06-2194 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00002194
52445 AVENIDA VELASCO
773-2647021-10 -000000-
PLUMBING
COVE RESIDENTIAL
5000
Tityl* 4 �w4�rw
Architect or Engineer:
Ftp
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: License No.:
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 pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.:
• ( 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
f 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 <1at
I am exempt under Sec. B.&P.C. for 's reason
S- Z � Z1 ner.141
��
• CONSTRUCTION LEND4NGIAGENCY
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:
SANCHEZ GEORGE
52445 AVENIDA VELASCO
LA QUINTA, CA 92253
-------------------------
Contractor:_
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/26/06
MAY 2 6 2006
CITY OF to QUINTA
-------------------- ---- -- wkamrr- DF -PT.
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 workerscompensation
insurance carrier and policy number are:
Carrier Policy Number
I ertify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to becor.Fe subject to the workers' compensation laws of California,
and agree that, if I should Iiecom`e subject to the wor�' compensation provisions of Section
3700 of the L or Code/f,SFiall forthwith comply wi h
ht
provisions.
at0 e:�Z plicant: 1
WARNING: FAILURE TO SECURE WORK S' OOf ENSATION VERflE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEtlA,I SAND CIVIL FINES UO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 .01` 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 above information is correct. I agree to comply with all
city and unty ordinances and state laws relating to building n truction, and hereby authorize representatives
of thi ou ty to enter upon the bove-mentioned propert r inspection purposes
ate: �' S' ature (Applicant or Agent):
J
Application Number . . . . 06-00002194
Permit PLUMBING SEWER
Additional desc ".
Permit Fee 30.00
Plan.Check
Fee
.00
Issue Date
Valuation
. .
5000
Expiration Date 11/22/06
" Qty Unit ,'Charge Per
-Extension
Extension
BASE FEE
30.00
--- ----------
Special Notes and Comments
SEPTIC ABANDON;.SEWER CONNECT
Fee.summary'. Charged Paid
Credited
Due
Permit Fee Total 30.00
00
.00
30.00
- Plan Check Total .00
00
.00
.00 -
Grand Total 30.00
.00
.00
30.00
LQPERMTT
Bin #
City .of La .Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
66 /La
Project Address:.
Owner's Name: G
A. P. Number:
Address: Cj Z _ VELA SCO
Legal Description:
City, ST, Zip: a 0 l . C;
Contractor:
Telephone: -70 S' — 7 cio'-?
Address:
Project Description: 56 ,
otV
City, ST, Zip:
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft.:
#Stories:_
# Units:
Telephone # of Contact Person:
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan .
Plans resubmitted
Mechanical
Grading. plan'
2°" 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:-
''" Review, ready for correctionOssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees