The URL can be used to link to this page

08-1787 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,':CALIFORNIA 92253 Application Number: 08`0 O'OIT8�7�_{. Property Address: 55990 . PINEHURST1� APN: 775-241-021- - Application description: REMODEL - RESIDENTIAL Property Zoning:. LOW DENSITY RESIDENTIAL Application valuation: 1000 Applicant: Architect or Engineer: PIP 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 Business, and Professionals Code, and my License'is in full force and effect. License,Class: B - L' se No.: 1546 ate:- i NER•BUILDER DECLARATION .1 hereby affirm underpenalty of perjury that I am exempt from the Contractor's State License Law for the .following reason ISec.•7031.5, Business. and Professions Code: Anycity or county, that requires a permit to construct, alter, improve, demolish,.or repair any structure,'prioi 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 T(commencing with Section -7000) of Division 3 of the Business andProfessions Code) or that he or she is exempt, therefrom and the basis for the alleged exemption. Any violatioh a.f Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five.hundred dollars (S500).: as owne.r 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 a&owner of property who builds or improves thereon, and who does the work.himself or herself throughhis 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, itie owner-buildei'will have the burden of proving th6t he or she did not build or improve for the purpose of sale.). (_) 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 contractors) 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: GREG JOHNSON 55-990 PINEHURST LA QU'INTA, CA 92`253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 11/10/08 Contractor: BIRMINGHAM, LOUIS E.- 64860 BURKE COURT?, DESERT HOT SPRINGS, CA 92240 (760)808-7792.. Lic. No.: 921546 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of ttie following declarations • . I have and will maintain a certificate of:consent to self-insure4.for workers' compensation, as provided for by Section 3700 of the Labor Code,:for the performarice of the work;for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of'the work for which this permit is issued. yworkers' compensation ,. insurance carrier and policy number are: Carrier EXEMPTPolicy Number " EXEMPT " 4 ' I certify that, in the performance of the work forwhich this permit is -issued, I shall,noubmploytany ., person in 'any manner so as to become subject to the workers: compensation laws;of'California, and agree that, if I should become subject to, the workers',,compensatio visions of Section 3700 of the La,bor Code, I shall fort ith comply with - e: pro ' WARNING: FAIWORKERS' COM ATION COVERAGE IS UNLAWFUL, AND�SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANOICIVIL 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, ofLa 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 dateof 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 represent ives oft county, to-,enter ''upon th ove-mentioned property for insp tion purposes. Date;/ �V"�taSig we (Applicant or Agen� Application Number . . . . . 08-00001787 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 25.00 Plan Check Fee 16.25 Issue Date . . . . Valuation . . . . 1000 Expiration Date 5/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 2.0000 ---------------------------------------------------------------------------- HND BLDG 501-2,000 10:00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA ELEC MISC 11.0.0 ---------------------------------------------------------------------------- Special Notes and Comments ADD WINDOW IN DINNING ROOM TO MEET THE MIM. U -FACTORS PER TITLE -24 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 1.63 STRONG MOTION (SMI) - RES .50 Fee summary Charged -------------------=------- Paid Credited Due Permit Fee Total -------------------- 51.00 .00 ---------- .00 51.00 Plan Check total 22.75 .00 .00 22.75 Other Fee Total 2.13 .00 .00 2.13 Grand Total 75.88 .00 .00 75.88 LQPERMIT Bin # City .of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Perm i \�La 1 Project Address: PN6,l4S7- Owner's Name: 67 671 __I_Cf' 50N A. P. Number: Address: -5� Legal Description://�� Contractor: GdC)lS t .r,J�d'�1)II/C �,�� City, ST, Zip: Z 611AJIA e -A =5-3 Telephone: P %6d "6 iC - %7 qa Address: ! g UyeeZ5' Project Description: �d Q//AJC G✓1 /lJ�d j^% City, ST, Zip: -A Telephone: -760 '9Q13_`77,9 oZ a�7 City Lic. #-.1,D5Vqg State Lic. # : Arch., Engr., Designer: ��. 6-�5 E'L1f4s Address: C� `' 02� -61AICS Jolel—l-% ,Qje City, ST, Zip: c47WZ-;0KA6 Cl -;1- Telephone:77�.O ay -7a7 State Lic. #: Name of Contact Person:�� 7� fj.� fA.)6 Construction Type:,e��066L Occupancy: Project type (circle one): New Add'n (29)Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: •-76a 'j?v R -7 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 3 Reviewed, ready fo corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up u(rUW 6fi 4^Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"° Review, ready for corrections/is a Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Gradi IN HOUSE:- 1n° Review, ready for rrectionsrssue Devel Im e Planning.Approval Called Contact Pe son At-I.P.fEBy Pub. Wks. Appr Date of permi ssue School Fees Total Permit Fees 4/a1 g yve a 08 BFC «13 Asti 89- 1%U6 Imo- Tw r01t