11-0361 (SOTB)P.O. BOX 1504 VOICE (760) 777-7012.
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
` BUILDING PERMIT_
-� Date: 4/12/11
Application Number: �11-00000361., ~ Owner:'
Property Address: 61120 TALEA DR MCKAY
APN: 764-280-004-1. -35996 - 61120 TALEA'DRIVE
Application description: STRUCTURES OTHER, THAN BUILDINGS LA -QUINTA, 'CA 92253
,f Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
Contractor:
Applicant: Architect or Engineer: , TESERRP, APRP,.O. BOX 1280 �.. ��q
- COACHELLA, CA 92236 `
h' I n 1760) 398-9222 CITYAF3.Af$UlAlii�
Y` Lic. No:: 656128
LICENSED C NTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION' `
I hereby affirm under penalty of perjury tha I am lice ed under provisions of Chapter 9 (commencing with ,I hereby affirm under penalty of perjury one of the following declarations:
-Section 7000) of Divisio 3 of the Busines and Pr essionals 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
LicensWCIass: 27, 2 - License No.: 656128for'by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
e:o ctor: - I have and will maintain workers'. compensatiorr 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
OWNER-BUILDER DECLARATION insurance carrier and policy number are: ,
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number .7600006481111
following reason (Sec. 7031.5, Business and Professions Coder Any city orcounty that requires a permit to - - _ ,I certify that, in the performance f the work for which this permit is issued, l 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 to ecome subject 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 gree that, if 1 should beco a su Ct to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 0 he Labor.Code, 1 shal fort ith 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'
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1b5aA cant:. '
(' ) 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 WARNING: F RE TO SECURE WORKERS'.COMPENSATION 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 PENALTIES 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..lf,.however, the building or improvement is sold within - -
SECTION 3706 OF THE LABOR CODE, 'INTEREST, ATTORNEY'S FEES. - - - -
one yearof completion, the owner-builder will have the burden of proving that he or she'did not build or
• improve for the purpose of sale.). - 'APPLICANT ACKNOWLEDGEMENT • .
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the -
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and, restrictions, set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a'contractor(s) licensed'; 1 . Each person upon whose behalf this application is made, each person at whose request and for -
pursuant to the Contractors' State License Law.). • whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1: I am exempt under Sec. , B.&P.C. for this reason . - 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. '
Date: . Owner: 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 -
_CONSTRUCTION LENDING AGENCY - permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have r ad this application and state that the abo a inforKnpurposes. n is correct. • I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county or nances-and state laws relating to building strutand hereby authorize representatives
of this nty t ente port the ove-mentioned property for pec -
'Lender's Name: ? 7 �S' tura (Applicant or Agent):
ate:
- Lender's Address: - -
'" LOPERMIT -
Application Number 11-00000361
" Permit BUILDING PERMIT
Additional desc
_
Permit- Fee :. -45.00 Plan Check Fee'
29.25
Issue. Date Valuation
2000''
Expiration Date: 10/09/11
Qty Unit'Charge 'Per'..
Extension
BASE FEE
15.00•
15.00. 2.0000 HND BLDG 501-2,000
30.00
Permit ELEC-MISCELLANEOUS'
Additional desc
Permit Fee 1'5.75. Plan .Check Fee
3.94
Issue Date "Valuation
0 '
Expiration Date 10/09/11
Qty Unit Charge Per
Extension
.BASE FEE
15.00
1.00., .75,00 PER ELEC DEVICE/FIXTURE•1ST 20
..75
Permit PLUMBING
Additional. desc .
Permit Fee18.00. Plan Check Fee :
-4.50
Issue Date Valuation
0
_
Expiration Date 10/09/11.
Qty Unit ,Charge Per
-Extension
BASE FEE
15.00 ..
1.00 3.0000 EA PLB GAS PIPE•1-4 OUTLETS
3..00.
--------------------------------------
Special Notes and Comments
-BBQ-INCLUDES.GFI PROTECTED OUTLET &
STAINLESS STEEL FLEX LIGHT'&'FIREPIT.
PERMIT INCLUDES 113 L.F. 1 1/2" GAS
LINE. 2010 CODES..
=-----------------=---------------_----=-------_-------------------
•
' Other.Fees BLDG STDS ADMIN (SB1473)
- ------
1.00
ENERGY REVIEW FEE
2.93''
STRONG MOTION (SMI) - RES
.50 -
Fee summary.; Charged Paid Credited
Due
Permit Fee Total 78.75 .00 :00
78.75
Plan Check Total 37.69• .00 .00
37.'.69
Other. Fee Total 4.43 00 .00
4.43
LQPERMIT
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.aPOOLS ISPAS ILANDSCAPE IMASONRY
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DESIGN Br. TRILOGY A LOT N0. •' JOB Nb
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BY: 9T NAME- L - 49EFr NO ,. " "l,
JESSE T. " DA tE 03.18.11
RSD BY n 'PLANTING PLAN �„=1 SD,t, ,/e"— 1'
�1€M GREG H. '
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JESSE T. " DA tE 03.18.11
RSD BY n 'PLANTING PLAN �„=1 SD,t, ,/e"— 1'
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oil it
Permit #
Project Address:
A. P. Number:
20
Address: woC
City, ST, Zip:
'Telephone.
State Lie. # : S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal Rei
Plan Sets'
Structural Cates.
Tress Cafes.
Title 2/ Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees .
City of b Quanta
Building 8T Safety Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA. 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: j
Address: 2 (D
City, ST, Zip: /A -
Q -
Telephone:
Project Description:
City Lie. #:
1
�1=
Total Permit Fees .
Construction Type: Y
P:
Occupancy:
P anc Y:
Project ct e (circle r
cle on
J h' N
P ( ew . Add'n Alter Repair Demo
t0
Sq. Ft.:
# Stories:
# Units:
S 0 2 3 I
Estimated Value of Project:
Q o
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections •
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2" Review, ready for corrections/issue
.Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted.
Grading
Review, ready for corrections/issue
Developer Impact Fee
Called Contact.Person
A.I.P.P.
Date of permit issue
----------------
Total Permit Fees .