Loading...
07-0106 (SPIN)Tit P.O. BOX 1504 �fIV 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description Property Zoning: Application valuation:' Applicant: 07-00000106 78495 CALLE TAMPICO" 770-130-001- - - SPECIAL INSPECTION MAJOR COMMUNITY FACILITY 0 Architect or Engineer: ----------—------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty ofperjurythat 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 fie 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 acivil penalty of not more than five hundred dollars ($500).: 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 Profession 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, BusinessandProfessions Code: The Contractors' State License Law does not apply to an owner of propertywho 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.. , 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: - CITY OF LA'QUINTA C/O AKLUFI & WYSOCKI 3403 10TH ST STE 610 RIVERSIDE, CA 92501 VOICE (760) 777-7012 ' FAX (760) 777-7011 INSPECTIONS (760) 777-7153 -Date: 3/08/07 Contractor: D Owner MAR 12 2007 CITyOF LJa QSII A 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 Sectiuu 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 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, and agree that, if I should become subject to the workers' com nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions Date: Applicant-- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL . SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 workbeing 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 l 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 rep esentatives . of this counn yyty ert� enter upon the above-mentioned propeinspection purposes. - Dater _� -/ - Signature (Applicant or Agent)� LQPERMIT : Application Number 07-00000106 Permit SPECIAL INSPECTION Additional desc 2007 LA QUINTA ARTS FESTIVAL Permit Fee 100.00• Plan Check Fee Issue Date Valuation .00 0 Expiration Date 7/21/07 Qty Unit.Charge Per Extension BASE FEE -------------------------------------------- 100.00 Special Notes and Comments SPCIAL INSPECTION-FOR LA .QUINTA ARTS FESTIVAL•PER MUP #07-693. THIS PERMIT INCLUDES ALL GENERATORS REQUIRED. Fee summary Charged Paid Credited --------------------------- Due ----------------=- Permit Fee Total 100.00 .00 00 100.00 Plan Check Total .00 .00 .00 Grand Total 100.00 .00 .00 .00' 100.00 ----------------------- LQPERMIT e IOAI A4411P - I � f Bin # r City of La Quinta 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 # Project Address: L ., � i iL A..P. Number: Owner's Name: c DNr V Address: �e Legal Description: City, n, Zip: L��3 \ 0.I CPc 91 a Contractor: Address: Telephone: St0 P � Project Description: City, ST, Zip: Lan._Q.� Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy* P cY* Project type (circle one): New. Add'n Alter Repair Demo Name of Contact Person: ,;Th`f—@, Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 5 &q — i a IT Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # L Submittal Plan Sets fix 1� Req'd :. RWd TRACMG Plan Check submitted l0 PERMIT FEES item Amount Structural Calcs.Reviewed, ready for r"tions Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cala. Plans ticked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2'' Review, ready for correction,!ED 3 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,correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees BUILDING AND. SAFLTY D ... I;PARTMENT INTERNAL CHECKLIST Today's Date: �0 0 Project. Address: E VS3 Ga / Applicant Name: L� /9a,� S Permit #: . 0 _ /0,6 Bin Number: C Included: pPlans ORedlined Plans ❑Revised Plans ❑Approved Plans ' O Struct ❑'Redlined Struct ❑Revised Struct OApproved Struct. Ii Truss ❑ Redlined Truss O Revised Truss ❑Approved Truss • ❑Soils - ❑Redlined Soils C1 Revised Soils OApproved Soils ❑Energy ORevised Energy '.13-Correction List Other��L X 11 ��;.✓�a k,'r Green.' Sheet to' .0 CDD ❑with plans O Public Works Location on Board: __ Left Middle Assigned non structural to 'Right .. . Comments.: U_\Therese\Internal Checklist.doc Bin # City Of La Quinta, Building U-S*V Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:` e ": v l 1 e� O 1 1 A. P. Number: Address:-iv 15 -0 ' e- a . Legal Description. (�� --�- City, ST, Zip: r. Contracto1. J r V` �. Telephone: i I n L4L Address: "5-r © . Project Description: City' ST' Zip' Q' Telephone: State Lie. # CityLic. #: Arch., Engr., Dcsigner. .5 Address: 3z)iE l i(" Y J O C5 City; ST, Zip: S ' Telephone: \R . Construction Type. State Lic. #: Occupancy: eC- R'ojO type (circle one): New • Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: # Storics: # Units: Telephone # of Contact Person: Estimated Val. of Project . ,�' APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd •. Ree'd TRAC[C&G • PERMrr FEES Plan Sets Plan Check submitted Item Amount . Strwctaral Calcs. . Reviewed, ready for corrections Plan Check Deposit Tress Cala. Called Contact Person Plan Check Balance Energy Cale. Plans iicked.ap Construction Flood plain plan Plans resubmitted Mechanical Grading. plin' 2-' Review, ready for eorrections/issue Electrical . Subcontsictor List . Calted Contact Person Grant Deed Plumbing Plans picked up . S.M.L ELOA. Approval Plans resubmitted Grading IN HOUSE:' Review, ready for correcHoas/�ssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pnb. Wks. Appr Datc of permit Issue School Fees Total Permit Fees