Loading...
07-2236 (RPL)P.O. 9OX 1504 " '495`ti ALLE TAMPICO '' y LA QU•INTA, CALIFORNIA 92253 Z Applicant: V� Architect/or Engineer: �I ----------------- LICENSED CONTRACTOR'S DECLARATION Y BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessionaIs Code, and my License is in full force and effect. LicensWCI s: JCS C27 C29 LicenseNo.: 656128 Date:` Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 ($500).: 1 _ 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, 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: LQPERMIT Owner: MCGUIRE RESIDENCE 50-665 VERANO DR. LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/06/07 ------------------ 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. 1 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 Policy Number BB1070510 _ I certify that, in the performance of he work for which this permit is issued, I shall not employ any person in any manner so as to b ome subject to the workers' compensation laws of California, and agree that, if I should becom subject to the workers' compensation provisions of Section 3700 of the Labor COdEJ1 shall fo thwitmply with those provisions. -16.0q V -- WARNING: FAILURE TO SECURE WO ERS' COMPENSATION 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 I have read this application and state that the aboLftmalion is correct. I agree to comply with all city and county ordinances and state laws relating to building nand hereby authorize representatives of this coyntyto enter upon the above-mentioned pro purposes. �AppliCation.Number� 07-00002236 Property Address: 50665 VERANO DR APN: 772-250-999-76 -30357 Application description: POOL - RESIDENTIAL . Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: .30000 Applicant: V� Architect/or Engineer: �I ----------------- LICENSED CONTRACTOR'S DECLARATION Y BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessionaIs Code, and my License is in full force and effect. LicensWCI s: JCS C27 C29 LicenseNo.: 656128 Date:` Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 ($500).: 1 _ 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, 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: LQPERMIT Owner: MCGUIRE RESIDENCE 50-665 VERANO DR. LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/06/07 ------------------ 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. 1 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 Policy Number BB1070510 _ I certify that, in the performance of he work for which this permit is issued, I shall not employ any person in any manner so as to b ome subject to the workers' compensation laws of California, and agree that, if I should becom subject to the workers' compensation provisions of Section 3700 of the Labor COdEJ1 shall fo thwitmply with those provisions. -16.0q V -- WARNING: FAILURE TO SECURE WO ERS' COMPENSATION 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 I have read this application and state that the aboLftmalion is correct. I agree to comply with all city and county ordinances and state laws relating to building nand hereby authorize representatives of this coyntyto enter upon the above-mentioned pro purposes. 0 LQPFRAIIT ."Application Number . . . 07-00002236 Permit . . . BLDG POOL PERMIT - Additional.desc . Permit Fee 284.50.- Plan Check Fee 184.93 Issue Date Valuation . . . . 29600 Expiration Date 2/02/08 Qty . Unit Charge Per Extension. BASE'•FEE 252.00 ". 5.Aor 6.5000 7 --------------------------------------------------------------------------- THOU BLDG.25,001-50,000 32.50 Permit ... . - MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit" Fee . . . . 45.00 Plan Check.Fee 11.25 Issue Date . ... Valuation ." 0 Expiration Date 2/02/08 Qty Unit Charge" Per Extension BASE FEE 15.00 .1.00 30.0000 -------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING.POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee 33.00 C Plan Check Fee 8.25 Issue Date . . . Valuation . . . 0 Expiration Date 2102/08 Qty 'Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 .3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit . . . . . . WALL/FENCE PERMIT LQPERAIIT I Application Number . . . . . 07-00002236 .Permit . . . WALL/FENCE PERMIT Additional desc . Permit. Fee 15.00 Plan Check Fee .00 IssueDate• Valuation 240 Expiration Date 2/02./08 Qty Unit Charge Per Extension BASE FEE 15.00 - Special Notes and Comments. ------ POOI;, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 48" X 15 L.F EQUIPMENT WALL CITY STANDARD. . Fee summary Charged Paid Credited Due. Permit Fee Total 403.50 .00 .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 614.43 .00 .00 614.43 LQPERAIIT I Bin # City of La Quints Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # . Z3� Z Project Address: C" �rfj� Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Telephone: Contractor: Address: 0 sox 12_5(> Project Description: City, ST, Zip: CzaLke-t1a.zz 3 6 ., Telephone: State Lic. # : l±Ds 2 City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person:Sq. Construction Type: Occupancy: Project type (circle one):New Add'n Alter Repair Demo Ft : #Stories: --7 units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIUNG 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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:- 7nd 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 =0