The URL can be used to link to this page

11-0983 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T44t 4 4 Q" Application Number:. 11-00000983 Property Address: 46374 BRADSHAW TR APN: 643-170-999-50 -31348 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7500 Applicant: Architect. or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. License Class: B C53 License No.: 552140 i 14 1 I Contractor OWNER-4"e:ERAny ILDLEC TION I hereby affirm under penalty of perjury that I am exemptractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Ccity 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 _ 1 1, 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 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.). (_ 1 I am exempt under Sec. , BAP.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 Owner: PEREA MARIO/PEREA GLORIA 46374 BRADSHAW TRL LA QUINTA, CA 92253 Contractor: CAL PACIFIC POOLS P.O. BOX 1804 PALM SPRINGS, CA 9226 (760)327-8649 Lic. No.: 552140 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/13/11 --------------- - - - 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 ULLICO INS Policy Number UWRP48100006910 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 G1 3700 of the Labor I shall forthwith comply with those provisions. Date:` ' 11 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION COVE GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FIN P TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF NSATION, 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 constructiori, and hereby authorize representatives ooflthiscoouduntyy to enter upon the above-mentioned pro for inspection purposes. a�' . Signature (Applicant or Agent Application Number . . . . . 11-00000983 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 99.00 Plan Check Fee 64.35 Issue Date . . . . Valuation 7500 Expiration Date 3/11/12 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 54.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/11/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC .PRIVATE SWIMMING POOL ---------------------------------------------------------------------------- 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date. Valuation . . . . 0 Expiration Date 3/11/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ---------------------------------------------------------------------------- Special Notes and Comments WATER FEATURE AND POND - CONSTRUCTION NOT TO EXCEED WALL HEIGHT OR 18 INCHES IN WATER DEPTH. 2010 CALIFORNIA BUILDING CODES. September 13, 2011 10:50:05 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ----------------- Due ---------- ----- - ---- ---------- ---------- Permit Fee Total- 165.00 .00 .00 165.00 Plan Check Total 80.85. .00 .00 80.85 Other Fee Total 1.00 .00 .00 1.00 Grand Total 246.85 .00 .00 246.85 LQPERMIT E S 460 E .. ._ M• .: �.-mac, `-+:• .-,;.-qs''i,-; ;.- �'... _ �•-,Y � M.i-'�-�_,i��.nw":�".' �•:J 1 r - t - 1 s" W. tom. 1cx� yJ�C� o- f" ve�m A 4 l0 si 4 m as,.�Aw iv.. LA %Zu t NW -4 t t A 922S3 v�2 corC.Q£t'E 1� pp� Eu .sem . CITY OF BUILDING & APPF DATE q 13 (441 tTE �w A QUINT/ SAFETY DEPT. ,OVED �9] -- Bin # ... City of La Quinta t Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # < <• o�'1B3 Project Address: af3aA M , Owner's Name: 7 A. P. Number: Address: Legal Description: City, ST, Zip: LN CDU CA Contractor: � P � ...p �� c,: Telephone: �;;%`:,�:;,>� Address: RSZ� Project Description: City, ST, Zip: FZ�03 tom:.. .¢ •: ra,.:.<z:�x:. Telephone: L,�O. �Z^1• ;BJ,:1�' �`' zr;:t•f�?>;:�:'>:s;:;�:x;<:;>:;>:. State Lic. # : ��z Jzv'o City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone:Construction A. .-ri 4�f�.,r..>r` ��;,.'- 5 ? s `f TOccupancy: Type: project type (circle one): New Add'n Alto Repair Demo State Lic. #: Name of Contact Person: & . F� Sq. Ft: # Stories: # Units: Telephone # of Contact Person-il.�' Z� �j' S� Z. Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Rec'd TRACKING PERMff FEES Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked ■p nstruction Flood plain plan Plans resubmitted echanical Grading plan ectrical 2'! Review, ready for corrections/issuJ.q., Subcoutactor List Called Contact Person umbing Grant Deed Plans picked cep M.I. H.O.A. Approval Plaits resubmitted Grading IN HOUSE:- Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person 4 1 ?►.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fes 4'+Zott— ftsoty-f 'Co 1 iturtri