07-0731 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Application Number:
07-00000731
Property Address:
56465 VILLAGE DR
APN:
764-040-012- - -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Class: 53--C27 License No'- 823017
ractor: C
OWNER-B/DER 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 70001 of Division 3 of the Business and Professions Code) or
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).:
(_ 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.).
(_) 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 performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMrT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/09/07
Owner:
AL CHITTICK
19738 OCEANAIRE CIRCLE
HUNTINGTON BEACH, CA 92648
Contractor:
MCRAE POOL &S
79105 DESERT S DR
LA QUINTA, CA G n
(760) //
Lic. No.: 89'1^26ZOQ,
- - - - - - - - - - - - - - - - - - - . -•/ TT - - - - - - - - - - - - -
WORKER'S COM Q4Q1RA ON
I hereby affirm under penalty of perjury one of the following
de
clar
_ I have and will maintain a certificate of consent to self -insure ON
' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the ark 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 EXEMPT Policy Number EXEMPT
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
3700 of the Labor Code, I shall forthwith comply with those rovisions.
e• 0 plicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IVIL 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 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 r
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.
1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, andh-rQv representatives
of this co nt o enter upon the above-mentioned propert
>fb5ture(Applicant or Ag
Application Number . . . . . 07-00000731
Permit . . . BUILDING PERMIT INV FEE
Additional desc .
Permit Fee . . . . 180.00 Plan Check Fee
58.50
Issue Date . . . . Valuation . . .
. 7000
Expiration Date 9/05/07
Qty Unit Charge Per
Extension -
BASE FEE
90.00
5.00 18.0000 THOU BLDG 2,001-25,'000
90.00
Permit . . ELEC-MISCELLANEOUS INV FEE.
Additional desc .
Permit Fee . . . 34.50 Plan Check Fee
4.31
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/05/07
Qty Unit Charge Per
Extension
BASE FEE
30.00
3.00 1.5000 PER ELEC DEVICE/FIXTURE 1ST.20
-------------------------------------- --------------------------------------
4.50
Permit . . . PLUMBING INV FEE
Additional desc .
Permit Fee . . . . 36.00 Plan Check Fee
4.50
7 Issue Date Valuation . . .
. 0
Expiration Date 9/05/07
Qty Unit Charge Per
Extension
BASE FEE
30.00
1.00 6.0000 EA PLB GAS PIPE 1-4 OUTLETS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ PER APPROVED PLAN. INVESTIGATION
FEE ASSESSED PER 1997 UNIFORM
ADMINISTRATIVE CODE §304.5 FOR WORK
BEGUN WITHOUT BUILDING PERMIT.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
5.85
STRONG MOTION (SMI) - RES
.70
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 250.50 .00 .00
250.50
Plan Check Total 67.31 .00 .00
67.31
Other Fee Total 6.55 .00 .00
6.55
Grand Total 324.36 .00 .00
324.36
LQPERMIT
O'M
`::Ii•�.:
w
Bin #
Permit # _ J`
Project Address:
A. P. Number. 7 _ L/ _
Legal Description: /.0-77 [q 9
Contractor: r
s
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tamiico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
i -C,4 ,e .0 /1 Owner's Name: AL-
Z Address: / 9 3 eb dC C-ArJA ►" ' �2
11.AC - E39 f33 City, ST, Zip: j vni?;rii�r✓ �L!-1 eA
�£%n Telephone: J 7l q) ) q 0%0 b
Address: s(p� 7 g P4-"5. /)./L—
Project Description:
City, ST, Zip: LA 'rT� C4 - 9Z Z S-3
Telephonc: 6 S3v
State Lie. # : ?i301 City Lic. #• &2/O Z
Arch., Engr, Designer: <%t'_Ul Z k;;�i L,J
Address: qq D n)- PaC,' GAn OW oA i ke
City, ST, Zip: k �. ✓1 4 �,•. /7 2 Z 2
Telephone: 26,o -W- 3 45 '� - Coasttucti
State Lie. #•
Name of Contact Person: /4AA
Telephone # of Contact Person: C S
# Submittal
Plan Sets
Structural Calcs.
Truss Coles.
Energy Calcs.
Flood plain plan
Grading. plan•
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
DAT
on Type.
Occupancy:
Project type (circle one): New Add'n Alter
Repair Demo
a1/LI�Estimated
#Stories:#
Units:
Value of Project:
DO.b
APPLICANT:
DO NOT WRITE BELOW THIS UNE
Recd
TRACIMG ,
PERMIT FEES
Plan Check submitted
Item
Amount .
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans Picked up
Cowtruction
501
Pians resubmitted
-------------
Mc6anical
2" Review, ready for corrections/issue
Elec rival
F
Called Contact Person
Zv
Plumbingf
Plans picked up
S M.L
Plans resubmitted
Grading
Review, ready for.correctionsrissae
Devdloper Impact Fee
Called Contact Person
I..
n „
Total Permit Fees