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07-2320 (SOTB)P.O. BOX 1504 r t ^' t < . ,: VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 P \LA QUINTA, CALIFORNIA92253 • : BUILDING & SAFETY, DEPARTMENT. :: , INSPECTIONS (760) 777-7153 .,`..' BUILDING PERMIT. = Date. 8/16/07', CApplication Number: -07=00002320' fpr Owner: Property Address: '80195 VIA MIRASOL SUNVISTA LOT 9. F APN: 772-430-009- -r' - © 80-195 VIA MIRASOL. 'Application -description: STRUCTURES OTHER THAN. B NGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL 1r Application valuation: 30.00 �I lr Ifl�ji it ti 1i1� Ndj , I d°9 ®,� �--•�.�, Contractor. lillTA . Applicant: • Architect or Elgineer. E�Ivk° 6��, TESERRA P.O.. BOX 1280 COACHELLA, CA 92236 �(760)398-6co ���///��' Lic. No.. .: 65 656128 " • LICENSE CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION. I hereby affirm under penalty of, perjury that I am 11 nsed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: .Section 7000) of Division 3 of the Business and Pr essionals Code, and my License is in full force and effect.- - •. _ 1 have. and will maintain a certificate of consent to self -insure for workers' compensation, as provided License CI s: C8 C27 C29 License No.: 656128 -. for by Section 3700 of the Labor Code, for the performance of the work for which this permit is L ... issued. ' _ Date: bntr . _ - - - - - 1 have and will maintain workers' compensation insurance, as requiredby Section 3700 of the Labor. - - Code, for the performance of the work for which this permit is issued. My workers' compensation -BUILDER DECLARATION • insurance carrier and policy number are: - 1 hereby affirm under penalty'of perjury that I am exempt from the Contractor's State License Law for the - Carrier SEABRIGHT '. Policy Number BB1070510 . 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 b come 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 beco subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the 4CodCoall ' 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 ($500).: Date: % //�J/37� pplica I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ---thestructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECS' PENSATION 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 (5,100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sate. If, however, the buildingor 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 980 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 i formation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.I. - - city and county.ordinances and state laws relating ,hat cion, and hereby authorize representatives - • - -- of [his co ty to nter upon the above-mentioned praon purposes.Lender's Name: / 0 atu a (APPlicant or _Agent): - Lender's Address: LQPFRMIT ' • Application Number . . . . . 07-00002320 :Permit . . . BUILDING PERMIT Additional desc - Permit Fee:. .:. ... 54.00 Plan Check Fee -. 35.10 Issue '.Date_ :° Valuation 3000 Expiration Date 2/12/08 = Qty -Unit Charge Per Extension _• BASE` -FEE - 45.00 •1.,00 :. 9.0000 THOU BLDG 2,001-25,0.00. ------------------------------------------------------------------------- 9.00 Permit ELEC-MISCELLANEOUS Additional` desc .. Permit -Fee==. . ' .. 17'.25; Plan Check Fee 4.31 IssueDate-'. Valuation 0 Expiration Date - 2/12/08 ,. 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 2/12/08. .` Qty. -Unit Charge:` Per Extension BASE FEE 15.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 . -------------------------------------------------- ': -:Special Notes and Comments " ------ BBQ & FIREPIT PER APPROVED PLAN ONLY. Fee Fee summary, Charged Paid - Credited Due- Total. 89.25 .00 -------.00 -----89.25 ` Plan Check Total 43.91 0'0 00 43.91 Grand Total 133.16 00 :00 133.16. LQPFRNI[T . . Bin # Permit # �]� n -v • City Of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:' A. P. Number: V14 Q0 L Owner's Name: IWVIa 6o7'—' cIP Address: City, ST, Zip: Legal Description: Contractor:s Address: SOX t z:S G Telephone: Project Description: a City, ST, Zip: Telephone: State Lie. City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Construction Type: Occupancy: P Y: Project type (circle one): ew Add 'n Alter Repair Demo Sq. Ft.: # Stones: # Units: Telephone # of Contact Person: - Estimated Value of Project: �d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets • Plan Check submittedR " �6 Item Plan Check Deposit Plan Check Balance Amount Structural Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Energy Calcs. Plans picked up Construction T� Flood plain plan Plans resubmitted Mechanical Grading,plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing g S.M.I. oil'( £.7 S Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading. Developer Impact Fee A.I.P.P. IN HOUSE:- '"' Review, ready for corrections/issue Planning Approval Called Contact Personr Pub. Wks. Appr Date of permit issue School Fees o C E_1Y'nF_:e1 1 1 Total Permit Fees APPROVED .-TOR CONSTRUCTION DAA BY� --