07-0194 (GRES)T
*i!t
•
1
P.O. BOX 1504. VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011 '
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT ,
Date: 3/15/07
Application Number: 07=00000194 .— -ti,+ Owner:
Property Address: 80093 VIA PESSARO SANTALUZ ESTATES,' INC
APN: 772-550-024- - - P O BOX 9080
Application description: GARAGE - RESIDENTIAL D RANCHO SANTA FE, CA 92067
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: " 3998
Contractor:
Applicant: Architect or Engine !r:-CIOFINTA SOMERS CONSTRUCTION INC, RICK
FINANCEt)EPT• " . '326 ENCINITAS BLVD, STE 100 '
ENCINITAS, CA.92024
\\ (760)633-1324
Lie. No.: 483856
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-
Licen a Class: -B - se No.:" 483856 - for by Section 3700 of the Labor Code, the performance of the work for which this permit is
� '' !! issued.
ate: _� l' / actor: - .. 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
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 STATE FUND Policy Number 0008658-2006
. 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 or�Code,lforthw' ywith thoseprovisions.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 mare than five hundred dollars (55001.: ate: o pplcantI, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECUR 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 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 _
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. , B.&P.C. for this 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: Owner: 2. Any permit issued as a result of thisapplication 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 ,. 1 certify that I have read this application and state that the above information is corre agree to comply with all
work for w_ hich this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and a uthorize representatives '
of thi ounty to nter upon the above-mentioned property for insp an pu
_ Lender's Name:- - / y
- • ure (Applicant or Agent): r
Lender's Address:
LQPERM[T -
Application Number. . . . '07-00000194
------ Structure Information 2049F GARAGE ADDITION/V-NR/U-OCC.
-----
Other struct info . . . . CODE EDITION
2001/2005
" FLOOD ZONE
NO
GARAGE SQ FTG'
2.04.00.
Permit . . . ELECTRICAL-CARPORT/GARAGE
Additional desc
- Permit Fee 24.75 Plan Check Fee
6.19
Issue Date Valuation
.0
Expiration Date 9/11/07
Qty Unit Charge Per
r Extension
BASE FEE
15.00
13.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
9.75
--------- '---------------------- =--------- --------------------------------------
Permit CARPORT/GARAGE.
1
• Additional desc .
" Permit Fee 63.00 . .Plan Check Fee
40.95
Issue Date . . . Valuation . .
. 3998
Expiration Date 9/1.1/07
Qty Unit. Charge Per.
Extension
BASE FEE
45.00
2.00 9.0000 -THOU BLDG 2,001-25,000
18.00
- --- - - - - -- --
Special Notes_ and Comments
-
>
204SF GARAGE ADDITION/V-NR/U-OCC
[ENGINEERED]. -2001 CBC, 2005 CAL ENERGY
CODE. THIS PERMIT'IS ONLY.FOR GARAGE
ADDITION AND DOES NOT INCLUDE
BLOCKWALLS, OR DRIVEWAY APPROACH. March
' 9, 2007 9:29:14 AM -AORTEGA
- ---------- --- -----
-----------------------------------------------
Other.
Other. Fees . . . . . . STRONG MOTION (SMI) - RES '.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 87.75 00 .00
87.75•-
Plan Check.Total 47.14 .00 00
.47.14
Other Fee Total: .50. .00 .00
..50
Grand Total 135.39 .00 .00
135.39
LQPERMIT -
'
15A
City 6t*j Oulnta
Btdt&,g a Safety D&Mon
P.O Box 1504, 78-495 Calle twow
la Qidnta, CA 92253 - (760) 777-7012
Milling Permit Application and Tracking Sheet
Permit #
D I
Project Address: -8 0 -'01 3 pip
Ownees Name: CJ1L aL L
A. P. Number. '1 JS ^ c_, 5,0 .. d 2
Address: P O , 060
Leigal Description: LoT 21b '4.2,90j4 • 2
City, ST, Zip: ,i A . ZD (r
Contractor: TIS j2,pdorrgtIG 104
Telephone: &Sid - `j$q $$69
PmjectDescription: a,14
o . (-204, CA.r-'T.)
Address: ?j2,i0tle-I J a
City, ST, Zip: • 4c A 9 2oZ4-
Telephone: '1(op . &p S'3 - J Si'+
State Lie. #
City Lie. #;
Arch., Engr., Designer. 1 L t•�!►
Address:D a L
City, ST, Zip: / Zp
Telephone:IfQQ- ''�. ✓ _: Construction Type: Occupancy:
State Lic. #: $ • 13(.� 1$, , " _,.'"' 1, Project type (circle one): New dd' Alter Repair Demo
Name of Contact Person: �, ,�t,�Gir �;,� n�L Sq. Ft.: 2 Q # Stories: 1 # Units:
Telephone # of Contact Person: b 0; 5%11 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
RWd
Reed
TRACKING
PERMIT FEES
Plan Seta
Plan Cheek submitted
/$
Item
Amount
structural Cates.
Reviewed, ready for corrections
Q•'
Plan Cheek Deposit
Trus Calm
Called Contact PersonZ
p'T
Plan Check Balance.
'IYtfe 24 Cales.
Pians picked up V -b e)
Construction
Flood plain plan
Plana resubmitted
Mechanical
Grading plan
V Review, ready for correctionsfissue
Electrical
Snbcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.-
''a Review, ready fbr corrcetionstio
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Yx All
Total Permit Fees
I I'S 107 f5KC:OJZ- (?UE', 11,501-07
2 22 /D7 —�,BRO"Z- PLC 3%(0 707
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3�G� �07 5i7Z R FGA P07E- O, J 7f?Al�r1 ISL
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