10-0792 (MECH)54530 Avenida Alvarado
I IIIIII VIII III II I IIII 69
IE
P.O. BOX 1504 -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN;
Application description:
Property Zoning:
Application valuation:
10-00000792
54530 AVENIDA ALVARADO
774-273-002-23 -00.0000-
MECHANICAL
COVE RESIDENTIAL
7150
Architect or Engineer:
44ubdL
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
VENNERI JOHN
54530 AVENIDA ALVARADO
LA QUINTA, CA 92253
(760)777-8774
Contractor:
HYDES
77825 WILDCAT STREET
PALM DESERT, CA- 92211
(760)360-2202
Lic. NO. : 906115
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/10
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 Code, and y'Cicense is in full force and effect.
License Class: C20 C36 / License No' 906115
Date: g-2-1-1 /OContractor: „,f--41/
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).:
( ) 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.).
( I 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:
LQPERMIT
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 NORGUARD INS Policy Number ' CEWC133676
1 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 work rs' compensation laws of California,
and agree that, if I should become subject to the wo compensation provisions of Section
l 7 L37000of the Labor Code, I shall forfywi pl th those provisions.
Date: V L._ f OApplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 entepon the above-mentioned property for inspection pur rases.
!/
Date: g.'—'2,1"/Signature (Applicant or Agent):
Application Number . 10-00000792
Permit
Additional desc
Permit Fee . .
Issue Date . .
Expiration Date
MECHANICAL
33.00
2/20/11
Qty Unit Charge Per
1.00
1.00
9.0000. EA
9.0000 EA
Plan Check Fee . .
Valuation . . . .
BASE FEE
MECH FURNACE <=100K
MECH B/C <=3HP/100K BTU
8.25
-0
Extension
15.00
9.00
9.00
Special Notes and Comments
PACKED UNIT A/C CHANGE OUT 14 SEER 2007
CODES.
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
BLDG STDS ADMIN (SB1473) 1.00
Charged Paid Credited Due
.33.00
8.25
1.00
42.25
.00
.00
.00
.00
.00
.00
.00
.00
33.00
8:25
1.00
42.25
Bin #
City of La Quinta .
Building PZ Safety Division
P.O. Box 1504, 78-495 Calle Tampico •
La Quinta, CA 92253 - (760) 777-7012
Permit Application .and Tracking Sheet
Permit # �C�
• / 1
‘C)Building
Project Address:. -/:::.-------4-1,1CT erZidS riIvq,,
°Owner's Name: 'Ih ( enil _e,V )
A. P. Number:
Address: 5 —c3adl Al VA 470
V$�i 4
Legal Description:
City, ST, Zip: a ,.v)
Telephone: -26-d ^.7 7 7 rl 7"-f.
i1l
Project Description: t!�
q'Z --'-
_
G�1(n ��(�'%-
' a
Contractor. C e 7 7 41 41 CUm
yl ' !'h
-
?�7V.2..�/"(te1.--k.
Address:
.07 ill / ' '
City, ST, Zip: �Gt l N+ De,2.eYi- / IA J�1 ( ZZ. / 1
Telephone: 7Co-‘GI-�ZOZ
r ...
State Lic. # : 9'0,6 (// 5
City Lic. #: y g 2�
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
r^ ; r: - i
Construction Type: Occupancy:
State Lic. #:
;:
Project type (circle one): New Add'n Alter Repair Demo
. Name of Contact Person:
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: j 7 / 5.0
APPUCANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd •
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
-
Reviewed, ready for corrections .
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical •
Grading plan
Zed Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L •
H_O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
s"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees