13-1383 (GRES)P.O. BOX 1504
•�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application. Number: 13-00001383
Property Address: 48744 VISTA PALOMINO
APN: 649-540-019- - -
Application description: GARAGE - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Applicant: Architect or Engineer,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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 lass: B License No.: 820801
Date:"�' % l Contractor/ VVA—
,OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 exempttherefrom andthe 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).:
1 _ 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
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.). -
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 performanceof the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
NOLLER
48-744 VISTA PALOMINO
LA QUINTA, CA 92253-
Contractor:
2253Contractor:
SANTUCCI BUILDERS INC
72529 BEAVERTAIL STREET
PALM.DESERT, CA 92260
(760)57877757
Lic. No.: 820801
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1 / 14/14
JAN 14 201
CITY OF LA QUINTA
FINANCE DEPT.
WORKER'S COMPENSATION DECLARATION
1 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 number are: -
Carrier GRANITE STATE Policy Number 51759994-12
- _ 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 - -
37 10 of the Labor ode, I shall forthw' ,comply with those provisions.. - -
Dafe/vl � Applican%�%
WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 personatwhose 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 c unty Vo
enter upon the above-mentioned prope y for inspection �oses.,' -
Date,'I I Signature (Applicant or Agent): ,
Application Number 13'-00001383
Permit CARPORT 2013
Additional desc -
Permit Fee 143.00 Plan Check Fee
.00
Issue Date Valuation . . .
. .0
Expiration Date 7/13/14
Qty Unit Charge Per
Extension
.1.00 71.5000 LS MISC CARPORT, FIRST
7,1.50
.1.00 71.5000 EA MISC CARPORT, ADDL
71.50
Permit ELECTRICAL 2013
Additional desc .
Permit Fee 23.83 Plan Check Fee ..
.00
Issue Date . . . Valuation . . .
. 0 .
Expiration Date,. 7/13/14
Qty Unit Charge Per
Extension
1.00 23.8300 LS ELEC FIXTURES, FIRST 20
23.83
---------------
Special 'Notes and Comments
ENLARGE• GARAGE IN CASITA AND MAIN HOUSE
January 14, 2014 1:13:06 PM j johnson.
-
-------------------------------------------------------------------------
Other Fees . . . . BLDG.STDS ADMIN (SB1473)
1.00
HOURLY PLAN CHECK
192.50
STRONG MOTION (SMI) - RES,
2.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 166..83 00 .00
166.83.
Plan Check Total .00 .00 .00
00
Other Fee Total 195.50 .00 00
195.50
Grand Total 362.33 .00 .00
362.33
LQPERMIT
-
Bin #
0ty of La Quinta
Buddrng 8i 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: U (f i h
Owner's Name: L G Ab lll?h
A. P. Number: , 0 .0A9,
Address: qJO 7yy Vtj ¢1{ �QIQ/yl/p0
Legal Description: S9 y. Z (p
Contractor: SQ/y'�/GL/ �e�
City, ST, Zip:- Chi q ZL5 3
Telephone: -:4r:•>•:
Address:qq
Project Description: `Q �1? 0yo
City, ST, Zip: �Q /' m plWA
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Telephone:
p 7Go 5��775 .:<::..
how gra le sF.
State Lic. # : CityLic. #;.i/�Q
Arch., Engr., D1�esiggner:. (f t2. � 4 i/ a hwi h
Address: ' �-+ & tv4q
City., ST, Zip:? 1h, If / /eoy6 Z Z6 a
Telephone: -760 3 Vl� % �S
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Construction Type: Occupancy: -
State Lic. #:>:>h
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Project type (circle one): New ?!8dn) Alter Repair Demo
Name of Contact Person: Cf�/,'t Sff,�Lj, (/ e
Sq. Ft.: � 3 ®
#Stories: ®
# Units:
Telephone #.of Contact Person: /
Q 3 Y� S
Estimated Value of Project:®Q AV go 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
�"
Plan Check submitted
if
Item Amount
Structural Calcs.
Reviewed, ready fo corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calls.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctio /issue
C
Electrical
Subcontactor List
Called Contact Person
Plumbing •
I
Grant Deed
Plans picked up
NIP-
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit es
qua
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CITY OF LA QUINTA
COMMUNITY DEVELOPMENT