08-1625 (RPL)TAiyl
P.O. BOX 1504•.4
^' VOICE (760) 777-7012
'78-495 CALLE TAMPICO FAX (760) 777 ,7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
_
Date:., 9/25/08
Application Number:- 08-00001625 "' Owner:
Property Address:f.v 51365 VIA SORRENTO WOOD RESIDENCE
APN: 777-33.0-006- - - 51-365 VIA SORRENTO
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 922.36 SEP 2 9..
(760)398-9222 U
)Lic. No.: 656128 CITyQF
F/NgN� W1111yyq
E Drgp7.
-----------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION '
I hereby affirm°under penalty of perjury that I am Ii d �Cr isions of Chapter 9 (commencing with y I hereby affirm under penalty of perjury one of the following declarations:, t ;
Section 7000) of Division 3 of the siness an ' Is o e, 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 s C27 C29 c se No.: 656128 for by Section 3700 f the Labor Code, for the performance of. the work for which this permit is
_ issued.
< Date: l ' Contractor _. _ I have and will maintain ers' compensation insurance, as required by Section 3700 of the Labor
.Code, for the performan a he work for which this permit is issued. My. workers' compensation
OWNER=BUILDER DECLARATION - insurance carrier and poli y nu are: -
I hereby affirm under penalty of peri y t ' am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Poli umber BB1080510
following reason (Sec. 7031.5, Busi sand Professions Code:, Any city or county that requires a permit to_ I certify that, in the, perform ce of the w 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 s to bec sub' he wo ers' 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 eco s )e o.t e w compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or � 0 of the Labor Code, II h Ecom w' t e Provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
E -
any applicant for a permit subjects the applicant to a civil penalty of not. more than five hundred dollars ($500)•: - `Date: Applicant: -
1—) 1, 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 WARNING: FAILURE TO SECURE - R ERS' COM ENSATION 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 CRIMINA 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 ADDITIO 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
I—) 1,'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"rhose 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;
I—) 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 his permit. -
Date: Owner: 2. Any permit issued as a result of this a licata ecomes null and void if work is not commenced
• e within 180 days from date of issuanc. f such p m.','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 th4abo' Wnrect. eeto comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). . cityand county ordinances and state laws relating to buiau rize representatives
of this �oon [he above-mentioned proper
Lender's Name: r oDate:ature (Applicant or Agent):l '
Lender's Address: 1 -
LQPERMIT
Application Number
08-00001625
- Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
252.00 Plan Check Fee
163.80
Issue Date . .
Valuation
24872
Expiration Date ..
3/24/09
.Qty Unit.. Charge
..Per
Extension
BASE -FEE
45.00
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
3/24/09
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
3/24/09
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
3/24/09
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 08-00001625
' Permit '. . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . 15.00
Plan
Check Fee
.00 ,
Issue Date
Valuation
128
Expiration Date 3/24/09
Qty Unit Charge Per
Extension
BASE
FEE
------
R.
------------------------------------------
{ Special Notes and Comments
---
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
,
PLACE AT PRE -PLASTER INSPECTION.
(2) 4'
X 4 L.F.-CITY STANDARD WALL., -
Fee summary Charged
----------
Paid
-
Credited
Due
----------------- ----------
Permit Fee Total 371.00
00
.00
371.00
Plan Check Total 189.80'
.00
.00
189.80
Grand Total' 560.80
.00
00
560.80
LQPERMIT
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LIT
WOOD RESDENCE ' } • ,
' - , • , * ✓. -•
/
A 92236
T"E''PN:6(760) 39B-9222 FAX: (760)- 100 AVE. 54 COACHELLA C 390.9255
F RIA--
-
i/'. Z `, CA LICENSE ND. 666728 -
-
Bu}lders rf Exceptional OutdoorLiving -
Bpi#'
City of. La Quints
Building U Safety Division
Permit # •
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:.Owner's
Name:
A. P. Number:
�/ .,`.
Address:
Legal Description: ' .
City, ST, Zip: `
Contractor: e r
Telephone:
Address: b--
�&
Project Description:
City, ST, Zip: p—
Telephone:
State Lic. # : 2
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: AUL' S��pccupancy:
State Lic. #:
Project type (circle one):ew , Add'n Alter. Repair Demo
Name of Contact Person:
Sq. Ft.: 340
# Stories:
# Units:
Telephone # of Contact Person: (760
2 s o— 07— -9 1
Estimated Value of Project: — Z S K
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Recd TRACICING PERMrr FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan'
2' Review, ready for correctionsrssue Electrical
Subcontactor List
Called Contact Person Plumbing
_ p—pp. UY11-1- - _— .=.__ - _:.-__.-^_
_ ons resubmitted Grading
: .lammng=Approval=
Pub, Wks. Appr
Date of permit issue
School Fees
Total Permit Fees