Loading...
07-1457 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-0.0.0.0145-7 � 79926 PARKWAY ESPLANADE N 609-380-999-5 -293234- POOL - RESIDENTIAL LOW.DENSITY RESIDENTIAL 15.060 , Tiht 4 4"Q" Architect or Engineer: ,3 1p BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JOSE & ANGELICA BARAJAS 79926 PARKWAY ESPLANADEf-)� LA QUINTA, CA If^ LA,QUINTA, CA 92253 ��1►UU1I Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/16/07 MAY 181007 CITY OF -a -------------------------------------------------- ` LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under 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 Business and Professionals 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: License No.: for by Section'3700 of the Labor Code,'for the performance of the work for which this permit is issued. Date: Contractor: _ 1 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 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 - - - - - - - - - - - - - - - - - - - - - - - Policy Number following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which 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 personin any manner so as to become subject to the workers' compensation lawsof California, permit to file sgned,statement that.he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should be me subject to the workers' compensation provisions of Section License Law (Chapter -9 (commencing with Section 7000) of Division 3 of theBusiness and Professions Code) or 3700�FURE of the borCode, 1 1. forthwith co 4 with those revisions. that he or sheds exempt therefromand 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).: ate: licant: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 WARNSECURE TRK COMPENSATION VERAGE 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. 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 y improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT I, 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 7644, 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. r his 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:. S O O er: 0 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 ONSTRUCTION LEND( 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 read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building nstruction, and hereby authorizer entatives of this count to nter upon theabove-mentioned property f nspection pur as, Lender's Name: �, e: S V , Si Lure (Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . 07700001457 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation . . . . 15000 Expiration Date 11/12/07 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 -----------------------=---------------------------------------------------- 117.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue _Date . . . . Valuation .0 Expiration Date 11/12/07 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- 11/12/.07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .3,0.0000•:EA ELEC PRIVATE.SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc Permit Fee, 33.00 Plan Fee 8.25 -Clieck Issue. Date *. . . . Valuation" 0 ' Expiration Date 11/12/07 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 3.0000-9A PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------,------------------------------------- Special Notes and Comments POOL/ SPA. ALARMS/BARRIERS SHALL,BE IN LQPERMIT Application Number . . . . . 07-00001457 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PREO-PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 266.00 .00 .00 266.00 Plan Check Total 131.30 .00 .00 131.30 Grand Total 397.30 .00 .00 397.30 LQPERMIT M, JOB ADDRESS CITY OF LA'QUINTA SUB -CONTRACTOR L15 I PERMIT NUMBER OWNER© ,-c. (04 BUILDER_a,�-�AIb9 a acing on this or . �i authorized to work ftetion Card at all times in a Conspicuous place. Only persons ap, is list their employees re au of work and/or the- voidance on this job.Any changes to this list must be approved by the Building Division prior to commencement of. work. Failure to comply will r,"PU L %I - of buildinermit. Fortach applicable trade; all information requested' below must be completed by applicant.uOn File" is not an acceptable'res,ponse. g p. - --�s License:: C. i �ti sines City usine �s ....... ..... Or 'i"on act c W su Trade Classification-. Contractor U ensii. 7 Exp. Date License Number Exp. Date Exp. Date Carrier Name - Policy Number Exp Date CompanyName Classification License Number Ix 1xx lxxlxx/xx) xxx) /xxlxx) (e.g.-A; B, C-8) (xxxxxx) (xx/xxlxx) (e.g. State Fund, CalComp) (Format Varies) (Xxixx/xx) EARTHWORK (C-12r.c�cx CONCRETE (C-8)­ '5, 2 .3 -7 1110K I 07 101-12.r Alk 7 STRUCT; .-STEEL. (C-tl) -MASONRY .(C-29) PLUMBING: IC-.361 LATH, PLASTER (C35) DRYWALL (C-9) ELECTRICAL.(C-.10)1.-..'...i'., -ROOFING" IC,7`39 Y) ;SHEET -METAL FLOORING (d*._,,15i.`..:... GLAZING 1C-:1.7 INSULATION' (C-2) SEWAGt,DISP­.(d-42) PAINTING (C-33) CERAMIC TILE IC -54) CABINETS (C-6) FENCING (C1713) I L LANDSCAPING (0-27)... GOL (Pr53) POOL 3 2-31 "a (a Bin # Cis of La Quinta Building 81 Safety Division P O: Box -1504 •.78=495 Calle Tampico La Quinta, CA 92253.- (760) 77777012 Building Permit Application and Tracking Sheet Pertr►it.# `a. Project Address:" Owner's Name: ehl-CA K, V7,14 A. P. Number: Address: (� Legal Description: City, ST, Zip: GLZ7/�3 .aSEEM Contractor: Telephone: o— Prdject Description: Address: City, ST, Zip: , Telephone: State Lit. # : City Lic. #: Arch., Engr., Designer: 'Address: City, ST, Zip: Telephone: Y Construction Type:Rol Occupancy: State Lic. #: Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: _4c;). # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: /S vd APPLICANT: "DO NOT WRITE BELOW THIS LINE #. Submittal Req'd Req'd TRACHING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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: 7n° Review, ready for corrections/issue . Developer Impact Fee Planning Approval :.Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 11