RER (07-0493)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: i 07-00_000493
Property Address: 52715 AVENIDA`NAVARRO
APN: 773'-304-024-11 000000 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
-Application valuation: 50
Applicant: Architect or Engineer:
P I P(
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JEFF MANNING
52715 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS '(760) 777-7153
Date: 3/02/07
J U
- - -
-MAR 0 6 2007
CITY OF LA Ql wrA
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '
Date: Contractor:
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 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 Licens LAh
��++((1.
(_ I I am exempt under Sec. , B.&P.0 I hls reason
111111 ff II e
YAate: _ner:
NS CTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for theperformance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:'
Lender's Address:
LQPERMIT
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 Policy Number
_V—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 shall forthwith comply with those provisions.
" plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION.COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN DRED-THOU SAND
DOLLARS 1$100,0001. 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 tt county to enter upon th above-mentioned property fo ' s ec i n pu oses.
aD te: v ( S' ture (Applicant or Agent):
q,
Application Number" . . . .. 07-00000493
Permit BUILDING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
9.75
Issue Date . . . . Valuation . . .
. 50
Expiration Date 8/2.9/07
C
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------- 7 ------------------------
Special Notes and Comments
SHORTEN OVERHANG BY 14" AT SOUTH SIDE.
OF HOUSE TO ACCOMODATE RV.
3/�oj0?
----------------------------------------------------------------------------
Other Fees . . . . . . . ENERGY REVIEW FEE
.98
Fee summary Charged, Paid. Credited
Due
-- ------ ----------" ----------• ----------
Permit Fee Total 15.00 .00 .00
'15.00
Plan Check Total 9.75 .00 .00
9.75
Other'Fee Total .98 .00 .00
.98
Grand Total 25.73. .00 _00
25.73
LQPERMIT
Bin # �/ O�l h , of �1s✓y ��s,.�IR.df
r� City of La Qui
nta
Building & Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Z--��
(S Ur=1J f Q RlJ Av o�RZ Owner's Na.,:
A. P. Number:
Address: 7 t' UEF�11 ��
,I
Legal Description: /V A UFi 1220
City. ST, Zip: Z (� . Q .V = N A C1� 2 2
Contractor. N L.. v q
Q 3 l'� iZ Telephone 76 S Address:
it
S
..Project Description: ' uLo \1
City, ST, Zip:
Telephone: L
State tic. # eV �CNtiC u L$ Vii•({c�
i42
Ci Lic. #: ,
��L �P t
Arch., Engr., Designer Lh L C ' ft% / LL
Address: � �- � �, •�..
City, ST, Zip:
R G[. .7'
Telephone: 'ASC I 1A
Construction Type: Occupancy:
State Lie. #
Project type (circle one): New Add'n. Alter Rep ' pyo
Name of Contact Pers
Sq. Ft.: 5 .1 # Stories: # Units:
Telephone #9f Contact Person:
Estimated value oProject:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd TRACICING
PERMIT FEES
Plea Sets . Plan Check submitted
a Item Amount .
Structural Cala. Reviewed, ready for corrections
Plan Check Deposit
Truss Cala. Called Contact Person
Plan Check Balance
Energy Cale. Plans bicked.up
Constrvctiou
Flood plain plan Plans resubmitted
Mechtinicail
Grading. plica 2'' Review, ready [or eorrectio issue
7 Electrical,
Subcontactor List . Called contact�Person `
'Z Plumbing .
Grant Deed Plans picked up
S.M.L
H.O.A. Approval Plans resubmitted
Grading
IN HOUSE:- Review, ready for. correctionsrissue
Developer Impact Fee
Planning Approval Called Contact Person
A.LP.P.
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees
? 14 DIv'P�-ra�rR-�
"
: r �`TY WEIOP:rG�i
APPROVcD B COiw+-
DATE
BY
0IBIT
CASE AfO.
n ryD,� FEB 14 2007
Q�L
By
Jeff Manning Residence
54-715 Avenida Navarro
La Quinta, CA 92253
As owner of the above property, I acknowledge that:
1. 1 am undertaking the work authorized in the attached, approved drawings for the
purpose of parking a recreational vehicle (R.V.) in the exterior sideyard adjacent
to the south side of my house.
2. 1 have been informed by Greg Butler, Building & Safety Manager, that the zoning
regulations' contained within the La Quinta Municipal Code may change in the
future.
e M, ingU Date
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Cohst*tion OT -PERM
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IS CONTAINER
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761
IS REQUIRED ON 0 CITY OF LA QUI NTA
ION AND MUST B V L
S OF CONS RUCTION in no en BUILDING & SAFE Y DEPT.
PHASE' j
EMPTIED 'AS NE..CE APP.ROVED
MAY CAUSE THE CITY TO HAVE THE CONTAINER FOR CONS UCTION'
DUMPED AT THE EXPENSE OF THE OWNER/ -
R 61ca I - B I I
CONTRACTOR! 21 .00
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