Loading...
11-0791 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00.000791 _. Property Address: 51970 AVENIDA CORTEZ APN: 773-153-011-14 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 1900 Tuyl 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: la iAr ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of periury th under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the n nd P ofessiona Code, and my License is in full force and effect. License Class: C36 cense No.: 506475 Da � C ra OWNER -BUILDER DECLARATION I hereby affirm under penalty of pe ' 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 (5500).: ' (_ 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 _ 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: 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: pip LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ----------------------------------------------— 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 �hr issued. r I have and will maintain workers' compensation insurance, as requirdd 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 STATE FUND Policy Number I certify that, in the performance of the work for which this permit is issued, 1 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 s I ubjL�t'ti't�a workers' compensation provisions of Section 37700 of the L Code, al rthwi mply with those provisions. licant. WARNING: FAILURE TO RE ORKER PENSATION 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 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 1 have read this application and state that the above informati n is correct. I agree to comply with all city and county ordinances and state laws relay k�+nng-s raeR6f♦, hereby authorize representatives of �s county to enter upon the above -me ned proper r ins trio rposes. /6a �I � Si ature (Applicant or Application Number . . . . 11-00000791 Permit . . . PLUMBING SEWER Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1900 Expiration Date 1/21/12 Qty Unit Charge Per Extension BASE FEE 30.00 ----------------------- Special Notes and ----------------------------------------------------- Comments SEPTIC ABANDON, SEWER CONNECT. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Charged Paid ------ - --- ---------- Credited ----------- ---------- Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Other'Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT 20*07-2203:02. 7751363» 7603283318 P1/2 �a A►t COACHELLA VALLEY WATER DISTRICT t' des G'� P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) .3.98-2651 INVOICE Date: 7/2112011 SUBJECT; 51970 AVENIDA CORTEZ, LA OUINTA, LID 682000, "SCC FEE ONLY" DENISE GOOCH Project: 11.3064 51970 AVENIDA COREZ Project Date: 7/21/2011 Amount Due: $4,231.00 LA QUIN7A, CA 92253 GEO: 06.08-01-3 Planner: SANDRA VIL`ALOBOS TO INS',. -'PE =R -°'a4 : REDIT. PLEASE RETURN THIS PORTION WrrH AND INCLUDE THE PROJECT ON YOUR CHECK SUBJECT: 51970 AVENIDA CORTEZ, LA QUINTA.. C 55::00, "BCC FEE ONLY' COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2657 Rape I Bin # City Of La Quints ' 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 # 01q` Project Address: — q�� Owner's Name: A. P. Number: Address: (--<� ;7a 60r2 2 Legal Description: City, ST, Zip: A4 5-3 Contractor:-�J'�- liGO'� Telephon yJYlr%'iO:vriH.::•) 4Kiii:Jiifr,'/.:'i: . Address: C� Project Description: City, ST, Zip: C 9_)-P3 te ti a(/ ©G / / G Telephon 3 —j�' 11111 IeA !� State Lic. City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #:M >....' < Construction Type: Occupancy: Project type circle one New Add'n Alter Repair Demo Name of Contact Person: ,v 2 Sq. Ft.: #Stories: # Units: p � C4 v Tele hone # of Contact Person: v0 Estimated Value of Project: d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. 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 Mechanical Grading plan 2°" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 41 i'.