The URL can be used to link to this page

09-0497 (SOTB)P.O. BOX 1504 • ��VI11�f1(/ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING.%& SAFETY DEPARTMENT .-BUILDING PERMIT Application Number:; ;09-00000497 Property Address: 55889 PINEHURST APN: 775-241-063- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8000 Applicant: Architect or Engineer: Owner: MAKO HUGHES 55889 PINEHURST LA.QUINTA, CA "92253 Contractor: , RINEHART TILE AND 410 LIN_DSEY DRIVE PALM SPRINGS, CA (760')21"9-096'8 LiC. No.: 415282 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 77.7-7153 5/19/09 92262 ------------------------------------------------- - LICENSED CONTRACTOR'S DECLARATION.. - ----------------------------------------------- WORKER'S COMPENSATION,DECLARATION I hereby affirm under penalty of perjury that I"am licensed under provisions. of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declaratioris:+• - Section 7000) of Division 3 of the Business and Professionals,Code, and my License'is in full force and, effect. I'have and will maintain 'a.certificate of consent.to self•insure:for workers' compensation; as provided License Class: B CS4 L�c� se. .:.' 415282 �••�• - - _ - for by. Section. 3700 of thetabor Code,.for;the performance of the work for which this permit is ��''��,,jj pp�� f�. Date;. ntractor: �. Qe y� -. - issued-, 1 have and:will maintain workers' compensation insurance, as required by Section 3700 of the Labor "• Code, for the performance of tha work for which this permit is issued. My workers' compensation.4 +`-a - OWNER=BUILDER DECLARATION' -_ insurance carrier and policy number are: ., 11 hereby affir h,under penalty of.perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND `Policy Number 1.795636-2008. '- F, followingieason (Sec. 7031.5,.Business and -Professions CoCe:�'Any city or county that requires a.permiYto I certify that;. mtitie performance of the work for which this-permit,isissuedrl shall not employ any constr6ct,%1 r, improve, demolish, or repair any -structure, prior to its issuance, also requires the applicant for the - person in any-rrianner so as to become subject to tfie-workers%ompensation Iaws.of.California; - permii to file'a.signed statemeni"that he or.sfie is licensed.pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers compensation provisions,of Section License law (Cfiapter-9 (commencing with Section_ 7000) of Division.3.of the Business and Professions Code) or 3700 of the• bof de, I shall forth"w' oo ly with those provisions. - ' that he,or'she is'exempt therefrom and the oasis for the alleged exemption. Any violation of Section" `7031-:5 by ,f @ I -� �\Jw any applicant for a permit subjects ttieapplicant to a civilpenalty_of not more.thahfive hundred dollars IS5001.: • 'b �.l' pplicant:- (_ 1 I, as owner ofahe.property; or myemployeeswith wages as thea sole compensation, will do the work, and. �at - the structure. is not intended or.offered for sale (Sec. 7044, Business and Professions Code: The NING: AILURETO SECURE -WORKERS' COMPENSATION -COVERAGE IS`UNLAWFUL, AND SHALL " Contractors`Stateticense:Law.does not apply'.to an owner, property who builds or -improves thereon, THOUSAND SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP ONE -THOUSAND and.who does the workhimself:or herself through his or her own employees, provided that the DOLLARS woo,o6br IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEDFOR IN improvements..are noY,intended_or offered for sale.. If, however, the buildin_g.or,improvement,is sold within ., SECTION.3706 OF;THE LABOR CODE;INTEREST,.AND .ATTORNEY'S.FEES—' - •. -;Y 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.)... APPLICANT ACKNOWLEDGEMENT 1 I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT., Application is hereby made to the Director of Building and Safety for a permit subject to the " _ - 7044, Business -and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,,and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason -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 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c unty to enter upon the above-mentioned grope y for i pection purp ses. aO te:$W,,nature (Applicant or Agent): � Application Number . . . . . 09-00000497 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 99.00 Plan Check Fee 64.35 Issue Date . . . . Valuation . . . . 8000 Expiration Date 11/15/09 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 54.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 17.25 Plan Check Fee 4.31• Issue Date . . . . Valuation . . . . 0 Expiration Date 11/15/09 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 . . . . 21.00 Plan Check Fee 5.25 Issue Date. Valuation . . . . 0 Expiration Date 11/15/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3-.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments ADD OUTDOOR KITCHEN, INCLUDES SINK, MOVING ELECTRICAL FIXTURES & 3' MASONRY COUNTER. . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 6.44 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 137.25 :00 .00 137.25 Plan Check Total 73.91 .00 .00 73.91 Other Fee Total 7.44 .00 .00 7.44 Grand Total 218.60 .00 .00 218.60 LQPERMIT 29' 79 sink 18' U ONGO r „�.. ,,O_- wr• 57' - - - - - - - - - - - ■ 0 0 1 Bin # City ' of . La Quin to Building 8T Safety,Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-70.12 Building Permit Application and Tracking Sheet Permit # 04 Project Address: Owner's.Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: ` � Telephone: ° t :fc'sk.;;•:;:�.;�:<:;:<;:_;;::;�;v,::> '>::'•.•. < £<<:<.g:;>s`:s>::> :<.: Address: r Project Description: . ' 0. City; ST, Zip: V Telephone: � �' »z:>.......,:::.:..;;:>.•>::;::w:r>:#:«z:>':. i?: 4ii�:•';.:i.�:4i:•:i:'vr:•}:$::iii:::;{:;:�Y. i.;j State Lic. # : City Lic. #•: Arch., Engr., Designer:. C ; Address: City., ST, Zip: Telephone: State Lic. #: ''r�«"' ^z <.::;;fi::>.•;s ;::.>::.:>r <:<..`.•.:::::::>,::<•;:•:�:.>:.,,,+.,. .:. ..,,•,.ProI`ect. - ConsfructionType: Occupancy: n Alter Repair Demo. type (circle one): New. Add' Name of Contact Person:. Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project:. APPLICANT: _DO NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading plan 2"d 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:- 3rd 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