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09-0990 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 e(P Q" Application Number: 09-00000990 Property Address: 81288 CANTOR CT APN: 764-280-999-187 -300236- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2000 Applicant: Architect or Engineer: V a1A ---------------- ENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of per' y that I a licens under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the fu` and ro ovals Code, and my License is in full force and effect. License Cla C8, 10, 27, 2 License No.: 656128 ate: 6 ontractor: .-BUILDER DECLARATION - I hereby affirm under penalty of perjury that I WNEexempt 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 ($500).: (_ 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 1 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: EUL 81288 CANTOR LA QUINTA, CA COURT 9225 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 9223 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/14/09 ------------------ 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 ber are: Carrier SEABRIGHT olicy Number BB1080510 _ I certify that, in the performance a work for which this permit is issued, I shall not employ any person in any manner so as to bec gbiecte workers' compensation laws of California, and agree that, if I should become ubjrkers' compensation provisions of Section �700 of the •abor Code, I shallfhwi se provisions. ate: '(/9/�(�/ pplicant: WARNING: FAILURE TO SECURE WORKER i%SANNSDACIVIL TION COVERAGE , AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA 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 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 bove in mationrrect. I agree to comply with all city d county ordinances and state laws relating to buildi constru do reby authorize representatives of is coyflty touter upon th bove•mentioned property f inspec r e . Y/�� Date: Si ature (Applicant or Agent): — Application Number . . . . 09-00000990 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45.00 Plan Check Fee 29.25 Issue Date . . . . Valuation . . . . 2000 Expiration Date 3/13/10 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 ----------------7----------------------------------------------------------- HND BLDG 501-2,000. 30.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/13/10 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 . . . . 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 Expiration Date 3/13/10 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 BBQ & U.L. APPPROVED FIRE RING•@ FIREPIT. -100 L.F. 1 1/2" GAS LINE. 2007 CODES. ----------=-----------------------------------------------=----------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 2.93 STRONG MOTION (SMI) - RES .50 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee.Total 80.25 .00 .00 80.25 Plan Check Total 38.06 .00 .00 38.06 Other Fee Total 4.43 .00 .00 4.43 Grand Total 122.74 .00 .00 122.74 LQPERMIT Bi" # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (� ,O Project Address: - � e q Qr Owner's Name: L A. P. Number: j�7/� Address: 4e5 /-- Legal Description: �j vl'City, Contractor: Zo a4 ST, Zip: Telephone: Address: g(�- 00 V ; -5-q Project Description: T3611 TT7- ;9;g City, ST, Zip: e0 = UCi¢ 7-Z3 is IO !/ 7417— ill + :!t7— Telephone: State Lic. # : City Lic. #: �z vT 1, Arch., Bngr., Designer: / Address: lOO City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:L Sq. Ft.: v # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIONG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Syrra Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical* LS Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. J H.O.A. Approval Plans resubmitted Grading M 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 _ =� - - r _ { .' — VINE DETAIL n STAINLESS STEEL miRE wf ANCHOR a TS == • Pa t.oai ,.,.1,, _ _ GRADE aeo AT +36" MTH STONE COUNTERTce 3a_� — I_1TT AL- RESCC 9�O. ROTISSERIE, COMB, II FLo�IGHT, STAINLE-S STEEL ACGESs DOORS, Buddcrs 4Exccptional Outdoor Living 24' 24- STAINLESS STEEL INSULATED DROP IN POOL8 I spAs I LANI]SCAp'E(MASONRY ICE CHEST AND +42" CANT LEVERED SITTING _ - 1F L Ave.34 Coad,eUla GA.52238 AREA I Po�IT AT 4-Te WTh Tel.78C.3910222 Pay_Ttin 3ke g258 3ja' TtlIC✓S W r STONE COP. 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