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06-1850 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001850 Property Address: � 79032 TOM FAZIO LN S - APN: 766-042-007- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: . 7000 Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 a rofessionaI Code, and my License is in full force and effect. License Class: 1 C 5 3 ens 87 a�1 r J 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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 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 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: . 5/08/06 Owner: SHAW 79-032 TOOM FAZIO LANE SOUTH LA QUINTA, CA 92253 OUTDOOR SOLUTION C 78034 CALLE BARCE STE C �. LA QUINTA, CA 9221 MAY ! 2 0 0 6 (760)777-1199 Lic. No.: 853887 f:I a1FIIA Bt -AN -11 ------------------ 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 workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 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 t become sub 'ect the orkers' compensation laws of California, and agree that, if I sh me subj to a wo ers' compensation provisions of Section �^ 3700 of the Labor C I all fort th c ply th those provisions. 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 ($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 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 w for 0 days will subject permit to cancellation. I certify that I have read this application and state that the ov formati is torr I ree to comply with all city and ty dinances and state laws relating to bu structi , and her y,a orize representatives of s co ty t enter upon the above-mentioned prop forspectio rpo Date: It 0 Signature (Applicant or Agen Application Number . . . . . 06-00001850 Permit . . BUILDING PERMIT Additional desc 3 Permit Fee 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 7000 Expiration Date 11/04%06 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 ------------------------7--------------------------------------------------- THOU BLDG 2,001-25,000 45.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------7------------------ PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 5.25 Issue Date Valuation . . . . 0 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments BARBEQUE (ANSI Z21-58-1995)ONLY. ------------------------ ---------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 5.85 Fee summary Charged ----- ---------- Paid Credited ---------- ---------- Due ----------------- Permit Fee Total 7--7- 131.25 .00 .00 131.25 Plan Check Total 68".06 .00 .00 68.06 Other Fee Total 5.85 .00 .00 5.85 Grand Total 205.16 .00 .00 205.16 LQPERMIT f 'LI ((�' CITY OF LA QUINTA.. SUB -CONTRACTOR LISA' /1 -. ICf - i�.�Z�Ta^" �1IotrA .J�TM PFf�IVIIT NUMBER 19� - �� OWNER 36 SNS BUILDER v 90✓`—SO�vrro`Js , iUts AutjrS%JJ • ...r - — - - - This form shall be posted 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 this list must be approved by the Buildino Division prior to -_commencement of work. Failure to comply will result in a stoppage of work .and/or the voidance of buildingpermit. For each applicable trade; all information requested below must be .completed by applicant. "On File" is not an acceptable response. P j :. , " """ L1cerise Workers Gom ensaGon Insurance ':. ; ::: City..'Biisiness License::::. Traders c,f,rar�nn Contractor State Contractor s f Company Name Classification (e.g..A, B, C-8) License Number (xxxxxx) Exp. Date (xxlxx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xxlxxlxx) License Number (xxxx) . Exp. Date (xx/xx/xx) EARTHWORK (C-1'2) CNt)t�'r� �cji-J+ f�c' A- MI �� 8-0ZIo7 1 31Io� S ►.�� O�I�S1� - a6 ! ' o% `� 3� CONCRETE. IC -8) — -r— -", ice•- -- - - I FRAMING (t- S7-S7S*'E-- ;id'-5.3) ASONopt iC-? � Lf31b1f ING (0-361 .� (�N�►oe-� CL6�4�Ar - s�� r>r Ifi� C.r C�3 e"��v a`�+s- a�7��-Zoos t r of 5347 g .30•{0 LATH rL AS7E? l?�-35) a'f 5 �1 c1 p 7 7 0 3 9 o T S v,� I 2 / o I; I S ORYIWAL. JC -9) + 'HVAC IC -_01 + ELECTRICAL IC -10) f �7HEE7 TME AL iq-'-43) ,I . t+=-15�— ----j - - 155"�3y �.i7 _�' j i:;y,j �•i^ •-�- � -- ------ ---- �� _�--_---_ { � ,� � i ' DOSp:.,,, 1 — -r— -", ice•- -- - - I i _., ... t s� i �•v,; _iii 'y 5'�"'.` ! , ,i f _ - �.. _ -—..._�.. --------'— f '*I A -t --3 Bin R City ®f La QUinta Building& Safely Division Permit P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 49's-0 Building Permit Application and Tracking Sheet Project Address: 03 2- T* F�zl q-*- -To — i 4 Owner's Name: A. P. Number: XAddress:9 x.03CAtt-gWjiz�A- *A 7 Legal Description: X'Ciryi ST,'Zip:'. 777 2 0 Lc>T W O .2 3 Contractor: UT- 012-7- ]'Telephones VJ) 74 5-5— Address: 'CAkX1z';: 9,,4,Z -C C-Lar4 'XProject Detcriptiqn; City: ST, Zip: t A r'4 n*1 CA- 1225 3 C -0%j +33a '77 Teleph.ohe:O State Lic. Ciry Lic. #: It go Arch.. Ener.. Designer: Address: A#4S I z 21 -Iig• 'Qq 5, City. ST. Zip: Telephone: Construction TYpe: (�A-S Occupancy: -,Etr- Project tvpe (circle one): New Add'n Alter Repair Dema St-ate Lic. #: Name of Contact Person: U VZO 64D&C_ )Sq. Ft.: 5 0' # Stories: I Units: Telephone it of Contact Person: P Grj) -?I %f - 6915 cel( XEstimated L ODD LINE PERMIT FEES Item kmotint N APPLICANT: DO NOT WRITE BELOW THIS Submittal: Req'd Recd TR-ACI-jNG Plan Sets Plan Check submitted Structural Cates. Reviewed. ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check BMance — Energy Calcs. Plans picked up — Construction d5o. — Flood plain plan Plans resubmitted Mechanical — Grading plan 2"'' Review. ready for correct ions/issue Electrica4e .3 Al, *%.04 Subcontactor List Called Contact Personf*wg Plumbin* Grant Deed Plans picked up I-I.O.A. Approval Plans resubmitted Grading IN 1101,SE:- Review, reads for correclions/issueDeveloper Impact Fee Planning Approval Pub. Wks. Appr -C-o4tetI-C-oTrrxc-t-I?erson A.I.P. P. School Fecs �----J_J ---FOP-GONSIBLICTION Total Permit Fees UAIr or