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07-0712 (SOTB)?Q P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�/ 4 4a.Q" Application Number: 07-00000712 Property Address:. 53646 VIA DONA APN: 772-420-999-28 -298944- Application description: STRUCTURES OTHER THAN BUILDINGS Proverty zoning: LOW DENSITY RESIDENTIAL, Application valuation: 10000 Applicant: _K) Architect or Engineer: PIP BUILDING & SAFETY DEPARTMENT -BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/08/07 Owner: SUN VISTA 51370 AVENIDA BERMUDAS, STE. 6 LA QUINTA, CA 92253 Contractor: TESERRA D P.O. BOX 1280 BAR j 2001 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 CI'f`(p'F,LAG�b�A — — — — — — — — — — — — — — — — — — • — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — I hereby affirm under penalty of perjury Section 7000) of Division 3 of the Busi license Class C8 C27 C29 Co actor: ED CONTRACTOR'S DECLARATION licensed under provisions of Chapter 9 (commencing with fessionals Code, and my License is in full force and effect. License No.: 656128 r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury t at I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Busines and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, orr pair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that h or she is licensed pursuant to the provisions of the Contractor's State License Law. (Chapter 9 (commencing ith Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and he basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the plicant 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.). (_) 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: 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 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 humber are: Carrier SEABRIGHT Policy Number BB1070510 I certify that, in the performan of the work for which this permit is issued, I shall not employ any person in any manner so a become subject to the workers' compensation laws of California, and agree that, if I sho e o e subject to the workers' compensation provisions of Section 3700 of the Labor Co e, s all f hwith comply with those provisions. at : Iicant: WARNING: FAILURE TO SECURE WO SUBJECT AN EMPLOYER TO CRIMIN DOLLARS ($100,000). IN ADDITION SECTION 3706 OF THE LABOR CODE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND O THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 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 issuancJbuldi it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state tvie inf matron is correct. I agree to comply with all city and county ordinances and state laws relating tnstru tion, and hereby authorize representatives of th�oynty tg/enter uporythe above-mentioned p1pspec on purposes. (Applicant or Agent): Application Number . . . . 07-00000712 Permit . ... BUILDING PERMIT Additional desc . Permit Fee 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 9/04/07 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000. 72.00 Permit . . . ELEC-MISCELLANEOUS . Additional desc . Permit Fee 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation 0 Expiration Date . . 9/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 9/04/07 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 BBQ (Z21-58-1995) & 2 FIRE PITS (AGAL 496), PER APPROVED PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 7.61 STRONG MOTION (SMI) - RES 1.00 Fee summary .Charged ----------------- ---------- Paid ---- - ----- Credited ---------- ---------- Due Permit Fee Total 152.25 .00 .00 152.25 Plan Check Total 84.86 .00 .00 84.86 Other Fee Total 8.61 .00 .00 8.61, Grand Total 245.72 .00 .00' 245.72 LQPERMIT Bin # y of. La Quinta Building az Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 1 Building Permit Application and Tracking Sheet Project Address 46 V vA -Z� a J>_ Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: 5� �� Telephone: Address: i2 J P ��` Ze I - (C(—1 o ec escri tion: l J City, ST, Zip:��C V�- G� �jZz3 rp Z �- 126Q 5 Telephone: 3a( ��—Cl Z Z' — ' State Lie. # : t'p �j (� ,� City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: (`� �� Telephone # of Contact Person: SD _ Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: ,� s Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction 8 Flood plain plan Plans resubmitted Mechanical Grading, plan' 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing EE Grant Deed --------------- Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7r° Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person • A.I.P.P. Pub. Wks. Apr W-0 10 a it ssue School Fees DING F BUI SA DEPT. Total Permit Fees DATE BY �7 I rA W A 1! -pajou asimigt4jo ssalun SJ;qqj0 -lee= 3 Aq slod pUD sjoluold joj U01ID61JJI pU[) GbDUIDJU ;31DN 39VNIVNCI A033 )MOSW4 aNnOUDUBaNn -Ili Awnd 9- GN� EMM-BLIJ UK3 'Vc-1y; A N01iVZ1KHinV NO uo n �ji_� N�g�� -13S SN111i33 ------ 17 hAz —A __r__( I �1/s 021 g1c", -77 > C13AOdddV :jVfj111 lg7 UNIG-11fil WS; Ao A110 H-url _A� 3ivci cc) SNPISIA3a 02h17 #90f_ rvuvroA L) t'.j L J. 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