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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 ,