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12-0467 (RER)t P.O. BOX 1504 VOICE (760) 777-7012 78-49`5 CALLE TAMPICO 4FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date: 4/27/12 Application Number: `12-00000467 Owner: Property Address: 81748 RANCHO SANTANA DR ARNOLD APN: 767-630-001- - - 81748 RANCHO SANTANA DR Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1000 Contractor: Applicant: Architect or Engineer: TESERRA P.O. BOX 1280- COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 ------------------------------------------------------------------.------------------------------— LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business an Professionals Code, and rimy License is in full force and effect. _ I have and will maintain a -certificate of consent to self -insure for workers' compensation, as provided Lic se Cie y 10 , 7 , 2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: ontractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN . Policy Number 7600006481121 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file.a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should bec a subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 70 of the bor Code, I sl forthwith comply with those provisions. 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).: ate: -I plicant: (_) 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- - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the. work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_ 1 1, 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—) 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: RPR 3 0 2012 LQPERMIT 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 cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov i for ation is correct. I agree to comply with all city and county ordinances and state laws relating to building co t tion,and hereby authorize representatives of is county/o a ter upon a above-mentioned property for i ction purposes. Date: /"Z 'nature (Applicant or Agent): Application Number . . . . . 12-00000467 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 16.50 Plan Check Fee 4.13 Issue Date . . . . Valuation 0 Expiration Date 10/24/12 Qty. Unit Charge Per Extension BASE FEE 15.00 2.00 .7500 --------------------------------------------------------------------------- -------------- -------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 1.50 Permi Permit . . . PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 10/24/12 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 GAS LINE & ELECTRICAL STUB -OUTS FOR FUTURE BBQ & FIREPIT. 2010 CODES.. ----------------------------------------------------- Other Fees . . . . . ---------------------- . . . .. BLDG STDS ADMIN (SB1473). 1.00 STRONG MOTION (SMI).- RES .50 Fee summary Charged ----------------- Paid Credited Due -------- Permit Fee Total 34.50 .00 .00 34.5,0 Plan Check Total 8.63 .00 .00 8.63 Other Fee Total 1.50 .00 .00 1.50 Grand Total 44.63 .00 .00 44.63 LQPERMIT m NO EXISTING LANDSCAPE LIGHTING IN REAR YARD NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY LANDSCAPE -NOTE 1 - TO REMOVE ALL SOD AT LOCATION OF DECK 2• CAP AND RE-ROUTE ALL IRRIGATION IN SOD AREA 3- REPAIR ANY DAMAGE IRRIGATION LINE DAMAGED DURING INSTALLATION OF GAS LINE 151, - Ir POLYPROPYLENE GAS PIPE ELECTRIC CONDUIT NEW WALK WAY NATURAL GREY CONCRETE CITY OF LA QUINTA BUILDING & SAFETY DEPT. - APPROVED FOR CONSTRUCTION DATE�'�7'�BY INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WALL COMPLY WITH SECTION 111- MANDATORY REQUIREMENTS EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS TO THE POOL POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURERS RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS ALL DECKING EXPANSION XWS FOR REPRESENTAWN ONLY, FIELD LAYOUT WALL VARY EXISTING WALK WAY 1� HROUNDED•MORTARTOP BY OUTDOORLIVING CONCEPTS, :D BY TESERRA NEW LIGHT BROOM FINISH CONCRETE DECKING BY TESERRA, DECK LAYOUT TGEIE DONE ON SITE WITH OWNERS EXISTING DRAINS TO BE USED IN DEG( MEW BARBECUE BY OUTDOOR LMNG CONCE1PfS ' GAS AND ELECTRICAL PROVIDED &Y TESERRA LOCATIOW TO BE DETERMINE 8Y OUTDOOR LMNG CONCEPTS 4 1 TO REA a TANSHUDEPTH MASONRY FM POOQIa OOPrm TYRE CENTER9 REA FAOID WAY TYPE SQE PLUMBING BfEPe PRDPAV. 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PRE-PrFBBLE N mm NN NT mP amm Qs! Jl N W .. O 0 QLLZ pNL LTO, ddN NOC W00m s Qma Hot U � B 8, a- 0 Q I Af(8a Bin.# 044 Of is Qu(nta Buiiding 8L Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA •92253 -4760) 777-7012 Building Permit Application and Tracking Sheet Permit # � W�. Project Address: Yi�,,t.++. SA�ANh 7 rz�✓E Owner's Name:. A. P. Number. Address: NC.tFo ������� ✓ Legal Description: Contactor. 1 City, ST, Zip: Z Telephone: Project Description: s Lrn! Address: d City, ST, Zip: : 223 e fx: Telephone::0 398 9Z ZZ y'/a :N State Lie. 4: G / Z. g City Lic. #, Arch., Engr., Designer. co r Address: City,, ST, Zip: Telephone: x State Lic. #:'' ' { a Construction Type: Occupancy: Projebt type (circle one): New Add'n Alter Repair Demo Name of Contact Person: vy Sq. Ft : # Stories: #Univ: Telephone # of Contact Person: 6 Z 6 2--3 / Estimated Value of Project: Q Q O APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd'Rec'd TRACKING PERMIT FEES Plan Sete Plan Check submitted Item Amount Strgctuial Calm Reviewed, ready for corrections Plan Check Deposit. Truss Cates. Called Contact Person Plan Check Balance. Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mec1121ilcal Grading plan Z` Review, ready for correctionstissue Electrical Sabcoutaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub: Wks. Appr Date of permit issue School Fees Total Permit Fees