Loading...
07-1132 (CP)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT f Date: 4/18/07 Application Number: 07-00001132 Owner: Property Address: 52250 ROSEWOOD LN - ` RJT HOMES - CODORNIZ APN: 772-410-997-143 -32070 - P.O. BOX 810 0 Application description: POOL - COMMERCIAL LA QUINTA,. CA 92253 d Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 70000 n Contractor: APR I c4 Applicant: Architect or Engineer: MACHIR DEVELOPME INCQiO%�r�� ®o/ P.O. BOX 1685 LA QUINTA, CA 92253_ (760)771-8862 1 I Pt Lic. No.: 792681' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed underprovisions 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' cornpensation,-as provided Li Cl ss: B C27 C53 License No.: 792681 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / issued. ,8a ntractor: 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 O E - UILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ENDURANCE INS Policy Number WEN 0001529 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which thispermitis issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for. the person in any manner so as to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or I 700 of the Labor Cc het ith comply with those provisions. 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 ($500).: ate: pplicant• 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILU ORKERS'C<;94 TION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($ 100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7naa, Rlisinnss and Prnfassinns Code; The. Contractors' State Llc6rlstf Lti1W. 0.995 not apply to an owner of - conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s)'licensed 1. Each person upon whose betialt this applidati6h IS Mal1e, eaen perSBn at wltuse lequtst anU rui pursuant to the Contractors'. State License Law.) whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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. . Date: - Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury. that there is a construction lending agency. for the performance of the I certify that I have read this application and state that the above in tion is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and co ty o finances and state laws relating to bu' onstruction, and hereby authorize representatives of this c y to nt po the above-mentioned art action purposes. Lender's Name: - - te: ignature (Applicant or Ag 1: Lender's Address: LQPERMIT 3 Application Number. . . . . . 07-00001132 Permit . . . MECH POOL. Additional desc . Permit Fee 48.00 Plan Check Fee 12.00 Issue Date Valuation . . . . 0 Expiration Date 10/15/07 Qty Unit Charge Per . Extension BASE FEE 15.00 3.00 11.0000 EA MECH FURNACE >100K 33.00 Permit ELEC-MISCELLANEOUS: Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . 0 Expiration Date 10/15/07 Qty Unit.Charge Per Extension BASE FEE 15.00 4.00 7.5000 ----------------------------------------------------------------------------. EA ELEC PWR APP >1 TO <=10 30.00 Permit PLUMBING Additional desc . - Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . 0 Expiration Date 10/15/07 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 Permit BLDG POOL PERMIT Additional desc . Permit Fee 504.50 Plan Check Fee 327.93 Issue Date'" Valuation. 70000 Expiration Date .. 10/15/07 Qt;t Unit ChRrrJe Per Extension BASE FEE 414.50 20.00 4:5000 THOU BLDG 50,001-100,000 90.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN. LQPERMIT Application Number . . 07-00001132 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. ALL ENCLOSURES & BBQ -S BY SEPARATE PERMIT Fee summary Charged: Paid Credited• Due Permit Fee Total 630.50 .00 .00 630.50 Plan Check Total 359.43 .00 .00 359.43 Grand Total 989.93 .00 .00 989.93 J . F11iff Bin ff City G of La Quinta Building a 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 r,* T/ Z_ Owner's Nam' e: _T -F I/vt as Address: City, ST, Zip: Telephone. Project Description: PSL S(0_1j4q) N, A. P. Number Legal Description: 52 Contractor: Am ALL (Z P Address: 1& 93 City, ST, Zip: CE©—,e .Telephone: MatyLic. \Y State Lie. # /ud. #: Arch., Engr., Designer: Address:. City., ST, Zip: J. Telephone: State Lid.. #: Name of Contact Person: Construction Type. Occupancy: Project type ,(circle .one): New Add 'a Alter Repair Demo Sq. Ft: # Stories: # Units:' Person: 7 Z — Telephone # of Contact 2- 7� �?e�C Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES -Plan. Sets Plan Check submitted Item Amount Structural Calcs. :Reviewed, ready for corrections - Plan*, Check Deposit Truss Caics. Called Contact Person - a Plan Chick Balance Energy'Calcs. Plaits picked up 'Construction Flood plain plan. Plans resubmitted Mechanica, ITRf J� EA r Grading. plan 2 d Review, ready forcorrectionstissue Electrical bRU [E Subcontactor List Called Contact Person Plumbing !.&.ra TIE P. 5194 dr Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:-. Review, ready forciorn onsss ass 777 Developer Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr -Date of f permit issue -School Fees Total Permit Fees W WA �00 ES-ML- + COUNTY .OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL. HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE. 1.:3 SUBJECT' PERMIT NO. ADDRESS Z moi'.. INSPECTOR REMARKS: z - -77ooe 7 DEH -SAN -iia (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner, PINK --C