BSPN2015-003378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
HEIDI MC ARTHER
80144 QUEENSBORO DR
IN1)10, CA 92201
BSPN2015-0033
78377 HIGHWAY 111
MC ARTHER / JADA BUGS
vi&t U VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/12/2015
Owner:
HARSCH INV REALTY
1121 SALMON ST 4TH FL
PORTLAND, OR 92253
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 Professions Code,
and my License is in full force and effect.
License Class: License No.:
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).:
(_) 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, 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
Lender's Address
Contractor:
Llc. No.:
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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 polity number are.-
Carrier:
re:Carrier: _ Policy Number: _
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.
Date:
Applicant:
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 Building Official 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 city to enter upon the above-
mentioned property for inspection purposes.
Date: L �S Signature (Applicant or Agent):
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Description: MC ARTHER / JADA BUGS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
Type: SPECIAL INSPECTION
Subtype: Status: UNDER REVIEW
Applied: 8/12/2015 SKH
Approved:
Parcel No: Site Address: 78377 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision:
Block: Lot:
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
(760)347-7406
Details: SPECIAL INSPECTION - INSPECT JADA BUGS FOR COMPLIANCE. 2013 CALIFORNIA BUILDING CODE.
CHRONOLOGY
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
NAME TYPE —
NAME
ADDRESS1 _
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL—
APPLICANT
HEIDI MC ARTHER
80144 QUEENSBORO
DR
INDIO
CA
92201
(760)347-7406
OWNER
HARSCH INV REALTY
1121 SALMON ST 4TH
FL
PORTLAND
OR
92253
(760)347-7406
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL*" BLD
Printed: Wednesday, August 12, 2015 10:03:42 AM 1 of 2. sysTEMs
4
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE. NOTES
DATE
Printed: Wednesday, August 12, 2015 10:03:42 AM 2 of 2
SYS TEh1S
,,
BOND INFORMATIf1N.,
ATTACHMENTS
Printed: Wednesday, August 12, 2015 10:03:42 AM 2 of 2
SYS TEh1S
Bin #
City of La Quinta
Building 8L 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: 00 3 " 11 �� C
Owner's Name:
A. P. Number: t53
Address:
Legal Description:
City, ST, Zip: C�2 Zp t
Contractor.
Tele h ne•
P 0
Address:
Project Description:
City, ST, Zip:
Tel' e ne•
Po . h
State Lic. # :
City Lie.
Arch., Engr., Designer:
Address: '
City., ST, Zip:
Telephone:
hone:
z
n
Co structi on Type: O ccu anc Y:
P
State to Lic. #:
Project et hPa (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 1SC)p
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of.Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# `
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural talcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked 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
Plans resubmitted
Grading
IN HOUSE:-
3' 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 Fecs
Total Permit Fees