The URL can be used to link to this page

RER (10-0212)61434 Living Stone Dr 10-0212 Application 2253Application Number:10-00000212 Property Address: Number:_10-00000212_' LIVING STONE DR APN: 764-280-999-190 -300236- Application description: REMODEL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1200 Architect or Engineer: PIA • ��il{r�fl(/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 P ofe sionals Code, and my License is in full force and effect. License Class: C2pp711 Lic se 379421 te:�Vntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: 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 herselfthroughhis 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: 3/17/10 Owner:ELLIO 61434 L 61434 LIVING STONE DRIV LA QUINTA, CA 92253 ei r jYf� tC Contractor:`�f� ARTISTIC LANDSCAPE INC. 78206 VARNER RD, #D PMD244 PALM DESERT, CA 92211 / (760)360-1395 Lic. No.: 379421 s ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 DELOS INS CO Policy Number 03DKRM12002584 _ 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 to the workers' compensation provisions of Section !� 3700 of the Labor Code, I ha rthwith� mphllycyryithhtth'o a provisions. ' 2 Ap..' ant: /r �"L'✓W 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 constr ction, and hereby authorize representatives of this c my to enter upon the above-mentioned property for i tion pur ses. D/VSi ture (Applicant or Agen • �' Application Number. 10-00000212 Permit BUILDING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee 9.75 Issue Date . . Valuation . . . . 224 Expiration Date'.. 9/13/10 Qty Unit Charge Per Extension BASE FEE -------------------------------------------------------------------------- 15.00_ Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 Expiration Date 9/13/10 Qty Unit Charge Per Extension BASE FEE 15.00 . 4.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 2.0 --=-------------------------=------------------------------------------------ 3.00 Permit PLUMBING Additional desc . Permit Fee . . . 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 Expiration Date 9/13/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments 14 L.F. 4' EQUIPMENT ENCLOSURE, CITY STANDARD, 4 ELECTRICAL OUTLETS & GAS LINES FOR FUTURE BBQ AND FIREPIT. 2007 CODES. Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE ..00 Fee summary Charged.. Paid Credited ---------- Due --- - ------------- ---------- Permit Fee Total 51.00 .00 .00' 51..00 Plan Check Total 18.75 .00 .00 18.75 Other Fee Total 1:00. .00 .00 1.00 Grand Total 70.75 .00 .00 •70.75 LQPERMIT Bin # Qu►nta Qty�f La • Building 8r Safety'Wision P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' Project Address: Vi p yam, - Owner's Name: /llY,+gt LZp t A. P. Number: Address: Legal Description: City, ST, Zip: C1 l LY1 i Contractor:) 5 1:',; Telephone: ,f><;;: ' .,:;{.>4:.>:::>:;;: Address: g 2cJ v l��'l�r F�d6eyVJ,?,qq Project Description:Av 'L' yn til City, ST, Zip: 2v 1 — ice �'r o UDIC L e I -S Telephone: :: W ri}v.. A}}}iiii?:<:;({ryY::i;}:,{:i:f A:v� •;v4ri{i: State Lia # : Z City Lie. #; Arch., Engr., Designer:14 Address: City., ST, Zip: Telephone: P ;M1j}:=::•yM1{.'•S:Z.:n.;rriv�ti �ti:l'4\:'}5:. \�:Sv:::i:::ti5: :HL'(i�'F.4{:R:}:;,vti'J:iIL:%:i�v{v} . Construction Type: Occupancy. State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: vi \ V1 Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 466 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets . Plan Check submitted 3 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2q! 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: 'a 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 �, i i I I e _ F 5i� � 'i . .. � �,