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BELC2017-000878-495 CALL ErTAMPICO U 4 Qum& VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 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 Professions Code, and my License is in full force and effect. License Class: B License No.: 900828 All e ,r �-�_ "'�Date;.�� C� ontractor. OWNER -BUILDS DECLARATION I hereby affirm under penalty of perjury th 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).: (__j 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.). (_) I am exempt under Sec. BAP.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: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificateof 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: EXEMPT Policy Number: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so a6 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 37-30 of the Labor Code, I shall forthwith comply with those provisions..- Date: 'A� _pplicant-. WARNING: FAILURE TO SECURE WORKERS' I�rPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL 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 3uilding 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 ssued as a result of this application , the owner, and the applicant, each agrees to, and shall defend,indemnify and hold harmless the Cty 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 ✓vork for 180 days will subject permit to cancella'ion. 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 :onstruction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. date.— 'CSig t re (Applicant^orAgent): Date: 2/2/2017 Application Number: BELC2017-0008 Owner: Property Address: 78170 CALLS CADIZ TADROS TADROS APN: 770155008 cm Application Description: TADROS / ELECTRICAL 92253 Z Property Zoning: z Application Valuation: $1,500.00 C- M M Applicant: Contractor: O O LEGACY CONSTRUCTORS INC LEGACY CONSTRUCTORS Iril t� 78365 HWY 111 #396 78365 HWY 111 #396 m 10 o LA QUINTA, CA 92253LA QUINTA, CA 92253 D .� M (760)880-3445 Llc. No.: 900828 m � M M Q� --------------- ------------------------------ ----------------- ------------- - �i - ----- ----- - - - - - - 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 Class: B License No.: 900828 All e ,r �-�_ "'�Date;.�� C� ontractor. OWNER -BUILDS DECLARATION I hereby affirm under penalty of perjury th 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).: (__j 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.). (_) I am exempt under Sec. BAP.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: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificateof 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: EXEMPT Policy Number: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so a6 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 37-30 of the Labor Code, I shall forthwith comply with those provisions..- Date: 'A� _pplicant-. WARNING: FAILURE TO SECURE WORKERS' I�rPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL 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 3uilding 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 ssued as a result of this application , the owner, and the applicant, each agrees to, and shall defend,indemnify and hold harmless the Cty 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 ✓vork for 180 days will subject permit to cancella'ion. 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 :onstruction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. date.— 'CSig t re (Applicant^orAgent): Application Number: BELC2017-0008 Property Address: 78170 CALLE CADIZ APN: 770155008 Application Description: TADROS / ELECTRICAL Property Zoning: Application Valuation: $1,500.00 Applicant: LEGACY CONSTRUCTORS INC 78365 HWY 111 #396 LA QUINTA, CA 92253 Owner: TADROS TADROS , 92253 Contractor: LEGACY CONSTRUVTORS INC 78365 HWY 111 #396 LA QUINTA, CA 92?53 Date: 2/2/2017 (760)880-3445 Llc. No.: 900828 --------------------------- ------------------------------------------------------------------- Detail: ELECTRICAL CIRCUIT FOR SUMP PUMP. THIS PERMIT DOES NOT INCLUDE THE DRIVEWAY APPROACH. PER 2016 CALIFORNIA BUILDING CODE FINANCIAL .• 1. DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE ` 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT O.TY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 Bin ;l Permit,#1 Project Address: ' , City of La Quinta Building 8F Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet �% /�. C�a !� ' Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: r i Z S � -Telephone: Address:r -zc¢ Project Description: G-Sf�-��q,��GQ �zcL ��• City_ ST Zip: Telephone: �l State Lie. # : City Lie. #; Arch., Engn, Designer: Address: City, ST, Zip: Telephone: Ph o . ntruct• • Cos ton Type: Occupancy: ect type circle ne • New Add'n &]te Demo r Repair. r ,. to _ . S to Lie- c • -Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit . Truss Cates. Called Contact Person Plan Check Balance. Title 24 Calcs. Pians picked upConstruction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3'! Review, ready for correctionstissue Developer Impac: Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date or permit issue School Fees, Total Permit Fees_ r INDEX -OF SHE 111,1E G[fl ORAD�NQ N�T1=8 1. s[um1xD uaxo x!rt 1 xm }mrlmi i ima01RD CPADOL N01[ } mt R(RLai ] M D[LDI CM [NORRA Wel mmaY SVram mNGa WNL arowc Am mlami,m ro Day.$ DDuuuit Nnx M rIN4 $HaiY 143. u'D m« e1iID1 I[i Ra,ar. I, NmxG 9101 aR!«4 DIVn4a AIm MF m mMI9Llmx « Txxuumrt «}Dac[ meA:luR[s. mwwR oRmua Damm[ mate m v14.mm m Nmm wac atm Am Duct ro mA�tm wmvmr. a ltaaWo DRedm xOR ! xol .1mm1gIE. A M W}NW M RXp fG N6(i xWl 8[ ]:1. }. SGILmO DIINW x01[ } Nw AMIDaIl. e. SiN4atp atA00.a tort a M« NPUUeIf. a. rD®® NeaN[ ND[a m toxwtlm ro . xawu « xartN (ml Txs«M « anuN a}anR es onamm x IM ulu«x BIpDIL Dm[ sD14+ mlD tauxu[m As uvNGm er M tm DxR®r. w[ac Dtxwis[ wax a Rux. rm «IOM1 wxl 8[ DGmMx[D N NL«b}4 R11X M DN}09r BUWm CDD[ SECmx mp}, a @WADDN. N «1[10[1® eY M CO, [NOIUDt. Ia sTuaao cR.am Imrt to xoT aw1LR9[. 11. sDrmwD cR.axc x«[ 11 xa Rmllclat. IL mu,mxe ar wD Warr T[sR ixut e< o[mwwm ati ra m[s ,]NAQR a Nvm1m T[m RcoN+ um mwt e[ Slxtp[M w eom ILWOMRI aIID Kn4[ RNG9r1 m R4II R@IaiTNGIM t[SIxD DI N[ ru alA[to. rtmm w RRGS « 1 «nrN WrvR[ « wGN [[m Win wNl M N ADmmll W M NDNY RGR6maetM YtIReLi u M nxN mxaNrmx R[Po11f Nm aRaaN rvW M mu Dax[G wAu mMAN M iN[ Or flpp IGIPm RACRIDa fNx tEil WALL e[ WD[RD mN M IRIILO «OmNNW M w -RNC «IdIT. xHCDER x1xD CDL m W,a RDL, rIm SxW 9I m lmim rOR DGx rtit, iVi,lCdf W [NDN C[ItalY D[iWDMimx frNLL 8F RRf0AM0 ro'!treR M ILLNKY «M Wi111W DRaN CUAYL6 Uem 0T M rELD 1QIR0G1x. IR. SU}axm ORVIDID IDTI 11 Iml r➢NG9t. Ia S[u4AD CPADW xw[ n NDT exxLa[. 16 x1.11mWD ORRDNO NOf[ II x01 AeRLRBII. Il. M mxW Cilli 6 P)SPoMB[ m RMM Al mxfwRNia « SIORxxlmR mamma Nnme3 Wem mMIRILimx « SUIS[016xf . emRo.[lams a ra mMRNfa Daraanr rNnR ro rx. N«RAM[ ., « silex waw.[ RimmDxllramrax rvanm, M CNaR1LtOR wut ou.0 N M PAEx[N« o[14aO M DIY U6ALIOP. A Pw(�Itm omorn ro mwar 4rt M nNmmNN m[axn a «M ruaNez. la M mxIRNiDR wa aRau Ram tmmx Nu Durr mxnml IDAruRo u rtD1am er rK trema GIs, axma RAx AraRD.aD mR nm mD[Cr .111 xWUN! WALL BC m M SR1aNImN « M CITY. &wowl 7' O IN THE CITY OF LA QUI°NTA CALLS CADIZ DRIVEWAY f VICINITY MAP NO SCALE JM- CITY OF LA QUINT/ BUILDING&SAFCM DEPT. AP 0 V ED FOR CONSTRUCTION DATE z -JL -BY nt rm un mu emm mD Nuv Duna Serritt Ahd CA TOIL 91 1-8DO 221-2600 UTAITY NOTIRCATbN3 1. NDIIm1 M DRImi M M males 44a4 ND Rt�NN NIR melim xot S1LeN M mxamTOR w91 «ttalD[ M SIM nm mG141 « Ganm uxtamowm unrt¢s wLR m itm4Dm ND elw[ m RDD®m iru Au w[annxuN xuvem tD rNDt[ct RG U[! mL4 xmiDR uD aTla ul®cRam mums x« « RTCtlm aR x« Noxi a M aua «u aDr✓emuxo stRx« elm DW 1 -mo -m -}w u vur IRo xamlD an aaR ro GGr]Tmx �� L mNDACfDI wxa 1An NL X(C@Wr RNNIim1a t0 SURON e0 R«ml N RA« ALL meSm6 III[/lm NAYll[ ro M RmvaYD sl'[m tae Ga11C IIfRRC! evraorm x1p�R9Nc n .1�wm�wa m �mlww�tox a ru rem uam a ra mxacloR a !®uRm m Im1Rr M raailL mutt [ONMrm x M NIG BPNa M mwn « IM cola M UMI6 N M IIOA I➢t: .TG/, rlDl H111tY WI[R OQI9CI I 111 -}ml [unR4n eamu aRu,mx Dann rim) ul�'ieii rtu]xoM wwax cat I[uv3mx m¢ rwm «at (Im) w -un NOTE TO CONMCTOR mNWCfOR a R6PnMm[ w ALL oN[m[ oR mmD Am1ILla PmP[RN alm MIROYIIS, RI0 SxVL IQrGt[ N " m WN aI VO CALLE CADIZ DRIVEWAY DRANAOE 0114'ROVEiI ENTS - TITLE SHEET 78-170 CALLE CADIZ r-� r I NEW PERMEABLE I INTERLOCKING PAVEMENT I fl W TH CONCRETE CURB 1 (SEE DRAWING NO. ICPI-SO) I ' SUMP PUMP I I WELL ' REMOVE Ez cO-0" ,�. ' REPLACE WITH PERMEABLE lu''O�1 °• �'� •' INTERLOCKING PAVERS ' (SEE DRAWING NO. ICPI-BD) CALLE CADIZ REMOVE EXISTING CONCRETE AND REPLACE WITH _ -GRAVEL Ofl=---___-__ wn .mre�uexo�o . laro Iua7� / vv A i SCNL I'y' . � � RC LAI Yn OILL ®luJ All ®0 Uldlf o«SP.IYLY c* im EPEE 1-000 221 2600 P CITY OF LA QUINTA BUILDING ��&SAFETY DEPT. PQtlp��QC) 07 FOR CONSTRUCTION DATE BY 0 D CALLS CADQ DRNEtiVAT s� p iA GE UMVEANRS WROVEMINT PLAN mem I mml1 7 us.s11e