The URL can be used to link to this page

07-0654 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 0253 T,iht 4 4 Q" Application Number: 07-0000065-4 Property Address: 58019 CARMONA APN: 764-200-006-2 -316811- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------------------- 7 -------------------- LICE --------—---——---- --------=----------------—---- LICE ED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury tha licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s an Pr ssionals Code, and my License is in full force and effect. License�LJlass: s�C8C227 C29 License No.: 656128 ntractor: WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I amcempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Profe§sions 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.). (_) 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 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: Q— Lender's Address: 1 LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/01/07 Owner: MILLER/DOWNIE 58019 CARMONA F&-�O LA_QUINTA, CA 92253 MAR 0 21007 Contractor: �FTIYMAON P.O. . O . BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 ----------------------------------------------- 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 SEABRIGHT I Policy Number BB1070510 I certify that, in the pert mance of the work for which this permit is issued, I shall not employ any person in any mann to become subject to the workers' compensation laws of California, and agree that, i s o Id bed a subject to the workers' compensation provisions of Section 3700 of the La r od , 1 shall orthwith comply with those provisions. can WARNI�E TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINj4L PENALTIES AND CIVIL 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 beco null and void if work is not commenced within 180 days from date of issuance of such permi r cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ve motion is correct. 1 agree to comply with all city and county ordinances and state laws relating to buil ing const , and hereby authorize representatives of this counW to enter union the.above-mentioned orooer v for-iwcoe on o uses. (Applicant or Agent): l.� LQFERMIT Application Number . . . . . 07-00000654 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation 10000 Expiration Date 8/28/07 Qty. Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 ------------7--------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 8/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 3.00 Special•Notes and Comments BBQ (Z21-58-1995), FIREPIT (AGAL496),PER APPROVED PLAN ---------------------------------------------------------------------------- Other Fees . . . . . . . ENERGY REVIEW FEE. 7.61 STRONG MOTION (SMI) - RES 1.00 Fee summary Charged --------------------------- Paid ---------- Credited Due Permit Fee Total 135.00 ---------- .00 ---------- .00 135.00 Plan Check Total 80.55 .00 .00 80.55 Other Fee Total 8.61 .00 .00 8.,61 Grand Total 224.16 .00 .00 224.16 P� �L/S"—r z oZ lin # Gt/�o�G ,2mAT�o.tS f t'L - City of. La Quinta 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 # f �A Project Address: - -'C I G �V Owner's Name: . pG..1 h1 A. P. Number: Address: 5!g -0J • C1ZX A., Ca Q 1� Legal Description: Contractor: �_ 5� -�� (�- City, ST, Zip: Telephone: Address: 1 �3 Project Description:— city, ST, zip:rfgPc c:Lv-�- cam. qZ2-3 Telephone: Z Z Z �+t C , enl< DEPT. State Lic. # : t�0 cj (�j l ,� City Lic. #:ApPM Arch., Engr., Designer: FOR CONSTRUCTION Address: City, ST, Zip- Telephone: State Lic. #: Name of Contact Person: �� 0 Q Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Sq. Ft.: # Stories: # Units: Demo Telephone # of Contact Person: i�Q — Estimated Value of Project: Q APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plau.Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Q V Flood plain plan Plans resubmitted Mechanical Grading. plan 2nd Review, ready for corrections issue Electrical AtF fZa*5 Subcontactor List Called Contact Person Plumbing tikA Grant Deed Plans picked up S.M.Y. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- l`d 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 -JTotal PermiVFics 0,0/ dL t/� Fs