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08-1849 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 08-00001849 53580 AVENIDA DIAZ 774-112-003-22 -000000- REMODEL - RESIDENTIAL COVE RESIDENTIAL 70000 Tiht 4 4 Q" Architect or Engineer: PIA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 800231 61e:0 I b 409 Co torr 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).: (_ I 1, 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.). (_ I 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 Owner: ALVARO BRISENO/LIDIA GARCIA 53580 AVENIDA DIAZ LA QUINTA, CA 92253 Contractor: \ CALIFORNIA CONSTR/FIRE 1710 W. CAMERON AVENUE WEST COVINA, CA 91790 (626)814-0509 Lic. No.: 800231 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 l� � v �1`iir F C S Tr I 1/16/09 WORKER'S COMPENSATION DECLARATION 1 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: V 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 STATE FUND Policy Number 0006547-2008 I 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 to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the or Code, I sh�alll;prthwith comply with those provisions. atO e: 6 pplicanC !�/1 A=.!62 cSf� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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 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 cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and sta a laws relating to building construction, and hereby authorize representatives of this cou o enter upon th ove-mentioned property for inspection urposes...�}- par S' ature (Applicant or Agent): _�� L..�. Application Number . . . 08-00001849 ------ Structure Information EXISTING 1248 SF SFD ----- Other struct info . . . . . CODE EDITION 2007 ---------------------------------------------------------------------------- # BEDROOMS 4.00 Permit . . . BUILDING PERMIT Additional desc GARAGE FIRE RECON / INT REMOD. Permit Fee 504.50 Plan Check Fee .. 327..93 Issue Date . . . . Valuation . . . . 70000 Expiration Date 7/14/09 Qty Unit Charge Per Extension BASE FEE 414.50 20.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 90.00 Permit . . ELECT -'ADD/ALT/REM Additional desc . Permit Fee . . . . 67.48 Plan Check Fee 16.87 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/14/09 Qty Unit Charge Per Extension BASE FEE 15.00 1248.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 43.68 440.00 .0200 ------------------------------------------------------------ ELEC.GARAGE OR NON-RESIDENTIAL ----------------- 8.80 Permit . . . MECHANICAL Additional desc . Permit Fee 46.50 Plan Check Fee 11.63 Issue Date . . . . Valuation 0 Expiration Date 7/14/09 Qty Unit Charge Per Extension BASE.FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00. 9.0000 ---------------------------------------------------------------------------- EA MECH APPL REP/ALT/ADD 18.00 Permit PLUMBING Additional desc . Permit Fee 40.50 Plan Check Fee.. 10.13 Issue Date Valuation 0 Expiration Date 7/14/09 Qty Unit Charge Per Extension LQPERMIT Application Number 08-00001849 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 . 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments GARAGE FIRE RECONSTRUCTION - 440 SF. INTERIOR REMODEL OF 1248 SF & REPLACEMENT OF WINDOWS. 2007 CODES. **NO INCREASE IN FLOOR AREA** ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 32.79 STRONG MOTION (SMI) - RES 7.00 Fee summary Charged Paid Credited ----------------- ---------- ---- - Due ----- ---------- Permit Fee Total 658.98 .00 ---------- .00 658.98 Plan Check Total 366.56 .00 .00 366:56 Other Fee Total 39.79 .00 .00 39.79 Grand Total 1065.33 .00 .00 1065.33 LQPERMIT STFransen Inspection Technology 307 Roswell Avenue Long Beach, CA 90814 Office/Dispatch: 714-642-5842 . Fax: 562-987-2060 Project Name: t �o �� City or County of: C/CA QU,wi Job Address: .S3 /,o 7 Permit Number: Ce �� 9 Architect: AA k 1 4c t'j4r— 6eCR Material Description:. Engineer: ?-Ay mcw Z.A.,,r Inspector's 0 Name: I /fQA� k> T�/(Genf Pnf Contractor: /� lG.() E�AIIda Samples Taken: X Qty: X Subcontractor: Description of work inspected: Concrete Masonry Welding Fire ProofingI QE oxy IOther: DATE: ot /n 4*09 r q62a e e-4 Akf7fl ek- S[InA S lIP 't P r421 SIR'' eke k9etl 'L'1ZGt UJ' r A f . All�,� a M WIMUA- PMX6,0 t t2 r rP QW I t1P 6) " S 0- S5—c ' SOS, JQ t rs L% s: Continue on next page. Yes/No Page I of --1. ATTORNEY'S FEES - If any action at law or inequity is brought to enforce or to interpret the terms of this contract, the prevailing party shall be entitled to reasonable attorney's fees, cost, and necessary disbursements in addition to any other relief to which such party may be entitled. REG. HOURS OT HOURS SAMPLES (total made) 401, y All inspections are based on a minimum of 4 hours, if over 4 hours or after 12:00 noon an 8 -hour minimum will be billed and past 12:00 midnight 8 hour minimum at time and a half will be billed. Sunday and holida s d uble time billed 8 ho r minimum. Approved by: CERTIFICATE OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED, I HAVE FOUND THIS WOj2K T COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICAB CTIO-Z OF T E GOVERNING BUILDING LAWS. SIGNATURE OF THE REGISTERED INSPECTOR Szs 6 7 7 8 c, SPECIALTY NO. AGENCY The best FIT for your inspection needs! white - office copy canary - inspector's copy pink - job site copy Bin # City of La Quinta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:c'�rJU �v�Nt� ftp Owner's Name: 1i8_1z1-ZFu� A. P. Number: Address: 535JE�U Legal Description: City, ST, Zip: Lt, 4'Z Zs3 Contractor: �Ql_tt�o�-tTr�pL`irtol. i Telephone: r_ Address: 1 i qo e �r-4E t�0�1 P�� Project Description: City, ST, Zip: \-A4 T Cts--Ct LJ t, %< 17 90 _ Telephone: 676 la[q-0509 , ` � �KtfE vcictL R>=p� TGLc��I:S CIYLtaC►a: State Lic. # : ( City Lic. R. �1=u1 rFL� RE5 �JEuC>= fie. tom (ZE'O�i Arch., Engr., Designer: .&oRGE L,=C7 1,4SuLiNTIO -f, kercelr=�t-t Cpgi.ti€TS 1h(kI M BALL Address: /060 F. Cy P Rr_ZS St'. UL ut, uOoucS cpsAf. SH,"L€ 7-08t Q, *411T,� City, ST, Zip: Com/ f t•/ 1� C�� t 7 ZY r e>I �E rS ►,� �� Nauss . Telephone: <_ State Lic. #: Name of Contact Person: C'��pQ � ST eVC itac f Construction Type: Occupancy: Project type (circle one): New Add'r_ Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: P � 626 gl Y- Q�l% — � Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Ree'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted i1 Item Amount' Structural Cales. Reviewed, ready for correction Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Constructioa Flood plain plan Plans resubmitted Mechanical Grading plan 2•d Review, ready for corrections/' sue I Electrical Subcontactor List: Called Contact Person I (5 Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Lnpact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permst Fees ' ill 5 K 10 4_ ssu.e.. Wj/ al . u�c41 i?>u& uc • h•i- r-er' -