Loading...
05-1506 (BLCK)La,.uQ ' O'S • ��ci�� 1� OZ U � _ BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 C� OF O 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 v 11V��� BUILDING PERMIT :a'k-App «l2 tion Number . . . . . 05-00001506 Date 4/21/05 Q' Property Address . . . . . 78910 CITRUS 772-101-005- - - plication description . . . WALL/FENCE Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . 2641 Owner Contractor CAPITAL PACIFIC HOLDINGS CALIFORNIA POOLS & SPAS 4100 MACARTHUR BLV STE 200 WCC: SEABRIGHT INS NEWPORT BEACH, CA 92660 WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 CCC: C8 C27 C29 C53 ---------------------------------------------------------------------------- 0 n P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: c> /S_06 . Date: —2 L-O�S Applicant: I Architect or Engineer: Applicant's Mailing Address: Ne7O—AC702 Architect or Engineer's Address: Lic. No.: / VA BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am license$nde rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals �dde, and my Licr-tractor orce and effect._�4�rcense Class n e W. (� jG `Date OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):. U 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 or 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.). U 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.). U I am exempt under Sec. . BA P.C. for this reason Owner WORKERS' 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 y h this permit is issued. I ave nd will main workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i wo' compensation insurance carr' any person in any manner so as to become subject to the workers' compensation laws of California. and agree t hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall �� forthwith comply with those provi ions. I/,7a " C �s^Applic/t WARNING: FAILURE TO SECURE WORKE S' COMP ATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 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.). Lenders Name Lender's Address /.11A 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 Ouinta, 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 voi 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 cor I. I ag ee to comply with all city and county ordinances and state laws relating to building construction, and here y authorize representatives of this county to ter upon the ab ve- entioned property for inspection purposes. Date' ©gnature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number ---------------------------------------------------------------------------- 05-00001506 Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2641 Expiration Date 10/18/05 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 122 L.F. 5' BLOCK WALL, CITY STANDARD. Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 54.00 ---------- .00 ---------- .00 54.00 Plan Check Total .00 00 .00 .00 Grand Total 54.00 .00 .00 54.00 Mn # City Of La Quinta Building &r 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:— �( �j Owner's Name: A. P. Number: Address: Legal Description: Contractor: C L Fo POOLS s � S City, ST, Zip: Telephone: hon e. Address: �Q� �.�� Project Description: City, ST, Zip: e Ca 9.7.9 3 Telephone: 390— 9,7 Z State Lic. # : (5 (1 r4 5� City Lic. #; e Arch., Engr., Designer: ' Address: City, ST, Zip: 2 nn / pp low OP—CO Telephone: e: P #: Stat Lic. Name of Contact Person: D,4 T,�554-7 Construction Type: Occupancy: YP P Y Project tyPa� circle one : NAdd'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: , r> Estimated Value of Project: 5000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mcchanical Grading plan 2"d 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:- 7rd 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