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07-3052 (SOTB),`t ;P.O. BOX 1504 N-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&W t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CApplicatjon Number: 07-00003052 - Owner: Property Address: 43086 CORTE DEL ORO CONTRERAS RESIDENCE APN: 609-380-997-14 -293233- 43-086 CORTE DEL ORO' Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253 Application valuation: 9100 Contractor: Applicant: Architect or Engineer: PLATINUM LANDSCAPE INC 50855 WASHINGTON STREET #110 LA QUINTA, CA 92253 Y\�JII .(760)200-3673 Lic. No.: 820893 -------------------------------------------------- LI ONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury t I am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus i s ridProfe sicnals Code, and my License is in full force and effect. License Class: C27 LicenseNo.: 820893 Date:- &, 0 �Contrec o • OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions 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.). l _ 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. , 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: 11/30/07 ------------------ 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 num re: Carrier SIRIUS AMERICA Policy umber 01DKRM11001263 I certify that, in the perfor nce of the wo for which this permit is issued, I shall not employ any person in any manner o a ecome s bject to the workers' compensation laws of California, and agree that, if I should e e subj t to the workers' compensation provisions of Section 3700 of the Labor od all nhw comply with those provisions. LA 7r WARNING: FAILURE TO SECURE W COMPENSATI S'ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, 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 n of work for 180 days will subject permit to cancellation. certify that I have read this application and statethat the above ' o ation i correct. I agree to comply with all city and county ordinances and state laws relating to building c st , a hereby authorize representatives of this county to enter upon the above-mentioned property f ' pe ion u ses. (, ✓7 '. Application Number . . . . . 07-00003052 Permit . . . BUILDING PERMIT Additional desc . Permit.Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . .. - Valuation . . . . 9100 Expiration Date 5/28/08 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit . . .. ELEC-MISCELLANEOUS Additional desc . Permit Fee 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 'Expiration Date 5/28/08 Qty Unit Charge Per Extension. BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee '. 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/28/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments BBQ/FIREPIT PER APPROVED PLAN ONLY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 7.61 Fee summary Charged ----------------- ---------- Paid -7 -------- Credited ---------- Due ---------- Permit Fee Total 152.25 .00 .00 152.25 Plan Check Total 84.86 .00 .00 84.86 Other Fee Total 7.61 .00 .00 7.61 Grand Total 244.72 .00 .00 244.72 LQPERMIT 1 6 d�11 � Nov z o 200 670�e s vv► �� r CITY OF LA QUINTA BUILDING & SAFETY D PT. APPROVE... BY Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building g Permit Application and Tracking Sheet Permit # n Project Address:' ai�"�"� t �� Owner's Name: 2�✓r �J A. P. Number: Address:j� a(0 Legal Description: City, ST, Zip: -47 ,Contractor:l/`l414Vw�- Telephone(lbo) —j7 ¢� Address: rA- Project Description: City,'ST, Zip: )u-, 01s, me, V► l �l1'� Telephone State Lic. #- 2iQ City Lic. #: ((�I (A` Lo— Arch., Engr., Designer: Pei) iii %t t„ 00 Address: `ee Ei Y 2- i Ci ST Zi Telephone: ? DL�(� S State Lic. #: Construction Type: Occupancy: Project.type (circle one): 6D A • ter epa- De Name of Contact Person: he, OLIO 6 Sq. Ft.: # orie # Units: Telephone # of Contact Person: 0 d�j sect: Estimated Value of Poil APPLICANT: DO NOT WRITE BELOW THIS L # Submittal Req'd - Ree'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted l Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction so Flood plain plan Plans resubmitted Mechanical Grading. plan 2°d Review, ready for correction ss e Electrical Subcontactor List Called Contact Person Plumbing _ Grant Deed Plans picked.up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I