07-2846 (SOTB)P.O: BOX 1504 „
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
07-00002846
Property Address:
81835 LA PAZ CT
APN:
764-280-999-102 -300237-
Application description:
STRUCTURES - OTHER THAN BUILDINGS
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
500
Applicant: Architect or Engineer:
--------------------------------------------------
LICEN ED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a Professi6nals Code, and my License is in full force and effect.
License Class:: j C$ C27 C29 License No.: 656128
Date:/oI�° P.'_. C r: .
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury m 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.).
(_ 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.).
1 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: 10/29/07
Owner:
SHEA LA QUIN
C/O JEFF MC G
8800 N GAI ENTER 0 0
SCOTTSDAL , 8��,
3p
Contractor:
TESERRACF qN W �Qo�
P.O. BOX 1280 CFOFAT jq
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
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 performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier SEABRIGHT Policy Number BB1070510
_ I certify that, in the performance 3f 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 sh Id bec me subject to the workers' compensation provisions of Section
77000 of the Labor o , I sh 1 forthwith comply with those provisions.
-Date �v Z�9,T-Ap�n
WARNING: FAILURE TO SECUR ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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, o � essation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the a ve inf mation is correct. I agree to comply with all
city and county ordinances and state laws relating to buil g onstr ction, and hereby authorize representatives
of this coup y to a ter upon the above-mentioned prop ty tion purposes.
Date: , fJ'�''ignature (Applicant or Agent
LQPERMIT
♦ Application Number . . . . . 07-00002846
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 15.00
Plan Check Fee
9.75
Issue Date
Valuation
500
Expiration Date 4/26/08•
'
Qty Unit -Charge Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00-
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. �0
Expiration Date 4/26/08
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
FIREPIT ONLY PER APPROVED PLANS
--------------------------------------------------
Other Fees . . . . . . . . ENERGY
-------------------------
REVIEW FEE
.98
Fee summary Charged Paid
Credited
Y
Due
Permit Fee Total 33.00
.00 .00
33.00
Plan Check Total 14.25
.00 .00
14.25
Other Fee Total .98
.00 .00
.98
Grand Total 48.23
.00 .00
48.23
FRIilw i .P d fl a t, _ _ J9.
vAS SHUTOFF
VALVE GRAVEL
LOCATED - COURSE
WITHIN 35" GAS LOG SAND.
OF UNIT LIGHTER
(TYPO}
5-1/2`
10
F.S.
N
METAL GAS RISER —ji
2" 0 DRAIN OR PROVIDE 12" DIANI
OPENING IN FOOTING
;GAS 'L1iVES. SI TALL P IQyS- A.LLED
PER CPC FOR DEPTH,
MATER PROOF COVERAGES AND PLA-CEMEVAT.
-
MEMBRANE
��-STONE CAP
iff-4 TIE STEEL'
#4 BARS VERT. AT. 32" O.C.
8x8x8 CMU; SOLID GROUT
CUR
GRAVEL SUMP
3 CU. FT.
CRUSHED ROCK
OUTDOOR FIRE RING -STONE CAP
� 4- TI ST L AT
`F,` q G0
't -FT 5_� rl I 1
UP,FA, f- t, ---.
1!
,INSi[;� DIM�NSi�N .
i
I
} 4. VERY�
LJTDOO F -E -::FE- «]
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: '9/-935 L4 -4Z
Owner's Name: s rJ - !� �� Q a
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: r
Telephone:£
e s , MN �:
x� .
Address: .� 0
Project Description:
City, ST, Zip:��yy. � at Cly Z ja {O
Telephone: b '/
cf" yi a 11
eft'.
State Lic. #: S City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
' w`
:'t =�1
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:�:�j� j�
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: 7�
Estimated Value of Project: 570a
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 Q�
a,&9
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
50 T8
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2a' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
PlumbingS
% �ou?ILLf
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 permi iss
School Fees
r UFLA1
R1 fit M,
t�
tI
"AF
P 77
-F0'1
Tota Permit Fees
I ION
DAT _-BY