14-0848 (RPL)tow
4
P.O. BOX 1504 r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:,^„ 14-00000848 Owner:
Property Address: 81310—STORM-CAT CT LENNAR HOMES INC
APN: 767-320-999-214 -32879 - . 980 MONTECITO STE 302
Application description: POOL - RESIDENTIAL CORONA, CA 92879
Property Zoning: LOW DENSITY RESIDENTIAL (951) 817-3526
Application valuation: 36000
Contractor:
App144 t: Architect or En • ineer: TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/19/14
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LICENSED CONTRACTOR'S DECLARATION
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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
,cense Class: C8 , 10, 27, 2 License No.: 656128
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
`_ //_L\; / [/ /J _ �/�
X Date: l0 70 I / Contractor: 11944��t � /' l{%/I�1I �t^Z
issued.
- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor '
cLL —_
_
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 EVEREST NATL IN Policy Number 7600006481141
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
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or -
3700 of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
_
P
% -Malfr
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: fO" Applicant:
(_) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 throuah his or her own omployees, provided that the - -_
DOLLARS (8100,000). 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
-
improve for the purpose of sale.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 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
7044, 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. , BAP.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnity 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: Owner:
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
CONSTRUCTION LENDING 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Lender's Name:
19,
'Date: !Iy Signature (Applicant or Agent): �44cC J
Lender's Address: IK
LQPERMIT
Application Number . . . . . 14-00000848
Permit . . . ELECTRICAL 2013
Additional desc . .
Permit Fee . . . . 23.83 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/14
Qty Unit Charge Per Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20 23.83
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Permit. . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/14
Qty Unit Charge Per Extension
1.00 178.7500 EA MISC POOL/SPA 178.75
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Permit PLUMBING 2013
Additional desc . .
Permit Fee . . . . 11.92 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/14
Qty Unit Charge. Per Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92
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Special Notes and Comments
POOL, SPA, AND BBQ EQUIPMENT SHALL BE
INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT '
PRE -PLASTER INSPECTION. 2013 CALIFORNIA
BUILDING CODE.
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other-Fees . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, ELECTRICAL 23.83,
PLAN CHECK, POOL 97.24
PLAN CHECK, PLUMBING 23.83
Fee summary Charged
Permit Fee Total 214.50
Plan Check Total .00
Other Fee Total 145.90
LQPERMIT
Paid Credited Due
.00 .00 214.50
.00 .00 .00
.00 .00 145.90
LQPERMIT
Application Number . . . . . 14-00000848
Grand Total 360.40 .00 .00 360.40
Bin #
Permit #
1
City of La Qulnta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 8 I '3' () S' TO ZA& CST LT Owner's Name: N
A. P. Number:
Address:
Legal Description:
Contractor: T� S �- � �-
City, ST, Zip:
Telephone:
Address: �(l 6-0 Project Description: PUv L
City, ST, Zip: •0 A- G (-pl T2 -Z3 Co
Telephone-^ (, !! 3 1 Z�2•
>>:<:::l:>:::_:::>>�`<:::;�:<:':::�::>:>;:`:::>:`: .
State Lie. # : �(� -Z-e>
Arch., Engr., Designer:
City Lie. #;
Address:
Reviewed, ready for corrections
City., ST, Zip:
Truss Calcs.
Telephone:
Construction n T
o e -Occupancy:
Y P P Y:
Project tYPa (circle ne • Ne Add', Alter Repair r De m o
State Lie. M
Name of Contact Person: p (S Fly
A.M e--�!
Sq. Ft.: 6 3
# Stories:
#Units:
Telephone # of Contact Person: (o p
ZS Q `Cj 1
Estimated Value of Project: 3 6 U
APPLICANT_ DO NOT WRITF RFI nW T1414Z I Mr-
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
lan Check alance
Title 24 Calcs.
Plans picked up
Construction fee`
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
ElectricalS24( ( "
Subcontactor List
Called Contact Person
Plumbing (,. LEM .
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Reyiew, 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
Total Permit Fees
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