Loading...
04-6915 (AR)P.O. ox 1504 ti .. 78- CALLE TAMPICO t n A. TA, CALIFORNIA 92253 JJL.V. • BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 77777011 INSPECTION REQUESTS (760) 777-7153 Application Number04-00=0-0-6.9115 Property Address . . . 528'4'8 AVENIN VELASCO APN: 773=326-005.-22O00-0-00- Application description . . . ADDITION -RESIDENTIAL Property Zoning . . . . . COVE.RESIDENTIAL Application valuation . . . . 15215 Owner ROBLES•JESUS 52848 AVENIDA VELASCO LA QUINTA CA 92253 Date 10/27/04 Contractor - ----------------- - ----- OWNER L] ------ Structure information 266 SQ. FT..ADDITION ----- Construction Type .. TYPEV - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE. Other struct info CODE EDITION 2001 CBC # BEDROOMS 1.00 FLOOD ZONE NO = FIRST FLOOR; SQ., FTG '266 X00 -------------------------------------------=------------ Permit -------------------- ELECT - ADD/ALT/REM, Additional desc Permit Fee 24.31 Plan Check Fee ., 6.08 Issue Date Valuation . . . . 0 Qty ''Unit Charge Per Extension BASE FEE 15.00 266.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 9.31 �. Permit . . . . MECHANICAL. Additional desc Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue.Date . . . Valuation 0 Qty Unit Charge Per Extension. BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE.<=100K 9.00 1.00 9.0000 EA MECH B/.0 <=3HP/100K BTU 9.00 1..00 6.5000 EA "MECH VENT FAN 6.50 Permit . . . . PLUMBING Additional desc 'Permit'Fee . . 36.00 Plan Check Fee ". 9.00 Issue Date . . . . Valuation .0 Qty Unit Charge Per Extension if y P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number:y'% • 6 r /J Applicant: ©� N CE Applicant's Mailing Address: Date: 7- 1/2- c?s Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 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 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.). (__) I am exempt under Sec. , BA P.C. for this reason 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 fcr 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 workers' compensation insurance carrier and policy number are: Carrier - Policy Number _ 1 certify 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORI(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. 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 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 county ordinances and state laws relafing to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. v Signature (Applicant or Agent): _ CFI Page 2 Application. Number 04-00006915 Date 10/27/04 Qty Unit Charge Per Extension BASE FEE .15.00 3.00 6..0000 EA PLB FIXTURE 18.00- i".00, 3.0000 EA PLB WATER INST%ALT/REP 3.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date' . . . Valuation t 15215 Qty Unit Charge. Per Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG 2,001-25,000 126.00 :. Special Notes -and Comments 266 SQ. F.T.ADDITION LIVING ROOM.AND BATH. 10/22/04 4:40:22 PM JJOHNSON ------------.-----------------------------.----------------------------------- Other Fees . . . ... ENERGY REVIEW FEE 11.12 STRONG MOTION (SMI) .- RES 1.52 Fee summary Charged Paid' Credited Due Permit Fee Total 270.81 .00 .00 270.81 Plan Check Total 136.11 .00 .00 136.11 Other Fee Total 12.64 .00 .00 12.64 Grand Total 419.56 .00 .00 419.56 Bin V ID I Permit # _alq__�nTL5 I .. 1� Project Address: � Z _ 21 Are - A. P. Numbs: Contractor. ' Add City, ST, Zip: X Tcicphonc. U State Lic. # Arch., Engr., Designer. Address: City, ST, Zip: City of La Quinta Building aL Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owncr'sName: 3 .r- Address: J�2 --BzPB �e U city. ST. Zip: 'A Nfi.�A Telephone: j oject Description: Lll7 1&�)AA j3i2�-t 1 M Lic. #: `' Total Permit Fees n N N61' aSl . Telephone: ConstructionType: Occupancy: State Lic. #:.' --=~.4-` : •— - - _� Project j type (circle one): New Add'n Alter Repair Demo 1C Name of Contact Person:Ft 'Sq. �%�a •. # Stories: #Units: iC Telephone # of Contact Person: C -o — � 3 . imatcd Value otProject: APPLICANT: DO NOT WRITE BELOW THIS UNE q Submittal Req'd Rec'd TRACKING Plan Sets 7� PERMIT FEES Plan Check submitted 3r r Item Structural Calcs ready for corrections Renewql' OYp Plaa ---- Check Deposit Truss Cities. 8: Called Contact Person Z' Energy Calcs. �. Plan Cheek Balance Plans picked up 6. Construction Flood plain plan Plass resubmitted Meehan* c 1 Grading plan 2-' Review, ready for eorrectio srss e ZZ ctrical Subeontaetor List Called Contact Person Plumbing Grant Deed Plans picked up SALT. N.O.A. Approval Plans resubmitted Grading IN HOUSEp Review ady for eorrc tioa issue eve oper Imp ct Fee Planning Approval Calle Contact Person A.I.P.P. Pub. Wks. App, Date of permit issue 76 School Fees `' Total Permit Fees n N N61' aSl . � QUWC4(j P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 February 28, 2005 Mr. Jesus Robles 52848 Avenida .Velasco La Quinta, CA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760)777-7011 RE: Plan Review Extension Request — 52848 Avenida Velasco Dear Mr. Robles: have received your letter dated 2/18/05, requesting a time extension for the Plan Review of the addition proposed to be built at the above address under Application #0476915. Plan review status: Original application date: 8/31/04 180 -day expiration date: 2/28/05 180 -day extension date: 8/29/05 Under the provisions of California Building Code Section 107.4, your request is hereby granted. Because the Building Code specifies that "no application shall be extended more than once," please be advised that unless a building permit for this project is issued on or before Monday, August 29, 2005, your application will expire automatically. Yours truly, Greg Butler Building & Safety Manager . CA "ED 4?LAC #►r/ Leff MlSra R1 nto. �4� Av�� ►�IoND�R� ,s. tU;ttrcu P.O. BOX 1504 APPLICATION ONLY Building / 105 CALLE ORNIAESTADO9 Address CJ LIFORNIA 92253 ,CA Owner , 1 r z—� ., n `_� BUILDING: TYPE CONST. OCC. GRP. Mailing ;.,�/ % Address " T'G 1729JZ&�A.P. Number Zln�6e Tel. y Legal Description Addre 17 7/ ' Tel.. State Lic. ' ^/ I City /,6� & Classif. Y' Lic. # l Arch., Engr., Designer Address Tel: CityI Zip I State I Lic. # LICENSED CONTRACT R'S DECLARATION ab rm that I am I' a under pr ions of Chapter 9 (commencing with Section of t tsion 3 of the usi sand Pr sions Code, and my license is in full force and J OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 (8500). I7 1, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 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 con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify 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 become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., It, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip FINANCE Project f 4",- Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS L C Ida jvh Q 7X irp ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: