Loading...
07-0114 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000114 Property Address: 54050 AVENIDA MONTEZUMA APN: 774-191-010-3 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 20000 T4ht 4 4 Qu & Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professio�_l is in full force and effect. License Class: _B Date: ! _ LT- V Contractor: O NER-BUILDER DACCARATION I hereby affirm under penalt of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 70 Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, molish, 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).: (_ 1 1, 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, 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 Owner: JERRY ELLENZ 72990 HOMESTEAD RD PALM DESERT, CA 92260 (760)485-9343 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/12/07 Contractor: LA1 PACIFIC HABITAT, INC. P.O. BOX 2898 PALM DESERT, CA 92261N is 200]7 (760)340-6682 Lic. No.: 725624 CITY OF LAQUINTA ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT 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 su�'6 ect to rke ensation provisions of Section 3700 of the Labor Code, I hi s pro isions. DZ Applicant: WARNING: FAILURE TO SEC WORK S' COMPENSATION COV GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T RIMINAL PENALTIES AND CIVIL FI S UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). INA TION 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 Ouinta, 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 ee to comply with all city and county ordinances and state laws relating to building construction, and hereby ta[ives of this county to enter upon the above-mentioned property for in is purposes. Dat Signature (Applicant or Agent): Application Number . . . . . 07=010000114 Permit . . . . . . BLDG, POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134:55 Issue Date . . . . Valuation 20000 Expiration Date 7/11/07 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 --------------------------------------------------------------- THOU BLDG 2,001-25,000 162.00 . ------------ Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special•Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 07-00000114 ---------------------------------------------------------------------------- Special Notes and Comments y PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERMIT CITY OF LA QUINTA SUB-CONTRACTO LIST r JOB ADDRESS 'OCJDAkt _ PERMIT NUMBER OWNER Pa'f L BUILDER G ! T -fit- This form shall be posted on the iob 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 fob. 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 completedby applicant. "On File" is not an acceptable response. Trade .Classificatio ::..::.::.:..:::.:..:....::: nt to ::: State:::Contractor .s. Ucehse..: . City Biisriess Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date . License. Number Exp. Date (e.g. A, B, C-81 (xxxxxx) (xx/xx/xx) (e:g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (x)txxl. (xxlxx/xx) EARTHWORK (9-12)�. CONCRETE FRAMING ;(G-51.:. t STRUCT..STEEL-(G=51) ! MASONRYIC-291 PLUM BING.(C-361 PLASTER (C=35) ck kM oins ny�ti . (� 76�©QY� DRYWALL (C-9) .:... HVAC. (C-201 ELECTRICAL. (C-10) RQOFING- IC=39) :'"'.'�>`:' .. SHEET METAL(C=!431 i FLOORING (G:=:1:5). GLAZING (C-17):' .'.> INSULATION:: (C-2) SEWAGE DISP (C-42)' . PAINTING (C=33) CERAMIC TILE .(C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C=27) 4 POOL (C-53)n 1%e —ro 1*!r-. 'SA-ax-.-_ . T4AOka(iv`l:- Bin # Ciof La City Quetta 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 #' ( l� Project Address:' le v Owner's Name: u et'r% A. P. Number: Address: Q Legal Description: Contractor: �� Address: `' Nom'. , City, "ST, Zip: wo I Telephone: (f — ..3 Project Description: City, ST, Zip: 226 D Telephone:y .- 3 State Lic. # : 2 . City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New. Add'n Alter Repair Demo Name of Contact Person: r YE�P i Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ��- ,3 3 Estimated Value of Project: 02 Op 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Pian Cheek submitted, Item Amount Structural Calcs. Reviewed, ready for G�rections plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans ticked 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 Pians 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 Fees