08-1769 (DEMO)N P.O. BOX 1504
'78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
08-00001769
78690 AVENIDA TORRES'
770-171-011- - -
DEMO - COMML/OTHER
LOW DENSITY RESIDENTIAL
T -A • I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT.
Architect or Engineer:
--------------------------------------------------
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 an Professionals Code, and my License is in full force and effect.
license Class: B C,�15r5 License No.: 792850
Date: �iU%ontractor. •L, '
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.).
(_) 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: 10/27/08
Owner:
HIGHLAND
78690 AVENIDA TORRES
LA QUINTA, CA 92253
Contractor:
D & R SELECT CONSTRUCTION; INC
741 EUGENE ROAD
PALM SPRINGS, CA 92264
(760)325-8231
Lic. No.: 792850
-----------------------------------------------
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 performanceof the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 7130022527
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 b me sub'ect to the workers' compensation laws of California,
and agree tlat, i should beco bject the workers' compensation provisions of Section
1��\\ 3700 of the Labor e, I shall f rt with ply with those provisions.
/Ve: )icon: \
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 defe eTt mles
of La Quinta, its officers, agents and employees for any act ssion relat the wor eing
performed under or following issuance of this permit. `
2. Any permit issued as a result of this application becomes nul oid if work is not commence
within 180 days from date of issuance of such permit, or c i n of work for 180 days will subject
permit to cancellation. • ((Ij(� ��%%
I certify that I have read this application and state tha the above rm i corredUlYajre(2o7om all
city and county ordinances and state laws relating to '(ding con tr cti , n hereby authorize representatives
of tth county to enter upon the above-mentioned prope for ins a io p
ate: J� ,nature (Applicant or Agent): CIN OF QUINTA
DFIN NGE-
'i� SEPT.
LQPERMIT .
Application Number 08-00001769
Permit . . . DEMO PERMIT
Additional desc .
Permit Fee 45.00
Plan Check.Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 4/25/09
J
Qty Unit Charge Per
Extension
BASE FEE
45.00
--------------------------------.-----
Special Notes and Comments
- DEMO DRY WALL, PLUGS/SWITCHES, REMOVE
FAU UNIT IN GARAGE TO PREPARE FOR FIRE
DAMAGE REPAIR, PER INSTRUCTIONS FROM KK
& GB
Fee summary Charged Paid
Credited
Due
Permit Fee Total 45.00
.00
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
.00
.00
45.00
LQPERMIT .
Bin # - -
"Permit
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: —)s bokO AQ e
k C)
Owner's Name:
A. P. Number:
Address:
79 o
Legal Description:
Contractor: C— �j
N�
City,ST, Zi
Telephone:
Address: L --k3 (r, G'A-) ice?
—
Project Description: 2�
City, ST, Zip:
Telephone: ZS — gM3 (
. .:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip: S , Z Z�
—
Telephone:
_� a -��_.� •
b
Construction Type: �. Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: %pJ
•
6
Sq. Ft.:
# S ries:
Units:
Telephone # of Contact Person: 3 Z S `3.1
—I#
Estimated Value of Proje 2 7 C5
2 SO 9(,,D
ople
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
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 corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
ii
Total Permit Fees