AR-14-845 Revision 1=�
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VOICE (760) 777-7125
78-495 CALLE TAMPICO
FAX (760) 777-7011
FAX
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date: 11/12/2014
Application Number:
AR -14-845
Owner:
Property Address:
49295 VISTA ESTRELLA
HENRY REICHERT
APN:
602310017
49295 VISTA ESTRELLA
Application Description:
180 SF EXTENSION TO GREAT ROOM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$14,544.00
Applicant:
N'0V 12 20'4
OF LA QUINTA
COMMUNITY DEVELOPMENT DEF
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 Professions Code,
and my License is in full force and effect.
License Clas • _ License No.: _ C
Date: I1( a / Contractor:
OWNER-BUILDE ECLARATION
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 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).:
I ) 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 offeredfor 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.).
I ) I am exempt under Sec. .. B.&P.C. for this reason
Date:
Owner:
Contractor:
SANTUCCI BUILDERS
72-529 BEAVERTAIL ST
PALN DESERT, CA 92260
(760)578-7757
Llc. No.:
WORKER'S COMPENSATION DECLARATION
I 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:- Policy Number: _
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 3700 of the La r Code, I shall forthwith
comply WIT thos provisions.
Date: I� IL I Applicant: ��-
WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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 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.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city to enter upon the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mention i rope for inspection purposes.
Lender's Name: Date: ( 'Lt Signature (Applicant or Agent):~
Lender's Address:
Bin # I, f '
Z� City Of La Quinta
Building 8t; Safety Division
POBox 1504, 78-495 Calle Tampico .
..
Permit # " . \ ,
r� J La Quinta, CA 92253 - (760) 777-7012
% Building Permit Application and Tracking Sheet I
Projec[Address: Owner's Name: ekl?1
A. P. Number: t
Address: Ll
Legal Description:City,
ST, Zip:2yS3
Contractor: .JCCki-64GGf �Gt, l/t CSS
Telephone:
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Project Description: x
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Telephone: 7�D 57 � �s7
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State Lic. # : �a D $"d j
City Lip.• #,
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Arch., Engr., Designer: R S� Gtv4te�.� �n
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Address:. -77,57<10 r: h 7i'c/v'i L h
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Telephone: ,- rkd 3<ea,7 Ff q
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Construction Type: Occupancy%
State Lic_ #:
circle one): New Add'n Alter Repair Project ct type � ) P Demo
lame of Contact Person: r°Z Q
Sq. FL:
#Stories:
# Units:
Celephone #,of Contact Person:
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Estimated Value of Proj - t�
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Recd TRACKING PERMIT FEES.
Plan Sets
=
Plan Check submitted
/
• Item
Amount
Structural Cal cs.
2
Reviewed, ready for corrections
Plan Chcek Deposit
Truss Cala.
Called Contact Person
Plan Check Balance •
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted t , Z7
/3U
Mechanical
Grading plan
2ed Review, ready for correction issue
' /�
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up '' I
S.M.I.
H.O.A. Approval
Plans resubmitted
+
Grading
IN HOUSE:-
3" Review, ready for correctionstissue.
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Aper
Date of permit issue
School Fees
' -
Total Permit Fees
10��5 A1C � hors � SYQuc Co�.��r1'.3 � • � ` ' ` . , � .:., • , � .
/oll�. RSC-_97-ew, 'i2Ja<.,-eA4«-e-LtcAxjr,6 e,zA
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77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 77275107 fax (760) 345-76,
Letter of Transmittal
To: City of La Quinta Today's Date: 11-10-14
78-495 Calle Tampico City Due Date: 11-11-14
La Quinta, CA 92253 Project Address: 49295 Vista Estrella
Attn: Kay Plan Check #: AR 18-845
Submittal: ❑ 151 ❑ 4th
® 2nd ❑ 55th
❑ 3'd ❑ Other:
We are forwarding: ® By Messenger ❑
By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes:
# Of Descriptions:
Includes:
# Of Descriptions:
Copies:
Copies:
❑
Structural Plans
®
1 Revised Structural Plans
®
1 Structural Calculations
❑
Revised Struct. Calcs
❑
Truss Calculations Floor
❑
Revised Truss
and Roof
❑
Soils Report
❑
Revised Soils Report
❑
Structural Comment List
❑
Approved Structural Plans
®
1 Redlined Structural Plans
❑
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments:
Structural content is approvable.
r
L_ I
If you have any questions, please call.
Time =.75 HR 1�
NOV 1.0 14
'ft
tt Of QUINTA
This
Material Sent for:
COMMUNITYDEVELOPMEN'
❑ Your Files
®
Per Your Request _
❑ Your Review
❑
Approval
❑ Checking
❑
At the request of:
Other: ❑
By: Kathryn Samuels
Palm Desert Office: ® (760) 772-5107
Other: ❑