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07-2757 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4 . " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00002757 Property Address: 81844 RUSTIC CANYON DR APN: 764-280-999-75 -300237- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 500. Applicant: Architects or Engineer: V� ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professionals Code, and my License is in full force and effect. License Cl ssC: C8 C27 C29 License No.: 656128 Date: .� �7 Contractor: O ER -BUILDER DECLARATION I hereby affirm under penalty o peijury t empt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Businessand 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 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, 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/15/07 Owner: AQUINO RESIDENCE 81-844 RUSTIC CANYON DR. LA QUINTA, CA. _a2.3.d. IF Contractor:. I OCT 15 2007 TESERRA P.O. Box 12 8 L� COACHELLA, ��..�j�'��yy OF 1AQ�1P1 A C 9223�5�� . (760)398-922 Lic. No.: 656128 ----------------------------------------------- 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 policy number are: . Carrier SEABRIGHT Policy Number BB1070510 certify that, in the performance of the - ork for which this permit is issued, I shall not employ any person in any manner so as to beco a subject to the workers' compensation laws of California, - and agree that, if I should become su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I II rth ith comply with those provisions. -Dater Applicant: l WARNING: FAILURE TO SECURE WORKER CO SATION 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 abov i Formation is correct. I agree to comply with all city and county ordinances and state laws relating to build' c n ruction, and hereby authorize representatives of this ou%ty to en11ter upon the above-mentioned pro pe v f r s ction purposes. Date�o/DTSignature (Applicant or Agentl: Application Number . . 07-00002757 Permit BUILDING PERMIT Additional desc . - Permit Fee 15.00 Plan Check Fee 9.75 . Issue Date . . . . Valuation 500 Expiration Date 4/12/08 Qty Unit Charge Per Extension BASE FEE 15.00 Permit . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 17.25 Plan Check Fee'. 4.31 Issue'Date, Valuation . . . 0 Expiration Date 4/12/08 Qty Unit Charge Per Extension BASE FEE 15.00 3:00 ,.7500 PER ELEC-DEVICE/FIXTURE 1ST 20 2.25 Permit . . PLUMBING Additional• desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation 0 Expiration Date 4/12/08 Qty Unit Charge Per Extension BASE FEE 1S.00- 1.00 3.0000 EA PLB GAS PIPE.1-4 OUTLETS ----------------------------------------------------------------------------- 3.00 f Special Notes and Comments FIREPIT PER APPROVED PLAN ONLY Fee summary Charged Paid Credited Due --------------------------------- Permit Fee Total 50.25 .00 00 50.25 Plan Check Total 18.56 .00 .00 18.56 Grand Total 68.81 .00 .00 68.81 LQPERMIT - ' Bin # Permit # -21 Project Address: 19) —g!' A. P. Number: Legal Description: Contractor: 77 Address: City, ST, Zip: Telephone: State Lie. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: ' # Submittal Req'd Plan Sets Structural Cafes, Truss Cafes. !Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval INTIOUSE:- Planning Approval Pub. ks. School Fets.... City ®f La Quointa Building u Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012-- Building 77-7012Building Permit Application and Tracklig Sleet lits . G Owner's Name: IJ (7 Address: City, ST, Zip: Telephone:------------------- ' �-� Project Description: '90.t LFr ta.6l.t,,.1 l Lic. #: . Plan Check submitt Reviewed, ready for Called Contact Per Plans ticked up Plans resubmitted 2"d Review, ready f Called Contact Per Plans picked up Plans resubmitted Review, ready fo Called Contact Per ^" a e o p rmit issu LDATE—.8y - ed corrections Pers or son Pers e Item Amount Plan Chec t Deposit Plan Checr Balance Construction 3 Mechanical corrections/issue Electrical R. Plumbing _ v.Tj(6.75 S.M.I. Grading r correctio /iss c /� Developer Impact Fee A.I.P.P. 9 Total Pernit Fees GAS SHUTOFF GAS LINES. SHALL BE INSTALLED VALVE GRAVEL PER CPC FOR DEPTH, LOCATED COURSE COVERAGE, AND PLACEMENT. WITHIN 36" GAS LOG SAND , WATER PROOF OF UNIT LIGHTER MEMBRANE (TYP.) STONE CAP 3-U2` , , E • #4 'TIE STEEL! #4 BAR! VERT. AT. 32" O.C. 8x8x8 CMU,; SOLID GROUT F.S. ;¢ F.S. .. ..... .____._. ..__.._ _. 1. CLR METAL GAS RISER—.GRAVEL SUMP 2" DRAIN OR PROVIDE IZ" DIAM. 3 CU. FT. OPENING IN FOOTING CRUSHED ROCK, 4- OUTDOOR FIRE RING - STONE CAP .s1. TIF_ STYE L_ A r 1 WATER F'9 r aca Nil Immjiml Milli 5 i T i