Loading...
10-0135 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: 4��,_1-0,-,00000135 Property Address: 79135- SHADOW TR APN: 649-030-069-10 =31310 Application description: POOL - RESIDENTIAL' Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 34000 Applicant: �Architect'or Engineer: Bio BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: YVETTE TANNER 79135 SHADOW TRAIL LA QUINTA, CA 92253 (760)771-3345 Contractor) HAWAIIAN 417 W. F GLENDO P_" (800)730 Lic. No. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 g4ILL. BLVD 7 o 49e�r4 95 1 7 ��� nF 4.Az�eli.;y�'k i�''PT Date: 2/23/10 ----------- --------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of periuFKoat I am.licensed uaoer provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Businesls�rofe!;' Is Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53' License No.: 752433 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ate 32 -�o ractor: issued. _ I have and will maintain workers'.compensation insurance, as required by Section 3700 of the Labor r Code, for the performance of the work for which this permit is issued. My, workers' compensation WNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that l am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the per nce of the work for hich this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as come su ' t to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become s c the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co , I shall comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _/Q any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: ate• scant: ( ) 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, Business and Professions Code: The WARNING:, FAILURE TO SECURE ORKERS'OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENH TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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.). (_) 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: LQPERA11T �1 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 issuKeuch permit, or cessation of work for 180 days will subject permit to cancellatio .I certify that I have read thisapplication ste above information is correct. I agree to comply with all city and county ordinances and sta laws r lding construction, and hereby authorize representatives of this my to enter upon t a ve- party for inspection purposes. ate: _ /&- S" ica or Agent): Application Number . . . . . 10-00000135 .Permit . . . BLDG POOL PERMIT Additional desc .. Permit Fee 310.50., Plan Check Fee 201.83 Issue Date Valuation . . . . 34000 Expiration Date 8/22/10 Qty Unit Charge 'Per. Extension BASE FEE 252.00 9.00 6.5000 ---------------------------------------------- THOU BLDG 25,001-50,000 ------------------------------ 58.50 Permit . . . MECH POOL Additional desc Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 8/22/10 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 8/22/10 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 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 8/22/10 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 LQPERMIT LQPERMIT Application Number . . . . 10-00000135 -Permit WALL/FENCE PERMIT, Additional desc . " = PermitrFee _ 15::00 _.. Plan Check Fee .00 Issue Date. _ Valuation 260 Expiration Date- 8/22/10 Qty Unit Charge Per Extension BASE. FEE 15.00 .- Special Notes and Comments POOL/SPA; 12 L.F. 5EQUIPMENT. ENCLOSURE & VARIOUS 1811 PLANTERS, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT -- --- --- --- -- -- ----- ---- - .. ._ . -PRE-PLASTER INSPECTION: 2007'CODES.."-* -------------------_-------.-------------------- --- "Other.Fees BLDG STDS ADMIN (SB1473) 2.00 Fee summary.-. Charged Paid Credited Due Permit Fee Total. 429.50 00 .00 429.50 Plan Check Total 22.7.83 .00 .00 227.83 Other Fee "Total 2-.00 .00 0.0 2.00 Grand Total 659.33 .00 .00 659.33 LQPERMIT CITY OF LA QUINTA SUB-CONTRACTOR LIST ., JOB ADDRESS 79Z .5,4) 29ADIPERMIT NUMBER OWNER ���i�� BUILDER,&WZ,2.4nr Svc D� This form shall be 1osted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to tPis list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade. / Class�ficat�on .::....:::.:..... :. ...C.ontractor:.:.:::::...:. ontractor:s:L, State: C .................... cense:....::.:....:.>:: ,.:.... ers.Corri ensation;In mance; ......::. 5... . C, .:Bus,ness I,cense Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK fC 1:21 l — ,S .3 7J 9 Z3 C9`. 9 -zol/ G T/2'N vsr,22A.L qS -O/lp .b-/S-?-3A/// CONCRETE: 0 8) STRUCT STEELfC=5i..... S(a% -✓� 3 ���i� 6-�-2v// D5P7'1ZHD05,7* G C �S03'6 MASONRY (C-2911 G —� %SZy7J3 S��`�/ /L/�l % %LiSriii'l� r- D�fL"�/-� PLUMBING :(:C 36) .. _ Csfi�7 LATH, PLASTER: (:Cc35) DRYWALL.(C=9) ;HVAC IG-20) ELECTRICAL (C 10 '76 Z Z itly'7� � -%o// �K/L%� T ��r� � — A07/2S' z?-3%-2k,1 :ROOFING (C=: 9), % SHEET'METAL>(CA31::. FLU:ORING (:C GLAzIN.G IC`-:1::7), INSULATION (C 2) SEWAGE DISP. (C42) PAINTING I633) CABINETS :(:C=6) FENCING:'IC=T31 A.N. D.SCAPING:.(.0=27);:,:; 3/ --Zo/,( r (POOL �, j/U17X-_-RIViqC, -57,3 �t 3o-Lo/a �FI.vS Z,uSvQ. t��P OZ Dk,Q N�ZZcb5�os7 7-3�-u�D r- ro or 4- A:,, 77MS . tZ 2:6 � r. 9fawa.jgm Spa 417-B W Foothiff Blvd, #107 Gfendara, CA 91741 (800) 730-0935 _ P t s . 40 i —o 0 4��pe�r �I L sitp L& rw CITY OF LA GiIJ I I TA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT BY 5.� su S. Acro 1 J. cots C -E SM78 P. n edn I 2-Z3 oto �e s ctD, ►j o, G 79 13 5 Su b -t> o� o —1 azo. 3- I Bin # City of LaQ uin to Bwlding 8z Safety WvWm P.O. Box 1504, 78-495 Calle Tampko to Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # O 13� Project Addr= 79i 5— Owner's Name iI% L A. P. Number: Address: % pl Jf�4 tbcJ T2AZG Legal Description: City, ST, Zip: - G�GGv: 1� Contractor//AW/4�� Dog)(- Telephone. 76 ec Address: Project Description: City. ST, Zip: -7440 L'VAA GA q/ 7 �/� ,t/ zr2S Telephone:gUU - 7 -3a '01a AM State Lie. # :75-2-1-133 City Lia #: Arcb., Engr., Designer �j�L �l . Address: '9 /V (%/L City, ST, Zip: 7-0 S iZ lq Telepbone: D State Lie. #: Name of Contact Person: Contraction Type: Occupancy: Projed type (circle one): G)Add'n Alter Repair Demo Sq. Ft.:#Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # submittal Req'd Reed RHOCEIVEID PERMIT FEES Plan Set Pian Check submitted [tem Amount Structural Cala. Reviewed, ready for eerre,&M 2 3 20 10 Plan Cheek Deposit Tans Cala. Called Contact Person Plan Check Rahn". Title 24 Calcs. Plans picked up BY: Construction Flood plain plan Plass resubmitted Mechanical Grading plau 2`! Review, ready for corrections/issue Electrical Subeontaetor List Called Contact Person Plumbing Grant Deed Plana picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- m Review, ready for correctionsfinue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees