The URL can be used to link to this page

05-4500 (PLBG)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 0� 5"0.0 0.0 4 54590.AVENIDA RAMIREZ 774-281-005-20 -000000- PLUMBING COVE RESIDENTIAL 300 Architect or Engineer: J c, 4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HENRY ALTHSIDE 54590 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: . COVEY INC, H B 309 E,COMMERCIAL STREET POMONA, CA 91767 VOICE (760)777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/06/05 FIPIP�PICE � (909) 623-2502 Lic. No.: 269354 t ' LICENSED CONTRACTOR'S.DECLARATION N WORKER'S COMPENSATION DECLARATION ' . I hereby affirm under penalty of.perjury that rarn.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 Professienels 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:' A License'No.: 269354 _ .. for 'bySection 3700 o£the Labor Code, forthe performance of the.work.for which this permit is _ Q A issued Date, ;► /^rCo�tratrct0'_ �� - � - - � � _ I have'and will maintain workers' compensation insurance, as required by Section 3700 of the Labor . 77 Code, forthe, performance of the workfor which this permit is issued.. My workers' compensation.: OWNER -BUILDER DECLARATION 1 -insurance carrier. and policy number are: ' I hereby'affirm,under na�peqiu,,-that amexempt from'the,Contractor's State License Law-for.the Carrier..STAT& YUND - Policy Number -1755312-2005 , following'�reason (Sec. 7031:5', Business and: Professions Code:. Any city or c my thafYequires epermif,to '+ •';certify that'; the performance of. the work ford which'this,permit''.is, issued, I shall. not,employ any construct, alter,;improve, demolish, orrepair:aoy structure;-prior,to its issuance;. also requires the. applicant..forthe _ person in -any manner. so as to become suoject'to the;worker5' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of'the ContractoPs State -. and agree that, if I should become sub' the workers' compensation provisions of Section .License taw (Chapter,9 (commencing with Section 7000) of'bivision.3.of the Business and ProiessiorisCode) or- ``3700 of.the LaborCode,7 shall_fo it c with those provisions. - .that he or she is exempt therefrom and.the•.basis for the alleged exemption. Any violation of Secti6n163.1.5'by •($500).:�Date .. - -' .any applicant for apermibsubjects the applicantao a civil penalty of not more than fivehundred�dollars �� Appint -..?.. (_) 1, as owner of the .property,or my employees with wages'as their sole compensation, will do the'work, and - - tfie structure is novintended oroffered'for sale (Sec. 7044; Business and.P.rofessions Code: The WARNING:. FAILURE TO S CUR- ORKERS' COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL Contractors', State License Law does notapply to."an owner of ,property:who'builds or,improves thereon, SUBJECT AN EMPLOYER RIM PENALTIES AND 'CIVI.L FINES UP T6ONE HUNDRED THOUSAND - and whodoes 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 noDinterided or offeredJo'i 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 improveforthe'purpose-of'sale.l' APPLICANT ACKNOWLEDGEMENT (_) 1, 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 . 7044, Business and Professions Code: The Contractors' State License Law does not apply io.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 behalf this application is made, each person at whose request and for 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, I_) 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 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 of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or followingissuanceof 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. 1 certify that I have read this application and state that the ove i ormation is correct. agree to comply with all city and county ordinances and state laws relating to bu' ing cons uction�ndhpby3o"epresemalives of -this co my to.emer upon the above mentioned prop y ford ection p % Application Number . . . . . 05-00004500 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22.50. Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 -----------------------------------------------=---------------------------- Special Notes and Comments WATER HEATER CHANGEOUT Fee summary Charged ------------------------------------- Paid Credited ---------- ---------- Due Permit Fee Total 22.50 .00 .00 22.50 Plan Check Total .00 .00 .00 .00 Grand Total 22.50 .00 .00 22.50 LQPERMIT Bin # 4. 1 City,, o:f.,La Qpx1n0 Building u Safetypii Ision P.O: Box 1504, 78:=495 Calle Tampico La Quinta, CA 92253'- (760) 777-7012 Building Permit Appylication1and Tracking Sheet Permit # "l J Project Address:Owner's Name: A. P. Number: Address: Legal Description: `City, ST, Zip: ,� N 9 Z Contractor: CIO 1/cy V Telepho :7 EPSON =-Project Desciiption: Address: 3 4 �(� C�OzCl/� L ' - City, ST, zip: PO 4, Z)A Telephone State Lic. # : Z6;. S1,4 City Lica#: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. Name of Contact.Person: °•'Project 1 Construction Type:. - Occupancy: type (circle one):. New Add'n Alter Repair Demo Sq Ft.: #Stories: #Units: Telephone # of Contact Person: Estirttated,.Value of Project: APPLICANT DO:NOT WRITE BELOW THIS.LINE # Submittal •Req'd '; Rec'd TRACKING s PERMIT FEES Plan Sets Plan Check submitted ,t Item' Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact:Person Plan Check Balance Energy Cates.' Ax Plans picked up.. Construction Flood plain plan Plans resubmitted Mechanical Grading plan .2. Review,.ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans -picked dp.. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for; corrections/issue Developer Impact Fee Planning Approval Called Contact Ferson A.I;P.P. Pub. Wks. Appr Datc.of permit issue School Fees Total Permit Fees