07-0437 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
rr Applicant:
T-iht 4 4 a"
07-00000437
79390 BROOKVILLE
772-040-020- - -
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
1000
Architect or Engineer:
.BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I
FEB 212007
LICENSED CONTRACTOR'S DECLARATION
I h'breby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business nd Professionals Code, and my License is in full force and effect.
License Class: ,C88 C�27 C29 License No.: 656128
Datej2_2Z X;omractor:
OWNER -BUILDER DECLARATION
_ c I hereby affirm under penalty of perjury that I m exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and ofessions 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 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).:
(_) 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: 2/21/07
Owner:
ESTANCIAS
C/O LA QUINTA
P O BOX 1716
LA QUINTA, CA
ORCHARD PARTNERS
92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
WORKER'S COMPENSATION DECLARATION
1 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
I certify that, in the perf mance of the work for which this permit is issued, I shall not employ any
-person in any manner as to become subject to the workers' compensation laws of California,
and agree that, if sh come subject to the workers' compensation provisions of Section
3700 of the Lab o e, sha rthwith comply with those provisions.
Daffl- Applicant:
WARNING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, I TEREST, 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 ermit.
2. Any permit issued as a result of this applicatio becomes null and void if work is not commenced
within 180 days from date of issuance of suc 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 ve i mation is correct. I agree to comply with all
city and county ordinances and state laws relating to bui ing onstruc ' n, and hereby authorize representatives
of this county to enter upon the above-mentioned prope o in ection urposes.
Datet (Applicant or Agent):
Application Number . . . . . 07-00000437
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
25..00
Plan Check
Fee
16.25
Issue Date . . . .
Valuation
1000
Expiration Date
8/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
5.00 2.0000
HND BLDG
501-2,000
10.00
----------------------------------------------------------------------------
Special Notes and Comments
CONCRETE FOOT BRIDGE
OVER NARROW
END OF
POOL - 14' SPAN
-----------------------.---
Other Fees . .
-=---------------------------
. . ENERGY REVIEW FEE
-------
--------------
1.63
STRONG MOTION (SMI)
- RES
.50
Fee summary Charged
----------------- ----------
I ----------
Paid Credited
----------
----------
Due
Permit Fee Total
25.00
.00
.00
25.00
Plan Check Total
16.25
.00
.00
16.25
Other Fee Total
2.13
.00
.00
2.13
Grand Total
43.38
.00
.00
43.38
A
LQPERMIT
Bin #
G[ of. La Quinta.
Submittal
` Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Permit # ^
may,
t
J
Plan Sets
Building Permit Application and Tracking Sheet
Project Address:
O t- _ Owner's Name: �" �C(> �J C
A. P. Number:
Address: L
Legal Description:
City, ST, Zip:
a• �a
Contractor: 5� �� �- Telephone: _
Address:
L 2 Project Description:
City, ST, Zip:4fop C
i✓ l \ /�- Cly. �jZZ3 �M. t.,1�
Telephone:( '6- cl ZZ 2—
State Lie. #
State
City Lic. #:
Arch., Engr., Designer:
.� K
Address:
ftasm
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: SQ - L/ 1-1,2, a- Estimated Value of Project:, /,- p 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING. PERMIT FEES
Plan Sets
PIan.Check submittedP"7 1Item Abi Amount
Structural Calcs.Reviewed;
ready r corrections Plan Check Deposit
Truss Calcs.
Called Contact Pe Plan Check Balance
Energy Calcs.
Plans picked up ��S Construction
Flood plain plan
Plans resubmitted Mechanical
Grading. plan
2n' Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
Plans resubmitted Grading
H.O.A. Approval
IN HOUSE:-
3rd Review, ready for correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
O
Letter of Transmittal
To:
City of La Ouinta Today's Date:
❑
78-495 Calle Tampico City Due Date c3
• �. 07
Per Your Request
❑
La Quinta, Ca 92253 Project Address:
❑
Approval
Attn:
Ed Randall Plan Check #:
37
At the request of:
Submittal: ❑
1 St ❑
4th
2nd ❑
5th
❑
3`d ❑
Other:
We are forwarding: ® By Messenger
❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions:
Includes:
# Of
Descriptions:
Copies:
Copies:
40
Structural Plans
❑
Revised Structural Plans
' Structural Calcs
❑
Revised Structural Calcs
❑
Truss Calcs
❑
Revised Truss Calcs
❑
Soils Report
❑ .
Revised Soils Report
❑
Correction List
'�f
Approved Structural Plans
❑
Redlined Structural Plans]
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments: ��fTDU eg D\ -Nm
" QWrb%Aab(e
Thank vou!
This Material Sent
for:
❑
Your Files
Per Your Request
❑
Your Review
❑
Approval
❑
Checking
❑
At the request of:
Other: ❑
By: �f%*
t `efjw
)�PalDesert Office:
5770 Ext.
Washington Office : ❑ # (760) 104 9566
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFOR.NIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Finance Department, Please Collect The Following Fees For The Services Rendered
HTE APPLICATION No. -07-437.
PROJECT: ESTANCIAS
ADDRESS 79-390 BROOKVILLE)
CUSTOMER: ESTANCIAS
SERVICES RENDERED: REVISION TO STRUC CALCS. FOR BRIDGE DETAILS.
Fees:
PlanReview: ............................................................................. $ 70.00
(2 X $35/hr)
TOTAL FEES NOW DUE: ............................. . ' $ 70.00
Date: 3/7/7
Initials: JLJ
`
0
081007 c
opr
FFMAR
F gNCEDe��TA
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTAIUCTION ,