The URL can be used to link to this page

11-0300 (RPL)P.O. BOX 1504 T4ht 4 �• 78-495 CALLE TAMPICO `^ LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 11-00000300 Owner: Property Address: 81211 LAGUNA CT PARKINSON APN: 764-280-004-20 -35996 - 81211 LAGUNA COURT Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Contractor: Applicant: Architect or Engineer: 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 MAIC 25 2011 Date: 3/24/11 ------------------------------------------------------------------,------------------------------- CENSED C NTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _ 1 hereby affirm under penalty of perjury th I am lic ed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) Div isi 3 of the Business nd P essionals 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 License Class! 810 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is {� issued. XDate:--7 Z S � ntractor: _ 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 EVEREST NATL IN Policy Number 7600006481111 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performqs rk 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 manners ubject 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 da ee that, if I'shoulct to the workers' compensation provisions of Section License Law (Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code) or 37 of the abor Code,h 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001•: ate: ✓ Applicant: 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 W RNING: FAILURE TO SECURE WORK ' 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.). ' (_) 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.). ( ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: I CONSTRUCTION LENDING AGENCY J 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 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. F I. certify that I have read this application and state that the aboLinformat'iscorrect. I agree to comply with all city and county rdinanc and state laws relating to buildingnd hereby authorize representatives of this c untyenter on th bove-mentioned property forposes. te: Z ature (Applicant or Agent): J LQPERMIT Application Number . . . . . 11-00000300 .4� � Permit BLDG POOL PERMIT Additional desc .'. Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 9/20/11 Qty Unit Charge Per Extension BASE FEE 45.00 R 23.00 9.0000 --------=------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/20/11 Qty Unit Charge Per Extension BASE FEE . 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee. 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation. 0 Expiration Date 9/20/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ----------------------------------------------- EA . ELEC PRIVATE SWIMMING POOL ----------------------------- 30.00 Permit PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue•Date . . . Valuation 0 Expiration Date.. 9/20/11 , Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 11-00000300 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 272 Expiration Date . . 9/20/11 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------7--------------------------------------------------- Special Notes and Comments POOL/SPA, 17 L.F. 4' EQUIPMENT ENCLOSURE, CITY STANDARD. INCLUDES 93 L.F. 1 1/2" GAS LINE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. -----------------_--------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid -------------------- Credited -------------=-=---- Due ----------------- Permit Fee Total 371.00 .00 .00 371.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 Grand Total 561.80 .00 .00 561.80 LQPERMIT Bin # City of La Quinta 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 Permit # Project Address: L J r Owner's Name. 71 77�w K S 0 A. P. Number: Address: -2 /� LA6uAlq Legal Description: City, ST, Zip: ?— -Q J ConVacto S Telephone: Address: /00 Project Description: LVJ e o City, ST, Zip: Z2 C Telephone: Phone: �60 3 Z ZZ State Lic. # : S �.Z City Lic. #: �'L -f' Y9 ",Ik{l •In/A-cc_ r L o (- ' „) Arch., Engr., Designer: Address: , City, ST, Zip: Telephone: `. State Lic. #• z Name of Contact Person: J(4C—-P, n� Construction on + Type: Occupancy: Y P ,.J L Project ct type (circle one): New Alter Repair Demo mo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760 ZS Q 3 Estimated Value of Project: Y,2 0 o O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 2 3 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'd Review, ready for corrections/issue Developer Impact Fee Planning Approval y Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees