The URL can be used to link to this page

06-4138 (CGAR)TAW _• Y _ N. VOICE -7 BOX 1504 012 78-495 CALLE TAMPICO r FAX (760)"777-7011 LA QUINTA, CALIFORNIA 92253 , BUILDING,&SAFETY DEPARTMENT , , INSPECTIONS (760) 777-7153 L BUILDING PERMIT ' -Date:. 11/30/06 r'... Application Number: 06-00004138 Owner. Property Address: 43100 PALM ROYALE DR DUTCH PARENT NV ' APN: 609-051-010- :` - 38 NEWBURY ST 6TH _FL ' wA! Application description: GARAGE . - COMMERCIAL R BOSTON, MA 2116' rt •• �t +Property Zoning: HIGH DENSITY RESIDENTIAL • , -Application valuation: - -= 81853 Contractor: D Applicant:: . `Architect or Engineer: WPM CONSTRUCTION -CA LP. r y - 1.000 EAST 80TH PLACE, #555 n - " - MERRILLVILLE, IN 46410 DEC, 04 + (219)680-5000 ` z• r LiC. No.. 825987' C1OI=I,gQU1NTq N61NCE BKPT, 1 • 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 I hereby affirm under penalty of perjury one of the following declarations: •� , Section 7000) of Division 3 of the Busi ss 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 License No.: 825987 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' 1 - ,issued. 'N . r. Date'.+. I1�4 0 .Contr.cto Y - I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -,-- -- F- " - —_� +-•'-�=--_= - Code, for the performance of the work for which this permit is issued. My workers' compensation V .OWNER -BUILDER DECLARATION '.y ° .insurance carrier and policy number are: . I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the_ - - Carrier ZURICH AMERICAN Policy Number WC930464404'• _ . ` - following reason (Sec. 703115, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the; ,` person in any'manner so as to become subject to the workers' compensation laws of California,. - .°- permittofile a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State ,.,,`- and agree that, if I shou ecome su ject to the workers' compensation provisions of Section r License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod , I shall fo i comply with those provisions. • ''.that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by • ' r any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: Date:\ ��' Applicant: 7 (_) 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 ' , - , , WARNING: • FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon; eSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - _ • - a and who does the work himself or herself through his or her own employees, provided that the . DOLLARS 1$700,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. " 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 - (_) 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, 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 performed under or following issuance of this permit. Date: Owner: ` 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 +- CONSTRUCTION LENDING AGENCY permit to cancellation. , I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - - I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to build' construct nd hereby authorize representatives • of this county to enter upon the above-mentioned proper, f r ins(�ecti p' poses. - •f. Lender's Name: - .. .. , - rDate: Signature lApplican[,or Agent):.' Lender's Address: ' LQPEIL,IIT • . • • - • ' Application Number• . . ... . 06-00004.138 ------ Structure Information DETACHED GARAGE ----- other struct info CODE EDITION 2001'CBC FIRE SPRINKLERS NO FLOOD ' ZONE NO - GARAGE SQ FTG 1404.00 Permit CARPORT/GARAGE .� Additional desc' DETACHED GARAGE Permit F44 SC;$3 SR P1_an rhPr-k FPP iFii it Issue Date . . . . Valuation . . . 81.853 Expiration Date 5/29/07 Qty Unit'Charge Per Extension BASE FEE 414.50 32:00 "4.5000 THOU BLDG 50,001-100,000 --------------------------------------------------------------- 144.00 ------------- Permit ELECTRICAL-CARPORT/GARAGE Additional desc . Permit Fee 43.08 Plan Check Fee 10.77 Issue Date Valuation . . . . 0 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 1404.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ------------------------------------------------------------------------------- 28.08 Permit GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 5/29/07 Qty Unit Charge Per. Extension BASE FEE 15.00 'Special Notes.and Comments FOUNDATION PERMIT ONLY.FOR DETACHED GARAGE 20''-7" X 68'-411(1404 SF) S-3 OCC. TYPE V=N CONSTRUCTION.2001 CBC,.2004 CEC. Other Fees . . . . . . . . ART IN PUBLIC PLACES -COM 389.26 " DIF.CIVIC CENTER - COMM 219.02 DIF FIRE PROTECTION -COMM 63.18 LQPERMIT . Application Number . . . 06-00004138 ------------- - --------------------------- Other.Fees, . . . . . . .' - STRONG MOTION (SMI) COM 17.18 DIF STREET MAINT FAC -COMM. 148.82 DIF TRANSPORTATION - COMM 3695.32 Fee "summary Charged Paid Credited Due Permit Fee Total 616.58 00 .00 616.58 Plari Check Total 373.80 .00 .00 373.80• Other Fee Total 4532.78 .00 .00 4532.78 Crand Total 6623.15" .00 .00 5523.16 ' LQPE%IIIT