The URL can be used to link to this page

07-3001 (BLCK)i 4 / P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00003001 Property Address: 54500 WEST RESIDENCE CLUB DR. APN: 775-390-999-33 -31'627 - Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY RES Application valuation: 175 Applicant: Architect or Engineer: •.4 �� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 License No.: 799449 Date: Contractor: 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 ($5001.: 1 _ 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.). 1 ) I am exempt under Sec. , B.&P.C. for this reason Date: CONSTRUCTION LENDING AGENCY/ I hereby affirm under penalty of perjury that there is a construction lending agencyr(or the performance of the work for which this permit is issued (Sec. 3097, Civ. C.I. ' Lender's Name: - Lender's Address: io LQPERMIT Owner: NADADOR, LLC 78120 CALLE ESTADO, LA QUINTA, CA 92253 Contractor: JACOBS HOMES INC, P.O. BOX 356 LA QUINTA, CA 922 (760)777-9921 Lic. No.: 799449 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 SUITE 203 PVC, Qe? Date: 1?/� 11/21/07 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 ST TE FUND . Policy Number 0000311-2007 1 certify that, in the performance of the work for which this permit is 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shat thwith c Imply with those provisions. i Ip nt: � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S 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 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 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 county to enter upon the above-mentioned pr,�ope/rty fo i ection p rposes. Din a (Applicant or Agentl/�/1 LQPER lFr Application Number . . . . . 07-00003001 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation_ 175 Expiration Date 5/19/08 Qty Unit Charge Per. Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes -and Comments. 618" X 518!' MONUMENT SIGN,•CITY STANDARD ON MEDIAN AT RESIDENCE CLUB ENTRY. ALUMINUM SIGN FACE & VINYL LETTERING, PER SA ## 2007-1211. (JW) Fee summary Charged Paid Credited w Due Permit Fee Total 15.00 .00 . .00 15.00 Plan Check Total .00 .00 .00 00. Grand Total 15.00 .00 .00 15.00 Bin # Building U Safety -Division P.O. Box 1504,, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking. Sheet Permit # Project Address: _ SOD W .Et�QfWa OLUner's Name: NAD l l� A. P. Number: Address: Ig .&TRIM) it /U3 ` Legal Descripti Kt USU City, ST; Zip:LA All Contractor: c Telephone: S Address: _ Project Description: , City, ST, Zip: Telephone: `. State Lic. #': City Lic: #:OLAYA Arch., Eng., Designer:• Kl� Address: r � City, ST, Zip: Telephone: ' State Lic. #: Name of Contact Person: a Construction Type: W ccupancy: Project. type (circle one): ••New . Add'n Alter Repair Demo 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 Energy "Calcs. Plans picked up Construction Flood plain plan Plan's -resubmitted Mechanical Grading plan • god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up" S.M.I. H.O A: Approval. Plans 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 , Total Permit Fees