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08-0353 (SOTB)44 i P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: C7�08-00000353 Owner: Property Address: 53556 ROSS AVE ROBERT SPALETTO AM: 767-200-998-46 -330761- 53-556 ROSS AVE Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Contractor: Applicant: Architect or Engineer: JEHA CONSTRUCTION, 3089 SANDSTONE ROAD ALAMO, CA 94507 `I (925)250-4038 Lic. No.: 410408 _ 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 C License is in full force and effect. License Class: B enseNo.: 410408 011l4ll=,fk8UILDER 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, 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 _ 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 FlUI-11t Lu the CuiwaUUIS' .71dle LRXIISU LaW.I. (_ 1 I am exempt under Sec. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/13/08 MICHAEL WORKER'S COMPENSATION DECLARATION hereby affirmunder 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. 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 238-0002300-06 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 ion provisions of Section 3700 of the Laoco"dki qlaTP1vr;ovorrcompiY with those provision . WARNING: FAILURE TO SECURE WORKV.QXOMPENSAT ION 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 madg, each wrsgn at whose reonest and fnr 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 coun to ter bn the ove-mentioned proyocL for inspection purposes. Dat Si cure (Applicant or AgentL LQPERNI IT Application Number . . . . . 08-00000353 Permit . . . . BUILDING PERMIT Additional desc . Permit Fee 207:00 Plan Check Fee 134.55 Issue Date Valuation . . . . 20000 Expiration Date 9/09/08 Qty Unit Charge Per Extension BASE*FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162..00 ----------------------- Special Notes and Comments BRIDGES (PEDESTRIAN @ REAR/LIGHT AUTO @ FRONT) 2007.CALIFORNIA BUILDING CODES. THIS PERMIT DOES NOT INCLUDE SITE WALLS, POOL AND SPA, WATER FEATURES OR DRIVEWAY APPROACH. March 13, 2008 2:25:44 PM AORTEGA ------------------------ --------------------------------------------------- Other Fees . . . . . . . STRONG MOTION (SMI) - RES 2.00 Fee'summary Charged Paid Credited ----------------- Due. ------------------------------ Permit Fee Total 207.00 .00 ---------- .00 207.00 Plan Check Total 134.55 .00 .00 134.55 Other Fee Total 2.00 .00 .00 2.00 Grand Total 343.55 .00 .00 343.55 City6f La Qu i hta Building U Safety Division Permi OSS 1,,6 P.O. Box 1504, 78-495 Calle Tampico U Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet. Project Address.: �� �J� T S. Owner's Name:9O� " - S�Q'1s�7'6 A. P. Number: 76 -7 Q Q S 1 Address: Legal Description: City, ST, Zip: Contractor: H ' Telephone: •- Address: Project Description:. AJ-' City, ST, Zip:. Telephone: 9 Zs " ZS©,4 1 1S. N H ' .; c..�' T State Lie. # : City Lie. #: Arch., Engr., Designer:-t+J,�rl LL) ' . Address: IJC)CrI/ City, ST, Zip: 00 t__� -5P.lu rTo� n—A Telephone: 160, 3 3-3 Construction Type: ; # Occupancy: State Lid. #: L -S N C Project 1 hype (circle one): Neit Ad ' Alter Repair Demo Name of Contact Person: #Stories: Z #Units: Sq. Ft : 2-6 t� Telephone # of Contact -Person: 'Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE . # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Plan Check Deposit Amount StructuraC Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Plan Check Balance Energy Cal cs. Plans picked up Construction ' Flood plain plan , Plans resubmitted Mechanical Grading. plan 2°" Review, ready for corrections .ssue Electrical Subcontactor. List Called Contact Person Plumbing Grant'I)eed Plans. picked up S.M.I. H.O.A. Approval Plans resubmitted Grading. Developer Impact Fee IN HOUSE:- ''" Review, ready for corrections/issue Planning Approval Called Contact Person ?J A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees