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SOTB (08-1925)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4- " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: t 08-00001925 Property Address: 61770 MESQUITE CT APN: 764-280-999-61 -300236- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 8200 Owner: NELSON 61770 MESQUITE CO LA QUINTA, CA 922 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/05/08 DEC 0 3 2003 ID/I Contractor: vI r OF LA FINANfwE Applicant: Architect or Engineer: ARTISTIC LANDSCAPE IN 78206 VARNER RD, #D PMD244 ' PALM DESERT, CA 92211 (760)360-1395 Lic. No.: 379421 LICENSED CONTRACTOR'S DECLARATION 1 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 my License is in full force and effect. LicenseCjass: ,C27 LicenseNo.: 379421 ' r 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).: 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 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.). 1 _ 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.). (_ I 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: C 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 rkers' compensation insurance carrier and policy num er are: Carrier DELOS INS CO olicy Number O1KD 002 4 I certify that, in the performanc f the work for hich this p t is i ed, shall 6t employ any person it any manner so a become bjec to the cle ' co pend� tion I sof California, and agree that, if I shout come su t t he work s' mp nsaj. n prov' ions of Section W.O0 ofthe Labor Cod shall fon ith m wi se ovi ons. WARG. AILURE TO SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL 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 comm ed within 180 days from date of issuance of suc ermit, or cessation of work r 180 days ill su ' ct permit to cancellation. I certify that I have read this application and state that t ove informati is correc . 1 gree to c mply ith all city and county ordinances and state laws relating to b it ng construFftio and here thorize r resent Ives of this county tp enter upon r� above-mentioned pr e y for inspey(f'on urpgses. (Applicant or Application Number . . . . . 08-00001925 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/09 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 99.00 Plan Check Fee 64.35 Issue Date . . . . Valuation . . . . 7466 Expiration Date . . 6/03/09 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25,000 54.00 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee 21.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 734 Expiration Date 6/03/09 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 6.00 ------------------------------------------------------------------------- --- Special Notes and Comments BBQ, WALL FOUNTAIN, 14 L.F. 6' EQUIPMENT WALL & 24 L.F. 4' & 24 L.F. 32" BLOCK WALL, CITY STANDARD LQPERMIT Application Number . . . . . 08-00001925 ---------------------------------------------------------------------------- Other Fees. . . . . . . . . . ENERGY REVIEW FEE 6.44 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 155.25 -------------------- .00 ---------- .00 155.25 Plan Check Total 73.16 .00 .00 73.16 Other Fee Total 6.44 .00 .00 6.44 Grand Total 234.85 .00 .00 234_.85 LQPEPAIIT 1 . Bin # City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 4P 17-7 t2 Owner's Name: A. P. Number: Address: 62770 M±f�h7r, Legal Description: Contractor: h";rr, City, ST, Zip: L-A- � R, L x trA- O Telephon e*: Address: ' ZA 44164114 vin &- W On pmz) 2 -YY Project Description:. 0 13 a_ IVA I L City, ST, Zip: I �7,Z_J / 'OO L Telephone: t Zie, Y63j. State Lic. # 7 -z-1 City Lic. #: q� s Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person:Sq. Constru Clio Occupancy: oject type (circ P le one): Demo Add'n Alter Repair Ft.: IFI # Stories.. # Units: Telephone # of Contact Person: E'stimated Value of Projecc. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec1d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss. CaIcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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:- 3rd 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 slaoo 75 4/ 7 '* 6 & - rFt- tle-1