09-0678 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
4
BUILDING & SAFETY DEPARTMENT
BUILDING, PERMIT.
Application Number:
000000"678,,,,x, s
Property Address:
481-37 VIA;HERMO-.SA
APN:
646-100-003- - -•
Application.de,scription:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2000
Owner:
PETER WATSON
47137 VIA HERMOSA
LA QUINTA, CA 922S3'
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/06/+09
. Contractor: L. " -
Applicant:Architect or Engineer: GARSEP CONSTRUCTION
° 74991 JONI .DRIVE, #9-
PALM DESERT, CA `92211
` (760) 567-9682
\\1 Lic. No.: 893441
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisi ns of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: -
Section 70001 of Division 3 of the Business and Professionals Code, a d 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: B License N .: 893441 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .
issued.
Date: — .Contractor._ M1 _ 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:
hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the_ Carrier EXEMPT Policy Number EXEMPT "
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 wo fkers' 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 shay orthwith comply nVthose 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 (5500).: ` `Date:�FAIL
pplican[: -- -
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and C the"structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNO 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 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 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 court y to enter upon the above-mentioned property for i spection purposes f
Lender's Name:--..�•rL /_..
• n - - Date:,(;wJ5ignature-IApplicantor-Agentl: '
Lender's Address:" 1J1 l
LQPERMiT
•w
Application Number
09-00000678
Permit 4
BUILDING PERMIT
Additional desc
Permit Fee
45.00 Plan Check Fee .'
29.25 `
Issue Date . . . .
Valuation .
. 2000
Expiration Date..
12/29/09 -
Qty Unit Charge
Per
Extension
BASE FEE
15.00 .
15.00 2.0000
-----------------------------------------------------------------------------
HND BLDG 501-21000,
30.00
Permit
ELEC-MISCELLANEOUS
..
Additional desc .
Permit Fee . . . .
17.25 Plan Check Fee
4.31 -
Issue Date . . . .
Valuation
0
Expiration Date
12/29/09
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
12/29/0.9
- Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB CCAS PIPE 1-4 OUTLETS`
3.00
-----------------------------------------------------------------------------
Special Notes and Comments
FIREPIT & BBQ INCLUDES
61 L.F. 3-4" GAS
LINE.
Other Fees
BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
2.93
Fee summary Charged
Paid. Credited
Due
Permit Fee Total
80.25 .00 .00
80.25
Pl.a-n Check Total
30.06 .00 ..Uu
38.06
Other Fee Total
3.93 .00 .00
3.93 .
Grand Total
122.24 .00 .00
122.24
LQPERMIT
-
-
Bin #
`
City of La Quinta
Building & 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.
Owners Name:
A. P. Number:
Addres (2� i,,
05 A -
Legal Description:
City, ST, Zip: U1 NK -44
Contractor:
�S�)C_. ( (�J
Telephone:
Address: 241 NI =q
Project Description: �T
City, ST, Zip: (awl G4�-i
n.��•��.�;•ia•}�l ::+\ {. kYf� J�vi}:.v. Cv'ii'+:>
Telephone] c //
1IO�
`V + '
State Lic. # : q City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephoner.'>:. yeti ;::ti \:�,'•{
State Lic. #cti5�,{'i r`s
Name of Contact Pers
Construction Type: Occupancy:
Project -type (circle one): New'. AdTn Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: C](o �- C(G la -z
Estimated Value of Project: 01_1 "
APPLICANT: DO. NOT WRITE. BELOW THIS LINE
#
Submittal
Plan Sets'
Req'd'
Recd
TRACIGNG
Plan Check submitted ,
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Chick Balance •
Tide 24 Calcs.
Plans picked no
--
Cohstru-tibn
Flood plain plan
Plans resubmitted
Mechanical
Gradingplan
2a4 Review, ready for correctionslissue
Electric -4d
Subcontactor List
Called Contact Person
Plumbiag
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Gradin
IN HOUSE:'
7n° Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Fermit Fees
i