11-D0000552 Structure Information Construction Type . . . . . TYPE V', UNPROTECTED Occupancy Type . . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info.. CODE EDITION 2010 #,BEDROOMS .00 Permit . . . BUILDING PERMIT Additional desc=: REMODEL TO EXIST. CASITA Permit Fee . . . 54..00 Plan Check Fee 35.10 Issue Date . . Valuation .2500 Expiration Date 12/04/11 Qty Unit Charge -Per Extension BASE FEE 45..00 1-.00 9.0000 THOU BLDG'2,001-25,000 9.00 Permit . . . ELECT - ADD/ALT/REM d Additional desc . Permit Fee .16.50 Plan Check .Fee.. 4.13 Issue Date . . . . Valuation 0 Expiration Date 12/04/11 Qty Unit Charge Per Extension BASE FEE 15.00: 2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50 Special Notes and Comments -REMODEL ENTRY TO EXISTING ATTACHED CASITA/PER ENGINEERED DESIGN. 2010 CODES --------------------------------------------------- Other Fees . . . BLDG STDS ADMIN (SB1473) 1:00 ENERGY REVIEW FEE 3.51 STRONG MOTION (SMI) -'RES .50 Fee, summary Charged Paid Credited Due Permit Fee Total 70.50 .00 .00 70.50 Plan Check Total 39.23 .00 .00 39.23 Other Fee Total 5.01 .00 .00 5.01 Grand Total 114.74 UU .00 _ -114.74" LQPERMIT..- - ir. R rad - � ,. � � � • Bin # 3 ' . City of La Quinta 4 Building 8T Safety Division` P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253'- (760) 777-7012.,. Building Permit Application and Tracking iheet - '' • ' ' Permit # 5� �1 Project Address: ��j�j (� Owner's Name: A. P. Number: Address: '%sem,; Jcoo Legal Description: ----q Coni a Cont Address: MWY1 " City, ST, Zip: Tele '7%0�� phone: ::.:<., Project Description: r ' City, ST, Zip: , Dxn Telephone: : :Sx'.:`:?;?^': jc �w: •:w State Lic. # . City Lin. #: Arch., Engr., Designer. be�s/ 000 S—Fo , / O y r Address:-,, City., ST, Zip: ' Y-0Z�J+Ah�:JY: Telephone: C�Y. � C� v �- u<. u+:� r 7(� l /� State Lic. #:,� . >>s; �v^ <' ';�: , Name of Contact Person: _ Construction Type: OCcttpanCy. . Project type, (circle one): New Add' .Alter ;Repair Demo Sq. Ft.: • #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 2S LIU APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd T klgT z1 PERMIT FEF. Plan Sets Plan Check submitted Item %,�Am_ ount Structural Cales. Reviewed, ready for correctioNAY 2 6 2011 Plan Chech Deposit Truss Calca. Called Contact Person Plan Check Balance.; Tide 24 Calcs.Plans picked up BY: onstructWu Flood plain plan Plans resubmitted _ Mechanics! Grading plant 2'' Review "ready for correctio ssue V'' Electrical • SubcontactorList Called Contact Person ' Plumbing Grant Deed Plans picked up S.M.I. • H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''� Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr' Date of permit issue School Fees Total Permit Fees "