The URL can be used to link to this page

08-1702 (RER)=-s P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 6/07- 08-00001702 80225 VIA CAPRI 772-440-056- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 2500 T-ityl 4 4 Q" Architect or Engineer: A -4f __ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - — — — — — — — — — — — — — — ' 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 d Profess* nals Code, and my License is in full force and effect. License Class: B IFnse No.: 671203 Oate:i� 20 �BContractor: 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).: (_ 1 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: LQPERiMIT Owner: DAVID & SUSAN HOLT 1174 BANGOR STREET SAN DIEGO, CA 92106 Contractor: PIERCE CORPORATION, ANDREW P.O. BOX 3420 PALM DESERT, CA 92261-3420 (760)346-3228 O Lic. No.: 6.71203 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/08 ---------- - - - - -- -(' - -- -- ------- WORKER'S COM NSATI DECLAfiO I hereby affirm under penalty of perjury one of the followin declaratto I have and will maintain a certificate of consent t elf -in t r�, work��c ensatio , s vi ed for by Section 3700 of the Labor Code, for the pe ® e wor2f ich this W issued. I have and will maintain workers' compensation insurance, a ection 370 abor Code, for the performance of the work for which this permit orke ensation insurance carrier and policy number are: �Q Carrier DELOS INS CO Policy Number 0IDKRM1200 19 I certify that, in the performanc of the work for which this permit is issue shall not mploy any person in any manner so a o become subject to the workers' compensatio w f California, and agree that, if (should eco a subject to a workers' compensation provisi s of Section w 3700 of the Labor Code sha ply with those provisions. Date:1 :Applicant: WARNING: TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($106,000). 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 work for 180 days will subject permit to cancellation. I certify that I 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 buildin on u ion, and reby authorize representatives of this county to enter upon the above-mentioned property Date: ignature (Applicant or Agent): #1 -N Application Number . . 08-00001702 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 2500 Expiration Date 4/12/09 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 ------------------------------------------------------------------. THOU BLDG 2,001-25,000 9.00 --------- Permit ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . .4/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ----------------------------------- EA ELEC MISC ----------------------------------------- 11.00 Permit MECHANICAL Additional desc . Permit Fee. . 28.0*0 Plan Check Fee 7.00 Issue Date . . . . Valuation -0 Expiration Date _ 4/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 13.00 Permit PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 Expiration Date 4/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB WATER INST/ALt/REP 3.00 ----------------------------------------------------------------------------- Special Notes and Comments REVISE LAUNDRY AND POOL BATH LOCATIONS - = =------ I ------------------------------ 'Other Fees . . . . . ------------------------- . . . . ENERGY REVIEW FEE ------------ 3.51 LQPERDIIT Application Number . . . . . 08-00001702 - ---------------------- Other Fees . . . ------------ . . . . . . -------------- STRONG MOTION ------------- (SMI) - RES -------------- .50 Fee summary Charged ---------- Paid -------------------- Credited ---------- Due ----------------- Permit Fee Total 126.00 .00 .00 126.00 Plan Check Total 53.10 .00 .00 53.10 Other Fee Total 4.01 .00 .00 4.01 Grand Total 183.11 .00 .00 183.11 LQPERA11T Bin # 3 City of La Quin a 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 # D Project Address: C) — d,J () A CAPRI Owner's Name: 4460 0 *- sus AN t�o (-T A. P. Number: Address: Go 57` Legal Description: Contractor: RC.,6, Address: J C 0 f -)ED City, ST, Zip: Lsfw64- '1246 b Telephone: Project Description: �^ ^ �-� ort x City, ST, Zip: e 2 D Telephon 3 �t# w 1% State Lic. # : CityLic. #: Arch., Engr., Designer: G a 2 0 (3Uiv' t<C) S � 41J L) Address: y 2— O 2 Coo V-- sj r _ 2 ZG '6 City, ST, Zip: -palm- Telephon : b _ 1112— Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stones: # Units: Name of Contact Person: U �— U `1-�— Telephone # of Contact Person `d 34 _ 3 2z8 K 3d Estimated Value of Project O 6 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted �� Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctionsfissue 10113 1 Electrical Subcontactor List Called Contact Person (01131 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.[.P.P. Pub. Wks. Appr Date of permit issue School Fees f Total Permit Fees �3 I