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07-0887 (RPL)
i P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000887 / Property Address:' - _ 79390 BRIARWOOD APN: 772-020-007- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 I hereby affirm under penalty of pe Section 7000) of Division 3 of the License Class: iC8 C27 C29 Date: Architect or EngineeP: 011k ------------------------------ ED CONTRACTOR'S DECLARATION �'censed under provisions of Chapter 9 (commencing with 'r fessionals Code, and my License is in full force and effect. License No.: 656128 OWNER -BUILDER DECLARATION I hereby affirm der penalty of pJ'and t I am exempt from the Contractor's State License Law for the following reasoSec. 7031 .5, Bnd Professions Code: Any city or county that requires a permit to construct, alte//, improve, demolisair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement tshe is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commenSection 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt. therefrobasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permt subjectlicant to a civil penalty of not more than five hundred dollars ($500).: as owner of the propertemployees 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: 3/28/07 Owner: ESTANCIAS LOT 6 79-390 BRIARWOOD LA QUINTA, CA 92253 Contractor: D h ' TESERRA P.O. BOX 1280 COACHELLA, CA 2 6 D 3 Q 200 (760)398-9222 MAR LiC. No.: 6561 8 CITY OF LAilUINTA -----------------------------------_------------ 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' co ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the ork for which this permit is issued. My workers' compensation insurance carrier and policy numbe are: Carrier SEABRIGHT P icy Number BB1070510 I certify that, in the performance of ` work�or which this permit is issued, I shall not employ any person in any manner so as to b me subject to the workers' compensation laws of California, and agree that, if I should bec a ubject to�the workers' compensation provisions of Section 3700 of the Labor Code, I s all fo hwith c ply with those provisions. j Date. Applicant: /t WARNING: F 'LURE TO SECURE WOR RS' C MPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT A EMPLOYER TO CRIMINAL P IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION -TO THE ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERE , AND ATTORNEY'S FEES. APILICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Pirector 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 em ogees for any act or omission related to the work being performed under or following issuance of is permit. 2. Any permit issued as a result of this ptionmesull and void if work is not commenced within 180 days from date of iss nce of cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application an state thatation is correct. I agree to comply with all cityandc unty or nancesandstatelawsto bti n, and hereby authorize representatives of this co y to nter upon the above -me tione o purposes. Date: �ature (Applicant or gent): Application Number . . . . . 07-00000887 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date . . . . Valuation . . . . 40000 Expiration Date 9/24/07 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 ------------------------------------------- THOU BLDG 25,001-50,.000 --------------------------------- 97.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/24/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/24/07 Qty Unit Charge Per Extension BASE FEE . 15.00 1.00 30.0000 - - - - - - - - - - - - - - - - - - - - - - - - - - EA ELEC - - - - - - - - - 7 - PRIVATE SWIMMING -POOL - - - - - - - - - - - - - - - - - - - - - - - - - 30.00 - - - - - - - - - - - - - - Permit. .. . . . . PLUMBING Additional desc . . Permit Fee 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/24%07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 ---------------------------------------------------- Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN LQPERMIT Application.Number . . . . . 07-00000887 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. WATERFEATURE/BRIDGE PER APPROVED PLAN. Fee summary - Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 459.50 .00 .00 459.50 Plan Check Total 254.68 .00 .00 254.68 Grand Total 714.18 .00 .00 714.18 LQPERMIT 1 City of. La Quints Building & Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: a= A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: �— �� Z (�— Telephone: Address: rP0 Project Description: City, ST, Zip:CpPC L L V� C):�,, �jZZ3 `P %�Z C�__ P_ Telephone: State Lic. # : 6 576l City Z CLic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Project type (circle one): Sq. Ft.: Occupancy: New Add'n Alter Repair Demo # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project APPLICANT: DO BELOW THIS LI it Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Q Plan Check submitted"1 Ite Amount Structural Talcs. Reviewed, ready for corr Plan Check Deposit Truss Talcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for correcti sfissue jElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up t�{- S Qv I1�► i H.O.A. Approval Plans resubmitted adsI'lili G & ADEN u EP IN HOUSE:- '`d Review, ready for corrections/issue D veloper I Planning Approval Called Contact Person A..P.P. FOR Go ll ub. Wks. Appr P:Pch,,l Date of permit issue Bi Fees Azz2.cx Fzes-j Total Permit Fees ON,RPPRO To Letter of Transmittai City of La Quinta Today's Date: 78-495 Calle Tampico City Due Date La Ouinta, Ca 92253 Project Address Attn: Ed Randall Submittal: We are forwarding: © By Messenger Plan Check #: 1st ❑ 2nd Std .XI•O1 ❑ 4th ❑ 5th ❑ Other: ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: XStructural Plans ❑ Revised Structural Plans j� Structural Calcs ❑ Revised Structural Calcs ❑ Truss Calcs ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ❑ Correction List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs. ❑ Approved Truss Caics ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: ajgakyr g L ®VNJI.Ci Thank vou! This Material Sent for: Your Files Per Your Request ❑ Your Review ❑ Approval ( 1 Checking ❑ At the request of: Other. F71 3v: Palm Desert Office : . = i ;01 c0 -rj :a. 'Nashinaton Office : = -',�)