09-0817 (RER)f4 -
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C__70_9=000"008V1�7
Property Address: 48614 PASEO TARAZO
APN: 646-082-068- - -
Application description: REMODEL - RESIDENTIAL
.Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4800 .
Applicant:
Tay/ 4 4 Qu&&
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
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 Busines nd Professionals Code, and my License is in full force and effect.
License Class: B -1239-C36- LicenseNo.: 871103
L
CDate:-/^ 1 ayS�Con{ractor:
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 (S500).:
1 _) 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.). '
( 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.).
I I am fikfifnOt. l mr1pr Sar 9.110.C, f6r IN, ,w vn
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:
FINN STANTON HARVEY
48-614 PASEO TARAZO
LA QUINTA, CA 92253
Contractor:
DOVE ROOFING AND
6402 SUNBURST
JOSHUA TREE,'CA 9
(760)766-3252
Lic. No.: 871103
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/29/09
CO UCTION
llllll '
225 i I
I �tVi
is
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 number are:
Carrier STATE FUND Policy Number 044023171
1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner ss to became subject to the workers' compensation laws of California,
and agree that, if I sh Id ecome subject to the workers' compensation provisions of Section
3700 of the Labor Cc e, shall f rthwith comply with those provisions.
Date:%%
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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 apermit 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
whnso hannfit mnrit iv parfarnti6d ;,��Jv, vl pwauent tU ally pelnutlSSUB6 at 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 t&zrposes.
mation is correct. I agree to comply with all
city and county ordinances and state laws relating to, bution, and hereby authorize representatives
of this county to enter upon the above-mentioned pro pe
Date:-? E ct0`I Signature lApplicant-or_Agent):..^
LQPERMIT
Application Number . . . . . 09-00000817
Structure Information REPAIR OF GARAGE AND BATHROOM
DAMAGE ---
Other struct info . . . CODE EDITION
-----------------------------------------------------------------------------
2007CBC
Permit BUILDING PERMIT
' Additional desc
Permit Fee . . . . 72.00 Plan Check Fee
46.80
Issue Date Valuation
4800•
Expiration Date 1/25/10
Qty Unit Charge Per,-
Extension
BASE FEE
45.00
------ 3.00 9.0000 THOU BLDG 2,001-25,000
27.00
------------------------------------------------------------
Special Notes and Comments
REPAIR OF WALL BETWEEN.GARAGE AND BATH
DUE, TO DAMAGE CAUSED BY VEHICLE/VB/RES-3
[CONVENTIONAL] THIS APPLICATION DOES NOT
�. PERMIT ALTERATIONS TO EXISTING FRAMING.
A PRE -SITE INSPECTION IS REQUIRED PRIOR
TO REPAIR WORK COMMENCING. 2007 BUILDING
CODES.
July 29, 2.009 3:33:23 PM AORTEGA
-- -----------------------------------------------7--------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 72.00 .00 .00
----------
72.00
Plan Check Total 46.80 .001 .00
46.80
Other Fee Total 1._00 .00 .00
1.00
Grand Total 119.80 .00 .00
119.80
LQPERMIT
ey
°°I'°SW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE® y
FOR CONSTRUCTION
• . - GATE l?A-v09 8YA
of a k"t -to Zt WA" CAVsm fi vwv4v calf.
Bin #
City of La Quint'a
Building &r Safety Division
P.O. Box 1564, 78-495 -Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ogn
Project Address: 5e.0 2- c2
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor :-Qa,,_VU,.A, A ICU
Telephone: /7� -0 (0
011
Address:
Project Description -
City, ST, ZipCA C/" Z 2
Telephone 10
(1) 0,te-
V,% J ir D, LA_ J4 Jq r
State Lic. # : ;5 7 it City Lic.
Arch., Engr., Designer:
i4se -i
Address:
City., ST, Zip:
Telephone:
xx -K,
Construction Type: Occupancy:
State Lic. #-.
Project type (circle one): New Add'n Alter QaL' bemo
Name of Contact Person:
Sq. Ft.:
#.Stories:
#'Units:
Telephone # o . f Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
Submittal
Reqld
Recd
TRACIONG
PERMIT FEES
Plan Sets.
Plan Check submitted
Item
Amount'
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Caics.
Plans picked up
Construction
12 to -
Flood plain plan
Plans resubmitted
Mechanical—.
Grading
rding plan
2nd Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Re.view,.ready'for corrections/issue
Developem Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Pate of permit issue
School Fees
Total Permit Fees
'1IZ5 `9009 - �5 At'P9�rMBt.6
r . I
From : C PHONE No. : 519 328 7271 Apr. 21 2000 8:5ERN P01
CEITIM E1tas
Civil Engineer
38825 ChariesworthDrivo
Cathedral City, Califartlia- 92214
(760) 328-7271
April 21, 2000
Department of Building and Safety
78-495 Calle Tampico
La Quints CA 92253
Dear Sirs:
This letter is to serve as my permission to give Mea -vin L. Jordan of M L
Conwuution copies of the plans and engineering caleulatlona prepared in 1993 for
the property located at 48615 Paseo Tarazo in Laguna de la Paz in La Qui.nta.
Thank you for your cooperation.
Sincerely,
Carlos Elias