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05-0984 (RER)r- z U BUILDING & SAFETY DEPARTMENT �4 + BOX 1504 (760).777-7012 sC�oF9`4 95 CALLE TAMPICO FAX (760) 777-7011 MaK 1$ 2005 I�A t UINTA, CALIFORNIA_92253 INSPECTION REQUESTS (760) 777-7153 C17Y0U�`nEPT. BUILDING PERMIT Application Number 05.-0-00`0984 - Date Property Address . . . . . . �L9-6.3-0—C0RTE--B-ELLA APN: 609-590-009- - - Application description REMODEL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . 30735 Owner ------------------------ JOYCE & WAYNE ALBINGER 79630 CORTE BELLA LA QUINTA CA 92253 3/17/05 Contractor ARTISTIC LANDSCAPE INC. 78601 POMPEII CT LA QUINTA CA 92253 WCC: FIRST SPECIALTY WC: Z047911804 10/04/06 CSLB: 379421 08/31/05 CCC: C27.HIC Other struct info . . . . . CODE EDITION 2001 ----------------------------------------------------------------------------- Permit . I. . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 291.00 Plan Check Fee 189.15 Issue Date Valuation 30735 Qty Unit Charge Per Extension BASE _ FEE . 1252'. 00 6.00 6.5000 THOU 'BLDG 25,001-50,000 39.00 --------------------------------------- Permit . . . . . . ------------------------------------- ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 25.•50 Plan Check Fee 6.38 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 10.50 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc - Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 2.00 3.0000 EA PLB GAS PIPE.1-4 OUTLETS E 6.00 ------------------------------------------- -------------------------- and Comments 42 LF 4' BLOCK WALL/25 LF 61.BLOCK ; P.O. Box 1504• �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 5--o 9� e y Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 God mLicense is in��fyyll force and effect. Li eu�se Glass Z 7 f7 f-UcenseLhto i7_ nQ VZ1_ ate 7,1 7 D ontractor�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or through his or her own employees, provided that the improvements are rot 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.). U 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.). U I am exempt under Sec. , B.& P.C. for this reason Date Owner WORKERS' 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. workers' c mpensa4ton m uranceicarrier: ,not employ any person in any manner so as to become subject to the workers' compensation laws of Ce that, if I should b yomesu/cttcthe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with them t d f pU oriG: FAILURE TO SECURE WENSATION 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. 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 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 Ouinta, its officers, agents and employees for any act or omission related to the work being performed unde or following issuance of this permit. 2. Any permit issued asa result of this application becomes null and void if work is not commence within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cane tion. I certify that I have read this application and state that the above in!6Aation is correct. I,agree to mpl ith all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county nter upon the ab men d pr peAy for inspection purposes. h Page 2 Application Number` 05-00000984 Date 3/17/05 ---------------------------------------------------------------------------- Special Notes and Comments WALL/82 LF <36" RETAINING WALL -ALL PER CITY STANDARD.OUTDOOR FIREPLACE AND BBQ & OUTDOOR LIVING ARE WITH 2 GAS OUTLETS/14 ELECT/1 PLUMBING FIXTURE (SINK) . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 18.92 Fee summary' Charged Paid Credited Due --------------------------- Permit Fee Total 343.50 ---------- .00 ---------- .00 ---------- 343.50 Plan Check Total 202.28 .00 .00 202.28 Other Fee Total 18.92 .00 .00 18.92 Grand Total 564.70 .00 .00 564.70 h 79630 Corte Bella Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012' Building Permit Application and Tracking Sheet Permit # �(` Project Address: Owner's Name: c)- WOW► .L 3 n 5 ey- A. P. Number: Address:7q C 4 3 tp-i-C- �L lt— Legal Description: City, ST, Zip: Z Contractor: t t Tele Address:Project Description: _ L� City, ST, Zip: LA- ' L I%lY Telephone: Ot d 3 L F2d-- State Lie. # : Z City Lie. # G Arch., Engr., Designer: t L C lj '. •_ G flit -5,4, Address: City, ST, Zip: 0-n r5ax 11` 5L b0 State Lie. Name of Contact Person: Con traction Type: Occupancy:. anc :.Telephone:nI31 Project tyPa (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: (' -760 j/3 ;5/Z/�O ?j Estiihated Value of ProjeA3 0'0'0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd 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 — 5 Q U,� a- �/aJlil�-� �- �-�.s aw•i' L�� lea, l v� 3, yo Lam.+�w, c�/,�-� �,,o •,� �► �� G fit'✓ 71 �sv�. � W Gvu U%cVl �> Lc � IoclL V dot&?- 3G ( aoILZE�S