07-0051 (GRES)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00000051
Property Address:
79935 FIESTA DR
APN:
649-072-010-55 -2180 -
Application description:
GARAGE - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
12412
T4ht 4 4 4"
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensedunder 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: B License No.: 377905
"Date:' i `V . Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under pena ty 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 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 llnvugh 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 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:
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self-insurefor 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 EXEMPT Policy Number EXEMPT
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
3700 of the Labor C de, I shall forthwith comply with those provisions.
Dater Applic
WARNING: FAILURE RE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 upon the above-mentioned prop ty for inspection purpo es.
Date:_ / �9 �oZ Signature (Applicant or Ages —
Date: 1/19/07
Owner:
RODRIGUEZ ROBERT J
79935 FIESTA DRIVE
LA QUINTA, CA 92253
D
JAN 19 2007
Contractor:
OLSON CONSTRUCTION
CO, LJ
82746 KYLE DRIVE
CITY OFLAQUINTA
WEPT.
INDIO, CA 92203
FINANCE
(760)799-5106
Lic. No.: 377905
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self-insurefor 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 EXEMPT Policy Number EXEMPT
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
3700 of the Labor C de, I shall forthwith comply with those provisions.
Dater Applic
WARNING: FAILURE RE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 upon the above-mentioned prop ty for inspection purpo es.
Date:_ / �9 �oZ Signature (Applicant or Ages —
Application Number . . . . . 07-00000051
Permit .
. ELECTRICAL-CARPORT/GARAGE
Additional desc .
Permit Fee . . .
. 24.68
Plan Check
Fee
6.17
Issue .Date . . .
.
Valuation
. . . .
0
Expiration Date
7/18/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
484.00 .0200
------=---------------------------------------------------------------------
ELEC GARAGE
OR NON-RESIDENTIAL
9.68
Permit. . . .
. CARPORT/GARAGE
Additional desc .
Permit Fee . . .
. 144.00
Plan Check
Fee-.
93.60
Issue Date
Valuation
. . . .
12412
Expiration Date
7/18/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
11.00 9.0000
THOU BLDG 2,001-25,000
99.00
------------- -----------------------------------------------------------
Special Notes and
Comments
detatched garage
and attatched
patio.484 sq. ft.
garage&'220
patio.January 18,
2007 4:00:55 PM
jjohnson
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . STRONG
MOTION (SMI)
- RES
1.24
Fee summary
-----------------
Charged Paid
--------------------
Credited
----------
Due
Permit Fee Total
168.68
----------
.00
.00
168.68
Plan Check Total
99.77
.00
.00
99.77
Other Fee Total
1.24
.00
.00
1.24
Grand Total
269.69
.00
.00
269.69
LQPE%111T
Bin #
Cil►• of La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #,,,05\La
Project Address: _ 473,5 /C*61-/g
Owner's Name: o C!e D(2iuEZ
A. P. Number:
Address: -201-935 /CST b •2
Legal Description:
City, ST, Zip:14 u�� M �' S
Contractor: L �' N D/'� j etO.
Telephone: —
I .. i
Address: iga-746 9Y46E • R
Project Description: e,
City, ST, Zip: p .� C .
IVI TAf P19 T/ a * (f l%2 .
Telephone:?6o — 106
State Lie. # : P — 37?C10 S
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e ic. #:
Construction Type: Occupancy:
Project type (circle one): New ..Add'n Alter Repair Demo
Name of Contact Person: N . Q(.SOw
Sq. Ft.:
--
#Stories:
#Units:
Telephone # of Contact Person: — _ . /
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING. PERMIT FEES
Pian Sets
Plan Check submitted J� O Item
Amount
Structural Calcs.
Review l"
ed, ready ton b�rections I () Plan Check Deposit
Truss Cala.
Called Contact Person Plan Check Balance
Energy Cala.
Plans picked up 1Q Construction
Flood plain plan
Pians resubmitted tlllo�t)� Mechanical'
Grading, plan
2"' Review, ready or correctioas/ls e p Electrical
Subcontactor List
Called Contact Perso Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE;-
''� Review, ready for torr onsfissae Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue IL
'
School Fees
Total Permit Fees
1
Application Inquiry
UOARO'PUBLIC SECTOR
NTE Navil.ine'
Application 07-00000[
Llbads
contractor escrow
fees
Glubdl udlance dui
�f anspecilun fdsluiy
Miscellaneous info
y Names
Permits
Plan tracking
Receipts
Square footage cal
structures
Valuation calculatic
.I .L►J,
e4 Print
Cancel
I,
'Y Exit
i
Refresh f
Land Inquiry
uorumertts !
Property Information
�7
Address: 79035 FIESTA DR
LA QI-ITNTG, CA 97253
Location IDi 6576
Daner nomoi PXPIGUEZ ROF_iERT i
APN: 643-072-010-55 -2180
Alternate ID:
Zoning: nL LOW DENSITY KI=SIDENTIAL
�.
Contractor Information
r,
Q Contractor Name: 01_SDN CONSTRUCTION CO,
LJ
Contractor Number: 08-00010777
Type: GENERAL CONTRACTOR
Status: ACTIVE
Cvntractor,Requirtments Doe Numbor
-------------------------------------------
►
� III,
Application Information
Application desc: DETACHED GARAGE WITH PATIO
Application status: PERMIT ISSUED _
Status Date: 1/22/2007
Application Upe; GARAGE - RESIDENTIAL
Application date: 1/05/2007
Valuation: 12412
Outstanding Inspections •p,
Insp Schedule Confirmatio
Type ID Date Number
--------------- ---------------- ------------ - J
CL SETBACKS
Q FOFrrTNfiS
4 SLAB _
(ROUGH ELECTRICAL jjUUU1 11 EM 11 Z/Z1/Z007 11 AP 11 2/21/2007 11
ROOF NAIL 110001 11 EM 11 2/08/2007 1 AP f— 2/08/20D7