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10-0818 (RER)'C. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TA_ ht4-4Q" Application Number: X10-00000818 . Property Address: 81260 JASMINE CT .APN: 764-280=999-31 -300236- Application description: REMODEL - RESIDENTIAL Property Zoning: .MEDIUM HIGH DENSITY RES Application valuation: 2500 Applicant: Architect or Engineer:. 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 and Professionals Code, and my License is in full force and effect. License Class: C27 License No.: 898417 Date: 30 10 tractor: dam_ OWNER- UILDER DECLARATION I hereby affirm under penalty of perju at 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.). (_ 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.l• I—) 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: RICH MERCANTE 81-260 JASMINE COURT LA.QUINTA, CA 92253 Contractor: DESERT LANDSCAPE ASSOCIATE 79405 HWY 111, STE #9, PMB LA QUINTA, CA 92253 (760)399-9600 LiC. No.: 898417 ---------------------------- WORKER'S COMPENSATION I hereby affirm under penalty of perjury one of the following declarati _ I have and will maintain a certificate of consent to self-ir for by Section 3700 of the Labor Code, for the perfo issued. I have and will maintain workers' compensation insuran( Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NORGUARD INS Policy Number DEWC017228 _ 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 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 Q� 3700 of the Labor C de, I shall forthwith comply with those provisions. DO 30 (() pplicant: u`�� WARNING: FAILURE TO SECUR W RKERS' COMPS SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL 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 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/nature e above-mentioned property for inspection purposes. DaDate: 0 C� (Applicant or Agentl: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 8/30/10 Application Number . . . . . 10-00000818 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee 16.50 Plan Check Fee 4.13 Issue Date . . . . Valuation . . . .. . 0 Expiration Date 2/26/11 Qty Unit Charge Per. Extension BASE FEE 15.00 2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 ------=--------------------------------------------------------------------- 1.50 Permit . . . PLUMBING Additional desc Permit Fee 18".00 Plan Check Fee"... 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/26/11 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 INSTALL VARIOUS LENGTHS ELECTRICAL CONDUIT & 2 GFI OUTLETS,•VARIOUS LENGTHS AND PIPE SIZES FOR GAS LINES TO BE SLEEVED WHERE REQUIRED FOR FUTURE APPROVED AND PERMITTED APPLIANCES. 2007 CODES. SEE TRACKING SHEET FOR DETAILS. -------------------------------------- ------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee.Total 34.50 .00 .00 34.50 Plan Check Total 8.63 .00 .00 8.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 44.13 .00 .00 44.13 LQPERMIT Bin # City of La Quinta Building 8r Safety Division P:O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l V d Project Address:1 A. P. Number. Owner's Name: Address: Legal Description: City, ST, Zip: Lt4- 4) W, ; Icl �(z Z S 3 Contractor:e5ee T hCi� (�Q' AS�OC f aYpS Telephone: 4;,:<.�� .»a; z •.,r. . Address: l qo� 1 fi PMO 1417 Project Description: City, ST, Zip: l,t [�i�� CQ l 2 3 3 Tele hone• 'A'�� <�� ••• p '760 51 Y Oa7`� �`'°�. � : ` : -� .', • Vit':',.. Z'p ' 2 `r rj Cd 5 q r I/ p /••� + � ec State Lie. # : City Lie. #: Arch., Engr., Designer: Do n is pr " f / tt f i� irfl;C 1.OnQct I C li Ovll Address: S 3 �(✓tK S�oDte D C- (ID ' 2 "`5c4 Sc4 qo 3". City., ST, Zip: �rz aw46L i i y. Se(n 4 0? VC_ 7 j e q 666 Telephone: 161? 31.1" I ;' ` �v � '`->' . " v �•' - r'%` i ; Construction Type: Occupancy: State Lie. #: 7 Project type (circle one): CNejw Add'n Alter Repair Demo Sq. FL: # Stories: l # Units: Name of Contact Person: j"r,Q,, ��pvt 6 Telephone # of Contact Person: 7 p SZ k 6x 7 Estimated Value of Project:. S O O, - °C APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2° Review, ready for correctionsAssue Electrical Subcontactor List i 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 i Total Permit Fees a, CITY OF LA OUINTA I BUILDING & SAFETY DEPARTMENT s (760) 777-7012 C INSPECTION REQUEST LINE OF Owner RICH WRCANTE;' d Contractor OC Permit Number ~- i - POST ON JOB IN CONSPICU P4C _ INSPECTOR MUST SIGN ALL APPLI E C S S JOB ADDRESS 81-260 JASMINE C • -� C= INSTALL VARIOUS LENGTHS ELECTRICAL CO & 2 GFI OUTLETS, VARIOUS LENGTHS AND PIPE SIZES OR BE SLEEVED WHERE REQUIRED FOR FUTURE YP ; PERMITTED APPLIANCES 2007 CODES. SEE R I DETAILSTYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP FRAMING (COMBINATION), ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION ABOVE SIGNED 0, EXTERIOR LATH GAS TEST MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING ' ' -',_? ;..• U/G GAS U/G ELECTRICAL ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING