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06-1856 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:06-00001856 - -^. Property Address: . ____77420 VISTA ROSA APN: 658-2207022- - - Application description: ADDITION RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 800000 Applicant: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Owner: MULLIN JOHN F C/O GREEN ACRES TRUST 2033 M SOUTH, Contract GEMETT 74300' PALM D (760)3 Date: 7/09/07 . 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 iss4buildin r ' , or cessatio work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. - I 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 ste' formatio is c rcect. ply with all work for which this permit is issued (Sec. 3097, Civ. C.1. city and county ordinances and state laws relat'struction, n ere ize representatives of this county to enter upon the above-mentioninspection pu oses.Lender's Name:'Date: % _v / Signature (Applicant or Ag :- ,Lender's Address: - LQPERMIT Lic. No.: 280103 - LICE COTR OR'S DECLARATION - WORKER'S COMPENSATION DECLARATION �I hereby affirm under penalty of perjury that I m 71,ense�,Nl u der rovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following. declarations: Section 70001 of Division 3 of the Business dfesson Is ode, 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. License Class: B. ense : 280103 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: '�7 -Contractor: 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 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 STATE FUND Policy Number 0008398-2007 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performan o the work fo w ch 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 a to ecome subj ct the workers' compensation lawsofCalifornia, .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 me subject. o e work ensation provisions of Section ' License Law (Chapter 9 Icommencing with Section 7000) of Division 3 of the Business and ProfessionsCode)or 3700 of the Labor Code, I II forthwith ply w ose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - _ -. �^—"•'�+ ' any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:? -9-0) Applicant: (_) 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 W ERS' 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 CRI AL 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 OFTHE 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.). - - - APPLICANT ACKNOWLEDGEMENT (_ 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. ' 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.). f whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 ,I am exempt under Sec. , B.&P.C. for this reason - 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. . 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 iss4buildin r ' , or cessatio work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. - I 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 ste' formatio is c rcect. ply with all work for which this permit is issued (Sec. 3097, Civ. C.1. city and county ordinances and state laws relat'struction, n ere ize representatives of this county to enter upon the above-mentioninspection pu oses.Lender's Name:'Date: % _v / Signature (Applicant or Ag :- ,Lender's Address: - LQPERMIT Application Number 06-00001856 Permit . . BUILDING PERMIT Additional'desc . Permit Fee . . 2939.50 Plan Check Fee 1910 .68 Issue Date 7/27/06 Valuation . . . . 800000 Expiration Date 9/30/07 Qty Unit.Charge Per Extension BASE FEE 2039.50 300.00 3.0000 THOU BLDG 500,001-1,000;000 900.00 ------ ---- T. Permit - T-.^. ELECT - ADD/ALT/REM --� -^. -- --^---- --- - Additional desc Permit Fee . . . . . 46.71 Plan Check Fee 11.68' Issue Date .". . .-. 7/27/06 Valuation 0 Expiration Date. 9/30/07 Qty Unit- Charge Per Extension BASE FEE. 15-.00 906.00 .0-350 ELEC NEW RES - 1 OR 2 FAMILY 31.-71 _ Permit MECHANICAL Additional desc..:. Permit Fee 52.50 Plan Check Fee 13.13 Issue Date 7/27/06 Valuation 0 Expiration. Date Qty Unit Charge Per Extension '. BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1:00 9.0000 EA" MECH B/C <=3HP/100K BTU :. '9.00 3.00 6.5000 EA MECH VENT FAN 19_.50 _ f Permit PLUMBING _ Additional desc . Permit. Fee 140.25 Plan Check.Fee 35.06 = Issue Date. 7/27/06 Valuation 0 Expiration.Date. 9/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 . 15'.00 6.0000 EA PLB FIXTURE 90.00 2:00 6.0000 EA PLB ROOF DRAIN 12.00 .2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB. WATER INST/ALT/REP 3.00 Application Number 06-00001856 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 7.00 .7500 EA PLB GAS PIPE >=5 5.25 . - --------------------------- Special Notes and Comments -------------- ------------- -------------- 906 sq. ft. addition.July 27, 2006 ,. 11:46:35 AM jjohnson - - -------------------------------------------------------------------- Other Fees . . . . . . . CHANGE OF CONTRACTOR 4.50 ENERGY REVIEW FEE 191.07 STRONG MOTION (SMI) - RES 80.00 Fee summary Charged Paid Credited Due Permit Fee Total 3178.96 ------- ---------- 3178.96 ---------- .00 , .00' _. Plari Check Total 1970.55 1970.55 .00 .00 Other Fee..Total 275.57 271.07 .00 4.50 Grand Total 5425.08 5420..58 .00 4.50 LQPTRMIT . P.O. BOX 15 . 04 TAtyl 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001856 Property Address: 77420 VISTA ROSA APN: 658 -220 -022 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL _ Application valuation:_. --..__8.0.0.0.0.0, Applicant: Architect or Engineer: Owner: MULLIN JOHN F C/O GREEN ACRES TRUST 2033 MONTEREY RD SOUTH,PASADENA;'CA 91030 Contractor: STARK CONSTRUCTION COMPA 39725 GARAND LANE, SUITE PALM DESERT CA 92211 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777.-7153 Date: 7/27/06. (760)345-97117 y Lic _ No.: 577776. �UL 2 ( 2006• CITY OF LA QUINTA FCE DEPT .PT. LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with.. 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. _ I have and will maintain a certificate of consent to self -insure for'workers'compensation, as provided License Cla B /��.�] ./J %License jNo.: 577776 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ _�d/d� C/f/���h issued. Date: ircontractor: ,? L 4 _ 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 he eby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0019497-2005 _ 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 b e subie he workers' 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 Cod a ort ply with those provisions. 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).: Da2NG - Applicant: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ✓WA: FAILURE TO SECUR ORK S' 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 C MI 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.). APPLICANT ACKNOWLEDGEMENT - 1 _ 1 I, 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 setforth•on this application. 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.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAP.C. for this reason 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. 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. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the • I certify that 1 have read this application and state that the above in m •tion is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and count ordinances and state laws relating to building ton, an by authorize representatives of this count o enter upon the above-mentioned propert spa io Lender's Name: - - - Y /Date: i Signature (Applicant or Agen[I: Lender's Address::-�✓ LQPERA11T Application Number . . . . . 06-00001856 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 2939.50 Plan Check Fee.. 1910.68 Issue Date . . . . Valuation 800000 Expiration Date . 1/23/07 Qty Unit Charge Per Extension BASE ,FEE 2039.50 300.00 3.0000 THOU BLDG 500;001-1,000,000 900.00 Permit ELECT - ADD/ALT/REM . Additional desc'. " Permit Fee 46_.71 Plan.Check Fee 11.68 Issue Date Valuation . . 0 - Expiration Date 1/23/07 Qty Unit Charge Per Extension - BASE FEE 15.00 906.00 .0350. ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY- '31.71 Permit . . .-. MECHANICAL Additional desc . Permit Fee 52.50 Plan Check .Fee 13.13 Issue Date Valuation 0 Expiration Date.. Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C,<=3HP/100K BTU 9.00, 3.00 6.5000 EA MECH VENT FAN 19.50 Permit PLUMBING 'Additional desc . Permit Fee 140.25 Plan Check Fee 35.06' Issue Date . . . Valuation . . 0 Expiration Date 1/23/07 Qty Unit'Charge Per Extension BASE FEE 15.00 15.00 6.0000 EA PLB FIXTURE 90.00: 2.00 6.0000 EA PLB ROOF DRAIN 12.00 ..2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 LQPERDIIT Application Number -. 06-00001856 Permit . . . . . ..k PLUMBING Qty Unit Charge � Per Extension 7.00 .7500 EA PLB GAS PIPE >=5 5.25 ---------------------------------------------------------------------------- Special Notes'and Comments 906 sq. ft. addition.July 27; 2006 11:46:35 AM jjohnson ---------------------------------------------------------------------------- Other Fees . . . . . . . .. ENERGY REVIEW FEE 191.07 STRONG MOTION (SMI) - RES 80.00 Fee summary. Charged Paid 'Credited Due Permit Fee Total 3178.96. .00 .00" 3178.96 Plan Check Total 1970.55, .00 .00 1970.55 Other Fee Total 271.01 .00 .00 271.07 Grand 'Total 5420.58 .00 .00 5420.58 r LQPERMIT CERTIFICATE OF COMPLIANCE Jif IED , Desert Sands Unified School District �: z4��o 47950 Dune Palms RoadVQ] BERMLIDAOUNES RANCHO MIRAGE d Date 7/27/06 y La Quetta, CA 92253 ! INDIAN WELLS P DESERT No. 28770 (760) 771-8515 'oaLANDIO 0 Owner John Mullin APN # 658-220-022 Address 77-420 Vista Rosa Jurisdiction La Quinta City La Quinta Zip 92253 ' Permit # Tract # Study Area , Type Residential Addition No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 77420 Vista Rosa 906 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 patiostwalkways, 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.63 X 906 S.F. or $2,382.78 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed pT ect may now be issued. Fees Paid By OC/California Bk & Trust - Gary Stark Check No. 639980848 Name on the check Telephone Funding Residential By Dr. Doris Wilson {` Superintendent • •� �' } 42, Fee collected /exempted Sh ron C yr Payment Recd 80.00 t $2,382.78 er/U aer Signature'F� NOTICE: Pu ant to Government Code Section 66020(d)(1), this rve 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 GEMETTE CONSTRU -TION, INC:` 74300 HighWdY .1'1:1 Palm Desed -CA 92260 (760) 34673248. FAX (7,60)'3467W69 July 6, 2007 City of La Quinta - Building Department P.O. Box 1504 La Quinta, CA 92247-1504 RE: MullinResidence Remodel, 77-420 Vista Rosa, La Quinta, CA 92253 We have taken over the above project. Please change the contractor information listed on your records for permit #06-1856, to Gemette Construction, Inc. We will be proceeding with this project for Mr. and Mrs. John Mullin. Copies of our California Contractors License, City License, and proof of insurance are attached. The following is our contact information: Gemette Construction, Inc. 74-300 Highway 111 Palm Desert, CA 92260 Office: (760) 346-3248 Fax: (760) 346-3769 Cell: (760) 774-1058 George Gemette Reg d , Ge ge Gemette President .'-` ate•` =-�" .il.i,.� �.. ��t�l��'�:. -..`i I" IM `�"� - zy, -. .'"" sO� ���:�6�fg.liztiNi''�.' •i I �� k �+, �''�it � It :.� _F __ - �4XI'l - ,� � .I�� �t�I-I ,I'il'nnNIIte�lr � X3N1phI�teiNIIIWI�rI,J h��.!}1��, i�'i.'1I���Ir�IiPPy 4�N�d 4 � rD •" K .tc.t-.�aft w ``s�:.a ,-lf llAN, jhq = �.' S fi Y 78' 495Calle Tampico, La Qwnta, CA'92253 K` e. 777 7000 ' g ,, w (i , �� '�; _ = t: ;, fi it Ip. "'4�( III nl i. ��- _��.:�y"� jrl ..`,..I.. e•� �� Ir r 5 ,.ie.,. ,.�C Pi -;. '�*Jku11'.'"'""u •w�'�i"?� .�,h,»t "l � '1.10 I + r e � B �� �_�yi �dr . ,' �tu - �' - _ ,� s,' „Js,'.` r .N' U ILLv•. 'I� I . lei �r„ ,.; +_-� . `f- ;-';� i� M1 I I II I E, --- �x19�Iw U`�II��I 11l PJ�ull��I �)1', 4 �v �u,. �� gI�W �JN n s r� g I �i1, Dear BusinessOtvner s YBUSIlVES5 L,7 AT7, N �� :? � r w r k ., OUT rDE CITY# bl MI TS �` P;leese be aware that Issuance oi'a,busiaess.hcense by`thc Ciiy does,not u honz you to'conduct business fu•a''bullding or tenan',tspece that lies not be 3Ien approved •A: �+ ,. r �- e -� ; ;<r a t r occupancyzby:the Buil'dlug and Sgfety Department. If you have any questions 4, regarding this issue or if you ere not'sure"If a';Certiticute hof Occupancy has been n f ",. �'-`�.-'�a�:, '�� �> :: •...'4 ��, �y o`.i` k. I -' ,_--•.-:�� ��=�Lssued�,foryour,placeo pu�11,11 ness�, IeesecoPtact�Bu�ldinE'grid-�afety_u_h�� l it N apt r's`� �IA{{jj������i��' 4 760)73.7 7012 1�'� �:. I % "�" �I�I S� Bt%ST1biS 1�IE GEMS 4� �i� iNiF�RUCTI`ON IC The Licensee timed h rw o a Jng puuLto the City of LaQ3mta slt fe required, hcense,�e hereby grentedsaidhcensee to traosegt fhebusiuess herein a r r .•: r" ¢_ `set forth for theperiodsloted, m coaformlty witfi the $ro`visions ofbidmancet:;' } BU5INES5 AADRESS -7. 0 0 -HIGHWAY, 111 . - No"'2 of this City. This Licensee is issued without venrkatiaton ththe licensee ;.{ PALM DESERT CA 922 6 0s is subject to or exempt from icensing by the Stato of Celifor'nia r t �•' nr r "d' ', a �BIISINE55 LTC 0 01 Iu a U , M !I!' - _ r,� r� .-,aCLAS�IF�iTTU1 =��rTE c�tai,�^`k i.. --.f .,--..K '�,. ,: ,. -,. .- ,.• •-..� -::.a s ,.,�s- _�u_;, .... _L"t_,- ger r s POLICYHOLDER COPY •4, SK STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 ' COMPENSATION INSURANCE r FUND CERTIFICATE OF. WORKERS' COMPENSATION INSURANCE ISSUE DATE: -01-01-2007, GROUP: 000046 POLICY NUMBER: 0008398-2007 CERTIFICATE ID: 4 • CERTIFICATE EXPIRES: 01-01-2008. 01-01-2007/01-01-2008 CONTRACTORS STATE LICENSE BOARD 'SK 'LICENSE NUMBER:LICENSE #280103 P.O. BOX 26000 INCEPTION DATE:01-01=2007 SACRAMENTO CA. 95826 y DO:SK This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner -to the employer named below for the policy 'period indicated.. - This' policy, is .not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice; shouldthis policy be, cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and' does not amend, -extend or alter the coverage afforded by the policy listed herein. Notwithstanding' any requirement, term or condition of any contract or other document with respect to which this certificate of insurance' may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions,'and conditions, of such policy. h . -C_-/ THORIZED REPRESENTATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. Y, EMPLOYER ` GEMETTE CONSTRUCTION, INC. SK ' 74300 HIGHWAY 111:; PALM DESERT CA 92260 #F ` } M0409 IREv.2-051 PRINTED 12-15-2006