09-0306 (SOTB)f - f
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-it(t 4 4 Q"
Application Number:
09-0.0000306
Property Address:
77187 CASA DEL SOL
APN:
773-360-016- - -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
2500
Applicant: Architect or Engineer.:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 a C27-053 nse 859417
Dater Contractor:
OWNER BUILDER DECLARATION
I hereby affirm under penalty of perjury that I;am exempt from the Contractor's rise Law'forthe
"following reason (Sec.. 7031.5, Business and Professions Code: Any city or _ _ y "requires ;a permit to
construct; aiter; improve, demolish, or repair anystruaure,"prior to its.issua 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 "besisfor'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 ($500j.:
1 _ 1 1, as;ownerof the property, or myemployess�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-buildeowill ,have,the burden of proving that he or she didnot build or
improve:forrthe 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 notapply 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
Owner:
HOYT RESIDENCE
77187 CASA DEL SOL
LA QUINTA, CA 92253 fid,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/02/09
Contractor: APR 02 ".
AMERICAN LANSCAPE/POOLS F CACITyO� r
85265 DAMASCUS AVENUE ' pyAa. �T
COACHELLA, CA 92236 ,E,f�,�A 6
(760)880-1173
LiC. No.: 859417
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty ofperjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
97
for by Section 00 of the Labor Code, for the performance of the work for which this,permit is
issued.
_ I have:and•wiff maintain workers' compensation insurance, as required by Section 3700 otthe Labor
Code, for the performance of the work for which this permit-is:.issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number .1890134-08
I certify that, in the performance of the, work,for which this'permitis 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 becomesubject to the workers'- compensation provisions. of. Section
3700 of the Labor Co shall' hwit ith'those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS" COMPENSATIO VERAGE;IS,UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL" ES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100 000). IN ADDITIONTO THE COST'OF COMPENSATION, DAMAGES `AIS 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 restrictionsLaet 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,Ouinta, 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,,orcessation'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. 1 agree to comply with.all
city and county ordinances and state laws relating to building construct
i oreby authorize representatives
of'this,cou y o enter upon the -above-mentioned proper�yi ins p ! o rp S.
Date: !qf-� Signature (Applicant or Age.
E
Application Number . . . . . 09-00000306
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check.Fee
35.1.0
Issue Date . . . . Valuation
2500
Expiration Date . . 9/29/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
1..00 9.0000 THOU BLDG 2,001-25,000
-----------------------------------------------------------------------------------
9.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . . 15.75 Plan Check Fee
3.9.4
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/29/0'9
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.:00. .7500 PER ELEC DEVICE/FIXTURE 1ST 20
.75
Special Notes and Comments
BBQ PER APPROVED PLAN.
-----------------_-_-------------------------------------------------
Other Fees . ... . . . . BLDG STDS ADMIN (SB1473`)
-------
1.00
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 69.75 .00 .00
69.75
Plan Check Total 39.04 .00 .00
39.04
Other Fee Total 1..00. .0.0 .00
1.00
Grand Total 109.79 .00 .00
109.79
LQrERMff
I I v
ADD ONE
P/A COURSE BLOCK
TO EXISTING WALL
NEW
TILE TOP BBQ ISLAND
P2 I WALL
A/C
g(,1`
ADD ONE
COURSE BLOCK SIDEWALK
TO EXISTING WALL TO
FRONT
P/L.
EXISTING SIDEWALK
PATIO CONNECT TO
HOYT RESIDENCE
77-187 CASA DEL SOL
LA QUI TA.,CA. 92253
DA
P/A
CITY �
BUh-DI G & S � STA
AFC�-�.
FpRPho���� ®Pr.
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i
Bln #
City of LaQuin'ta
Building ex Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760). 777-7012
Building Permit Application and Tracking Sheet
Pe #
Project Address: ' 45 -4�- D k�F- t_ Sw—
Owner's. Name:
A. P. Number:
Address:
LegaMescription:
Contractor: e7AtA-`1J (–+ f p e_
City, ST, Zip:
Telephone:
Address: g57:�-p . IN -5
Project Description:
City; ST, Zip:
Telephone: ( 98—c(f T �5
State'Lic. # : C%' City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Constriction Type: Occupancy:.
Projectaype:(circle one): New Add'n Alter Repair Demo
Sq.'Ft:: # Stories: -T #Units:
Name of Contact Person:
Telephone°# of Contact Person:
Estimated Value of Project: 7_ =.
APPLICANT: DO NOT'WRITE BELOW THIS LINE
#
Submittal
Req'd
RcF'd - -
TRACIMG - PERMIT FEES
Plan Sets'
Plan Check submitted
item Amount L
Structural Cales.
Reviewed, ready for corrections Palau Cheek Deposit
Truss Colcs.
Called ContsetTerson Plan Check Balance
Energy Calcs.
Plans picke&up. Construction
Flood plain plan
'Plans resubmitted Mechanical
Grading,plan
2" Review, readyfor correctionsftsue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M I.
H.O.A. Approval
Plane 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
TotalTermit Fees