BRES2017-009378-49S CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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wDMGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2017-0093
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Property Address:
48785 LEGACY DR
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APN:
658423008
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Application Description:
LEGACY VILLAS HOA / SLAB STABIL"IZATION(INT. &EXT. WORK)
Property Zoning:
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Application Valuation:.
$95,000.00
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Applicant.
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LEGACY VILLAS HOA
48800 LEGACY DRIVE
LA QUINTA, CA 92253
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 Cla s: License No.: 778157
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OWNER -BUILDER DECLA TION
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, after, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit tofile a
signed statement that he or she is licensed pursuant to the provisions ofthe
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, 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.).
(_) 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
Lender's
VOICE (760) 777-712S
FAX,(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/8/2017
Owner:
LEGACY VILLAS HdA
Contractor:
EAGLELIFT INC '
10410 TRADEMARK STREET
RANCHO CUCAMONGA, CA 91730
(909)980-6222
Lic. No.: 778157
WORKER'S COMPENSA70N DECLARATION
I hereby affirm under penalty of perjury one or the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3706 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: REDWOOD FIRE AND CASUALTY INSUFANCE CO Policy Number:
EAWC80S698
I certify that in the performance of the work for which this permit is issued, 1
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 2-700 of the Labor Code, I shall forthwith
comply wi tho provisions. d
�at`e:�-c+'11 9 It 0 Applicant:
WARNING: FAILURE TO SEC' COMPE ATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIh•AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00. 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 thi: application.
1. Each person upon whose behalf this appli -ation 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 appliotion becomes null and void if work is
not commenced within 180 days from date of ssuance of such permit, or cessation of
work for 180 days will subject permit to cancel ation. .
I 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
construction, and hereby authorize representatives of this city to enter upon the
above-mentilnedtproperty for inspection purposes. n )�
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Date: " 8/8/2017 I
Application Number:
BRES2017-0093
Owner:
Property'Address:
48785 LEGACYDR
LEGACY VILLAS HDA
APN:
558423008
Property Zoning:
Application Valuation:..
$95,000.00
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Applicant:
Contractor:
LEGACY VILLAS HOA
EAGLELIFT INC
48800 LEGACY DRIVE
10410 TRADEMARK STREET
LA QUINTA, CA 92253
RANCHO CUCAMONGA, CA 91730
(909)980-6222
Uc. No.: 778157
Detail: SLAB STABILIZATION TO UNITS 193 AND 194 PER ENGINEERED DESIGN. 3016 CODES. SEE PERMIT BRES2017.0200
DESCRIPTION
ACCOUNT
-DESCRIPTION
ACCOUNT QTY
AMOUNT '
HO1JR1'Y CHARGE - YES STRUCTUR'AUPLAN REVIEW ENGINEER
101-0000-42600 1.5
$142.50
Total Paid for BLDG CITY STAFF - PER HOUR:
$142.50
DESCRIPTION
ACCOUNT
QTY .
AMOUNT
0
BSAS SB1473 FEE
101-0000-20306
0
$4.00
$995.40
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$519.24
Total Paid for NEW CONSTRUCTION PERMIT:
$519.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$995.40
Total Paid for NEW CONSTRUCTION PLAN CHECK:
$995.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$12.35
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
$1235
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT F££
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY, ENHANCEMENT FEE:
$5.00