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06-1710 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ~r — Application Number: 06-00001710 Property Address: 81065 KINGSTON HEATH APN: 767-490-001- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CLEMENT CALVILLO 81-065 KINGSTON HEATH LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/09/06 . [VI Contractor:PARKWOOD ENTERPRISESR MAY 1 G 1006 77800 CALLE MADRID ]L LA QUINTA, CA 92253 (760) 777-7476 CrFY FINANCE QUINA ' LiC. No.: 547412 DEPT ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with (`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 Class: B -C27 License No.: 547412 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: _ d- Lrcontractor: l 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).: 1 e _ 1 I, as owner of the orooerty, or my emnlnvpm with w?ges as their sole compensation w0l 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 _ 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 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: LQPERiIMIT 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 29290 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 Labor Code, I shall forthwith comply with those provisions. , Date:,— !U—O.tp,gpplicant: WARNING: FAILURE TO SECURE WORKERS OMPENSATION 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 state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Gate�—�--4 L Signature (Applicant or Agent): r T, Application Number . . . . . 06-00001710 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 162.00 Plan Check Fee 105.30 ► Issue Date Valuation 15000 Expiration Date 11/05/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 117.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation 0 - Expiration Date 11/05/06 Qty Unit Charge Per Extension BASE FEE. 15.00 4.00 .7500 PER ELEC DEVICE/FIXTURE 1ST ---------------------------------------------------------------------------- 20 3.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Expiration Date 11%'0'5/06 Qty -Unit Charge Per Extension BASE FEE 15.00 _ 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 SI---------------------------------------------------------- ------------------ Permit . . . PLUMBING Additional desc . Permit Fee . . . 36.00 Plan Check Fee 9.00 Issue Date, Valuation 0 Expiration Date .' 11/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000.EA PLB FIXTURE 18:00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ----------- Special Notes and Comments CONVERT WALK-IN CLOSET TO BATHROOM.May 9, 2006 1:39:25 PM jjohnson LQPERMIT LQPERDIIT Application Number 06-00001710 ----------------------------=----------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 10.53 Fee summary Charged ---------- Paid ---------- ---------- Credited Due --------- ----------------- Permit Fee Total 240.00 .00 7 .00 240.00 Plan Check Total 124.80 .00 .00. 124.80 Other Fee Total 10.53 .00 .00 10.53 Grand Total 375.33 .00 .00 375.33 Bin # t C ~ ` City of La Quinti Building u Safety Division C P:O. Box 1504 p 78-495 Calle Tam ico Aft La Quinta, CA 92253 - (760) 777-7012 Builldin Permit A • g Application and Tracking Sheet f CA ` I Permit # Pilo Project Address: Owner's Name: 1 A. P. Number: Address: Legal Description: Contractor: Z City, ST, Zip: Telephone: Address: Project. Description: City, ST, Zip: Telephone: City. Lie. #: State Lie. #raw : Arch., Engr.,esigner. Z Address: _ City, ST, Zip: A2� Telephone: �p State Lic. #: � . Name of Contact Person:Sq. Construction Type: Occupancy: Project type (circle bne): New Add'n Alt Repair Demo Ft : # Stories: # Units: Telephone # of Contact Person: Estimated Value ofProject: y o� APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING. . PERMU FEES , Pian Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading.plan 2"' Review; ready for correct io srssue Q Electrical Subcontactor hist Called Contact Person Plumbing Grant Deed Pllans picked up S.M. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0 FIRE # OFBEDROOM'` `ZO )EWO OF -,UNZT.S ".0 :EDIirI0N*, od top ROOF TYPE MECHANICAL # VENT FANS #'EXHAUST HOOD A/C - < 3 .'TON .A/C >3 TONS FAU <100,000* -BTU 63 FAU >100,000 BTU DUCT ALTERATION PLUMBING' # OF FIXTURES SEWER SEPTIC.SYSTEM ROOF DRAINS' WATER HEATER WATER PIPING. LAWN. SPRINKLER— P) GAS PIPING 1-4'—.ff GAS PIPING >4 /5�lf GAS.: METER UNIT COUNTS. / GAS .TOILETS -.- BIDET SHOWERS BATHTUBS ..SINKS BAR -SINK, BBQ. OVEN RANGE COOKTOP* DRINKING FOUN .WASHER.' DRYER. .WATER- HEATER ROOF -DRAINS FLOOR DRAINS 'KITCHEN SINK VEG SINK LAUNDRY SINK FIREPLACE-* ELECTRICAL SQ. - FT.- LIV G.ARAGE:SQ. F! TEMP -POWER FIXTURE- #. ' GRADING, <50: CU YDS >50. CU YDS. CDD APPROVAL ENGINEER APP". 0 ` REQUIRED INSPECTION MAINTENANCE s's.. SETBACKS`. FLOOR NAILING. TEMP POWER GREASE INTERCEPTOR SEWER CONNECTION HEALTH DEPT FINAL UNDERGROUND ELECTRICAL PIERS VN DERGROUN D GAS e- PRE—GUN ITE •. UNDERGROUND MECHANICAL '— PLASTER ' UNDERGROUND PLUMBING PRE—ROOF TEMPLATE FOOTING PRE -SITE. •� ----� DRYPACK.' RO OF DRAIN GRADE BEAM SEPTIC ABANDO:NSMENT FOOT,,1 NG5SEPTIC :SYSTEM SLAB,'.SPECIAL:lNS'PECTION ROOF NAIL T—BAR .-OKAYTO WRAP WATERLINE. FRAM,ING .... ROUG.H'ELECTRICAL ROUGH* MECHANICAL ..RO.VGH_PLUMBING SHOWER PAN INSULATION LATH .A 'DRYWALL NAIL .GASf "'INE/ GAS TEST - TEMP�-VSE OF PERMANENT POWER ;. �CDD FINAL PVBLIC WORKS FINAL >ELECTRICAL FINAL _.. MECHANICAL FINAL PLUMBING FINAL 'G-RADING FINAL FINAL AQM D FINAL .. BOND BEAM - CODE COMPLIANCE .FINAL CVWD FINAL FIRE DEPT FINAL