Loading...
07-0110 (ELEC)P.O. BOX.1504 78-495 CALLE TAMPICO LA 'QUINTA, CALIFORNIA 92253 T4w't 4 4 Qulk& Application Number: 07-00000110 Property Address: 79100 KAYE CT APN: 604-371-006-98 -27899 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6000 Applicant: Architect or Engineer: . IIA, BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury t I am license der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine an rofessionals ode, and my License is in full force and effect. License Class: C8 C53 icense No.: 431055 r t. Date"f ) r"/ Contractor:/ T�OWN - UILDER DECLARATION I hereby affirm under penalty of perjury that I am exe 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 _ 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 t6 -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, hqwever, 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.). (_ I I am exempt under Sec. , BAP.C. for this reason Date: Owner: 1 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: 1 LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/11/07 Owner: JEFF & ELIZABETH MOE 79-100 KAYE CT. LA QUINTA, CA 92253 ( Contractor. PARZINSKY POOL, INC. ICH P.O. BOX 897 JAN 1? _. Jfy PALM SPRINGS, CA 92263 (760) 324-5827 CITy0F Lic. No.: 431055 911JA LA QUINTA ^_____ WORKER'S COMPENSATION DECLARATION 1 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. 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 insurance carrier and policy number are: Carrier STATE FUND Policy Number 0000328-2006 1 certify that, in the performa he work for which this permit is issued, I shall not employ any person in any manner o as to beco ubject to the workers' compensation laws of California, and agree that, if I shoul become subje to the workers' compensation provisions of Section 3700 of the Labor Co 'sl. all forthwi comply with those provisions. rDate: ( 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 work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above info r n is correct. I agree to comply with all city and county ordinances and state laws relating to building cojj++� etion, a hereby authorize representatives of this county to ent�er—upon the above-mentioned property for fis ion pu,po as. . Date: 1 Signature (Applicant or Agent): M L-- '- C J LQPERMIT Application Number . . . . . 07-.00000110 Permit . . . BUILDING PERMIT Additional desc . . - Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 6000 Expiration Date 7/10/07 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 --------------------------------------------------- THOU BLDG 2,001-25,000 ------------------------ 36.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 1.7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit. . . PLUMBING Additional*. desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 7/10/07' Qty Unit Charge Per Extension t BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --7 ------------------------------------------------------------------------- Special Notes and Comments. BBQ PER APPROVED PLAN ONLY. " Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total ---------- 116.25 -------------------- .00 .00. 116.25 Plan Check Total 61.46 .00 .00 61.46 Grand Total 177.71 .00 .00 177.71 F Bin # City of La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico. 1,110.LaQuinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 7 i 0c) ra ` u A� Owner's Name: ' ,�c �- - I ; A. P. Number: Add # Legal Description: cess. 19 _ i pa K F.. 4 1 = C-4 City,'ST, Zip: L Jr C a qi-L 3 Telephone: Project Description: (� i Contractor. �� �� �z . L j _P0 c., 1 S Address: p `J. o x City, ST, Zip: Y a I n S ;a '; C 4% C4 Telephone: (-I , ) 3 2_y - 51.3 7 .1 State Lic. # : y3 10 g S City Lic. #: Arch., Engr., Designer:, Item Plan Check Deposit Plan Check Balance Address: Q . O . `l �1 Structural Cates. Cita. ST, Zip: p.* i .� S. iz 97_-LC,3 Telephone: �7.> 3 �i : 5 27 State Lic. #: LI 3 k Off-, j Name of Contact Person: C r Construction Type: Occupancy: p cy: Project type (circle one): New ..Add'n Alter Repair Demo Sq. FL: #Stories: #Units: Telephone # of Contact Person: 2.75 Estimated Value of Project: G , 000' Energy Cates. APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd : • Reed TRACIQNG PERMIT FEES Plan Sets Pian Check submitted /SO Item Plan Check Deposit Plan Check Balance Amount Structural Cates. Reviewed, ready for ft% ections Truss Calcs. Called Contact Person Energy Cates. Plans picked up Construction SoT.g Flood plain plan Plans resubmitted Mechanical Grading. plan Subcoutactor List Grant Deed V Review, ready for correcdonsrusue Called Contact Person Plans picked up Electrical Plumbing S.M.I. �i 1CCWG 0 H.O.A. Approval Plans resubmitted Grading Developer Impact Fee A I P P. IN HOUSE:- Review, ready for.correctionsrusue Planning Approval Called Contact Person Pub. Wks. Appr of ermit issue CITY O C ' p U IN FA T School Fees BUILDIING &LS�AFETY D T, Total Permit Fees -DATE--.By F � 93 �+�� R �b �f lY� # j "Stone o r Tile c o 1_t r. t e r Stt.1CCO or C I Stone Veneer _ j } 00 A 9 -JF I Oul; E DgO swi fish ,W(1?r, Pr 00 f,' I're-Hung S/S Doc,— > B T J ----- --- --- - -- ---- ED LE�nc� t Tr IeS j r,'-ree jtatlCllt� j_ Kjfr:f"1en Fy_rOr't Eli'3tiOt? E at each 'dVqy utli r C c) ? t_iul-}I 6 8x10 CMU; GROUT ELLIS V!ITH :STEE'_ #4 BARS '', FRT NT 4 ^, T YP', rt. - LL 1 I A i i r p BBQ 1_AYC.'Ul S triAY `vAWY r ; n. i— 1 nJU; I;�lv SIZE a REIP�aI-. �t �Pc 1YCit,�a.(_ !tw_-,,h SurTar:P 1 �...._.—..ter fY..�..,..�_....�—��.....•�..�.._.....�.-..__..._ ,.o.._.,...� '� � a. _ ____._� � - 4 -�)) #- + BAR', turn. A C).i}, 'f �; I,I lel �iwl� ti ---- .F.___e_e_._ `tandinc Kits_;en-- Foundation Plan I �, �- a >_ ,-• .� �.-�-n--� �._ `._- .�� t J 2" a Y l F i r 51A I IM 2 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000110 Property Address: 79100 KAYE CT APN: 604-371-006-98 -27899 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6000 Applicant: Architect or Engineer: a� LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C8 C53 License No.: 431055 Date: 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 then 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: LQPERMIT Owner: JEFF & ELIZABETH MOE 79-100 KAYE CT. LA QUINTA, CA 92253 ( Contractor: PARZINSKY POOL, INC., RI P.O. BOX 897 PALM SPRINGS, CA 92263 (760)324-5827 Lic. No.: 431055 VOICE (760) 77.7-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/11/07 D° JAN 12 2001, CITY OF LA QUINTA FINANCE DEPT. ----------------------------------------------- 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. _ (-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 STATE FUND Policy Number 0000328-2006 _ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with 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 Quints, 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.building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Application Number . . 07-00000110 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 6000 Expiration Date 7/10/07 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 36.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date Valuation . . . . 0 Expiration Date 7/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXJ'URE 1ST 20 2.25 Permit. . . PLUMBING Additional*. desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 Expiration Date 7/10/07 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 PER APPROVED PLAN ONLY. Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 116.25 ---------- ---------- .00 .00. 116.25 Plan Check Total 61.46 .00 .00 61.46 Grand Total 177.71 .00 .00 177.71 WPERMrr -