07-2033 (SOTB)79830 Amora Dr
07-2033
1 ,'.- IIIIIIII VIIIIII VIIIIIII
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
17
T-iht 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002033-; 3 Owner:
Property Address: 79830 AMORA DR PETERSON
APN: 609-380-998-3 -293232- 79-830 AMORA DR.
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92
Application valuation: 20000
Contractor:
Applicant' Architect or Engineer: ELITE SERVICE PL
79830 AMORA DR
LA QUINTA, CA 9225
(760)343-6259
Lic. No.: 846514
LICyaicen"soed
NTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Businessss' nal! Code, and my License is in full force and effect.
License Clash 6 /l License No.: 846514
Date: / Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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, 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, 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.).
(_ 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/17/07
naultwp,
OF
C17N oEpT
WORKER'S COMPENSATION DECLARATION
I 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.
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 EXEMPT Policy Number EXEMPT
I certify that, in the performance oft work f v *t h this permit is issued, I shall not employ any
person in any manner so as to ome to the workers' compensation laws of California,
on agree that, if I should b me s le the workers' compensation provisions of Section
_10
of the Labor Code, hall vi
c
Date: 6V/47Applicant:
WARNING: FAILURE TO SEC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000).- 1 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF TH ABOR 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 c tion of work for 180 days will subject
permit to cancellation.
I certify that I ave read this application and state that the above i rmat n ' .co sect. I agree to comply with all
city and coun or inances and state laws relating to building co tru ' n/ rid ereby authorize representatives
of this court to _ter upon the above-mentioned property f 's ti pur oses.
Dater Signature (Applicant or Agent) _
Application Number . . . . 07-00002033
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . . .
20000 .
Expiration Date
6/14/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
24.00 Plan Check Fee
6.00
Issue Date
Valuation . . . .
0
Expiration Date
6/14/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
12.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
9.00'
Permit . . .
z.
PLUMBING
Additional desc .
Permit Fee . . . .
21.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/14/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
198 SQ. FT. ENGINEERED TRELLIS WIT BBQ
FIRE RING AND RETAINING
SEAT WALLS PER
APPROVED PLANS
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
13.46
STRONG MOTION (SMI) - RES
2.00
Fee summary Charged
---------------------------
Paid Credited
Due
Permit Fee Total
------------------------------
252.00 .00 .00
252.00
Plan Check Total
145.80 .00 .00
145.80
Other Fee Total
15.46 00 .00
15.46
Grand Total•
413.26 .00 .00
413.26
LQPERMIT
I
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection.
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY Y Ur LA QUINT 7
DEPT. OF BUILD G D SAFETY
78-495 Calle in o
La Quinta, A 9
) 7
FAX:f77 7724
Ary -a-->,6,4
PROPERTY ADDRESS
67
PERMIT NUMBER(S)
CITY OF LA QUINTA SUB -CONT CTOR_LIST
JOB ADDRESS 64 / PERMIT NUMBER OWNER 1 -t . BUILDER
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in.a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "Un 1-ile" is not an acceptame response.
6ir
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Ci of La uinta IIIIIIIIIIIIIIIIIIIIIIIII ,9
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Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # '
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Project Address:'
Owner's Name: rCIGG
A. P. Number:
Legal'+/escription:
Contract/or.-"*
ontracto .
Addr s:
Address: W43D 4- C(4.
City, ST, Zip:
Telephone 7� Sr•Z-
Project Descriptio U tS �,�,�
City
ST, Zip: �><�` /5 '
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Tele
hone:
L
State 'c. #
Arch., En Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:5 �
Construction Type: Occupancy:
Project type (circle one): New Add' Alter Repair Demo
Sq. FL:0D.
# Stories:
#Units:
Telephone # of Contact Person: (76ol 3 t E S
Estimated Value of Proj
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
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Plan Check submitte -�
�0
Item
Amount
Structural Calcs.
a
Reviewed, r dy for corrections
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Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2°" Review, ready or correctionsfis e
4 z�
Electrical
Subcontactor List
Called Contact Pe n
Plumbing
Grant Deed
Plans picked up ,bJZ
!`
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Wf3
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
l" 1. a ,N-"
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School Fees
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Thank you!
This Material Sent
k
❑
Letter of Transmittal
❑
To:
City of La Quinta Today's Date:
`,V G
❑
Approval
78-495 Calle Tampico City Due Date
o
❑
At the request of:
La Quinta, Ca 92253 Project Address:
❑
,
Attn:
Plan Check #:
Submittal: ❑ ist
s
❑ 4th
2nd
❑ 5 t
3`d
❑ Other:
We are forwarding: ❑ By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies:
Copies:
❑
Structural Plans
❑
Revised Structural Plans
❑
Structural Calcs
❑
Revised Structural Calcs
❑
Truss Calcs
❑
Revised Truss Calcs
❑
Soils Report
❑
Revised Soils Report
Correction List
❑
Approved Structural Plans
Redlined Structural Plans
❑ .
Approved Structural Calcs
Redlined Structural Calcs
❑
Approved Truss Calcs
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Thank you!
This Material Sent
for:
❑
Your Files
❑
Per Your Request
❑
Your Review
❑
Approval
❑
Checking
❑
At the request of:
Other:
❑
,
By:
Palm Desert Office: ❑ # ( 60) 360-5770
Washington Office: ❑ # (760) 404-9556
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
May 29, 2008
Mr. Gearld Peterson
79830 Amora Drive
La Quinta, CA 92253
F-1 L E
BUILDING & SAFETY DEPARTMENT
RE: Building Permit Extension Request — 79830 Amora Drive.
Dear Mr: Peterson:
(760)777-7012
FAX (760) 777-7011
I have reviewed your letter dated 6/20/08 requesting a time extension for the
trellis and barbeque under construction at the above address under Building
Permit #07-2033. Our records indicate the following status on this project.
Inspection status:
Permit issued:
12/17/07
Last successful inspection:
12/21/07 (Footings)
180 -day expiration date:
06/18/08
180 -day extension date:
12/15/08
Under the provisions of 2001 California Building Code Section 106.4.4, your
request is hereby granted.
Because the Building Code specifies that "no permit shall be extended more than
once," please be advised that unless the project passes its next required
inspection on or before Monday, December 15, 2008, your building permit will
expire automatically.
Yours truly,
Greg Butler
Building & Safety Manager
10st. 1401 ftG�
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