06-2458 (SOTB) 1 -�. �`r,.� I IIIIIII VIII III VIII IIII 35 ' �IE 4 �
P.O. BOX 1504 _ VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/21/06
Application Number: 06-00.002458 Owner:
Property Address: 80909 CALLE AZUL CHAVIS
APN: 762-240-003-39 -300961- 80-909 CALLE AZUL
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 800
Contractor: Lr-v a
Applicant: Architect or Engineer: ARTISTIC LANDSCAPE
78601 POMPEII CT
LA QUINTA, CA 9225 JUL 19 2006
(760)360-1395
Lic. No. : 379421 CIN OF LA QUINTA
/a FINANCE DEPT.
- - - - -- -- --- - - -(- -- - - - - - ----- ------- ------- -- ---- -- - - - - - -- -- ---- -- - -- -- --------- -- - - -- --- - - --- - -- --
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjur 3 of the B ness and that I am licensed under pro vi 'sns of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of DivisionProfessional ode, d 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 lass: C27`i i ense o.: 379421 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
/lontrac 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
OW ER-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 CLARENDON INS Policy Number 01KR-0032-022
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 i is d,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 o become subject to the workers" m ensation 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 shout ecome subject to the workers'c pen ation provisions of Section
License Law(Chapter 9(commencing with Section 70001 of Division 3 of the Business and Professions Code)or 3700 of the Labor Co 1 shall fort wit complo ith th pro v ions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -74
any applicant'for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001.: ate Applicant:
1_1 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 SECU E WORKERS'COMPENSATION C VERAGE 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 CRIMINAL 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 1$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 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.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_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 issuance of such permit,or cessation of work for 180 days II subj ct
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 state that thea a information is correct. I gree to c ply w'h all
work for which this permit is issued(Sec.3097,Civ.C.1. city and county ordinances and state laws relating to build' construction,a d hereby orize re esent ryes
of this cou ty to enter upon the aboNte-mentioned proper r inspectio p poses. c
Lender's Name:
ignature(Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number 06-00002458
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . 21.00 Plan Check Fee 13 .65
Issue Date . . . . Valuation . . 800
Expiration Date 12/18/06
Qty Unit Charge , Per Extension
BASE FEE. - 15.00
3 .00 2 .0000 HND BLDG 501-2, 000 6.00
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee 18.00 Plan Check Fee 4.50
Issue Date Valuation . . . . 0
Expiration Date 12/18/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3 .0006 EA PLB GAS PIPE 1-4 OUTLETS 3 .00
----------------------------------------------------------------------------
Special Notes and Comments
FIREPIT ONLY PER APPROVED PLAN
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 39.00 .00 .00 39.00
Plan Check Total 18.15 .00 .00 18.15
Grand Total 57.15 .00 .00 57.15
LQPERMIT
Bin # City of La Quinta
Building a Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet t
Project Address: Owner's Name: G a 5
A.P.Number: Address:
Legal Description: City,ST,Zip: L
Contractor: I Telephone: f
Address: L, Project Description:
City,ST,Zip:
Telephone: - rre
State Lic.#: ? ?i City Lic.#-.,/P/ ,
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: 6 Occupancy:
k
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person_- 76a_#64 QQ�- l//9-- _ _Estimated Value.of Project
-
APPLICANT: DO NOT WRITE BELOW THIS LINE
it Submittal Req'd Recd
TRACKING. PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs. Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance
Energy Calcs. Plans picked up Construction �p
Flood plain plan Plans resubmitted Mechanical
Grading plan 2""Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing 41? �-- OtJ7(E7S
.Grant Deed Plans picked up 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 A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Vees
_�...__.__._.__..._.._ •mak--�`--.--__.__...____--� � { � i..t t�„t. � ..... _.,... .._ � �t -*�t'�.' ��.-Ck�..r �' �.,a.,�"
• j � i 1 \
t
IT,
J ' "
Lip HI pf7A,t
.• 1
c i 4
a
r-���_!'"1�,L:z!�.'•.s�__.- --__. ..... . ..__.. � ----�'� , `t ,c_C' !' � G {�,I �� i , �, ..�- ,� f►.x_6'4-..-�r� #,� h�.� ;+� ,� �'' �'.
o
71
'�. , t t� `� yam, q _ � � � � � .r•t �y.-- {.- L- }��',Y� � 1 p� �r
Y
_ ��+� ►' I f
jy� J 9
r
fet6L w/1;Io t. '4�J k :, — - y 1 _
_ n
1 � 1 4 ♦ tt /�/ N"! - �, �'r"+..:♦ ky.. i t ��....._i.Ab-�'e`]f:,:.�._ 1. ._.....-_................—.r�
'��V`'I�+� ~ ..r!' � Jc��:��.....w. ..-.�. �X fir" „ — I C 5•.,�` `. ( �� � 1
�...L. ..} ♦�,q� - FIM`�. � /
' ..�„""""�' :�`"v --x,.�r, yF/y "�'G V1.-�i F^ `�wt� t. - r.' i_';,_,-��t. ``Y �Q.�,�` Z f.-t. ' .� �t;'rt..(,�••-
'-'.�•+'ff'',.a,��.Q ,;� tis Q�?L_ � -�'��_+. ��.�,-�'�; 1 `R �+}� � ��,, S.,y`� i � !'
Ar
1 t. vh t
t
L,1.)
�.Q. , � t..,,.... ?''�,+ �'' �� � 1 T� V ��(�1 1 j � � ` ' � � r�,r��'d q --_. �........_5,•..r.:._1..1..�...'�,.+G...,r�L,�,, ? :i _ ,
1
CITY OF LA QUINTA
I BUILDING &SAFETY DEFT.
APPROVED
1
r FOR CONSTRUCTION
DATE(',;z,/,06 BY
1
SCALE: y.. APPROVED BY: r �)
DRAWN BY
DATE /..? REVISED ( 1�
r
4,e F a �' �' et t ,v[44 t,,,
DRAWING NUMBER