13-0621 (SOTB)ce
VOICE 7 777-7012
78-49B5O E ALLTAMPICO 4 -' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
13-00000621
Property Address:
81333 PEARY PL
APN:
767-680-020-58 -330761-
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7500
Applicant: Architect or Engineer:
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: B License No.: 660454
Dater Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Bu ess 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 1$500).:
1 _ 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
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 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:
LQPERI%I IT
Owner:
100 EAST CALIFORNIA AVENUE LLC
301 W HUNTINGTON DR 107
ARCADIA, CA 91007
Contractor:
M S ELITE GENERAL CONSTRUCTIO
2040 CUMMINGS DRIVE D
LOS ANGELES, CA 90027
(323)873-3800
Lic. No.: 660454
Date: 5/16/13
D O
MAY 16 2013
--------------------------- I C17YANCEDEPT.
FINANCE DEPT.
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 STATE FUND Policy Number 1336291
_ 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 LaborCode, all forthwith comply with those provisions.
Date: " Applicant:
WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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
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 inf mation is correct: I agree to comply with all
city and county ordinances and state laws relating to building struction; and hereby authorize representatives
of this countyto enter upon the above-mentioned property r inspection purposes.
our
Date: Vt4 0 Signature (Applicant or Agent):
Application Number .
. . . . 13-00000621
Permit . . . . . .
BLDG POOL PERMIT
Additional desc
Permit Fee . . . .
72.00 Plan Check Fee
46.80
Issue Date . . . .
Valuation . . .
. 5000
Expiration Date
11/12/13
Qty Unit Charge
Per
Extension
BASE FEE
45.00
3.00 9.0000
--------------------------------------------------------
THOU BLDG 2,001-25,000
I ---------------------
27.00
Permit . . . . . .
ELEC POOL PERMIT -RES
Additional desc
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/12/13
Qty Uftit Charge
Per
Extension
BASE FEE
15.00
.1.00 30.0000
--------------------------
EA ELEC PRIVATE SWIMMING POOL
------------- 7 -----------------------------------
30.00
Permit . . . . . .
PLUMBING
Additional desc.. .
Permit Fee.
39.00 Plan Check Fee
9.75
Issue Date
Valuation . . .
. 0.
Expiration Date
11/12/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
2.00 3.0000
EA PLB WATER INST/ALT/REP
6.00
2.00 3.0000
----------------------------------------------------------------------------
EA PLB GAS PIPE 1-4 OUTLETS
6.00
Permit . . . . . .
WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . .
54.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 2500
Expiration Date
11/12/13
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 9.0000
THOU BLDG 2,001-25,000
9.00
--------------- 7 ------------------------------------------------------------
Special Notes and Comments
TWO (2) ENTRY COURT WATER FEATURES, FIRE
LOPERMIT
Application Number 13-00000621
Special Notes and Comments
PIT AT ENTRY COURT, FIRE WALL AT REAR
YARD AND 10OLF OF 6' HIGH BLOCK WALL
(ORCO SPECIFICATIONS] THIS PERMIT DOES
NOT INCLUDE OUTDOOR FIREPLACE. 2010
CALIFORNIA BUILDING CODES.
May 16, 2013 2:58:16 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS
ADMIN (SB1473)
1.00
Fee summary Charged Paid
-------------------------------------
Credited
----------=---------
Due
Permit Fee Total 210.00
.00
.00
210.00
Plan Check Total 67.80
.00
.00
67.80
Other Fee Total 1.00
.00
.00
1.00
Grand Total 278.80
.00
.00
278.80
LQPERAUT
Bin #
Qty of La QUinta
BidUng a Safety Division
Permit #
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -'(760) 777-7012
Building Permit -Application and Tracking Sheet
Projax Add[css:
Owner's Name:.
J
A_ P. Number..,
Address:
Legal Description:
City, ST, Zip. —1
Contractor. — i
U, n , ( Ia�A Telephone: '
Address: [,t �AAIAX4'
Project Description;
City, ST, zip: n Ei'O
Telephone: — ,�
(� /
l (`i
State Lic. #:
City Lir #; ± J, y
Arch., Engr., Designer:
'
Address:
City; ST, Zip:
Telephone:
Construction Type:. Occupancy:
State Lie. #:
Pro'ect
_ ) typec (irde otu): New Add'a Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stories: # Units
Telephone # of Contact Person:
Estimated Value of Project: 5`i
APPLICANT: DO NOT WRITE BELOW THM UNE
M
Submittal
Req'd
'Reed TRACMG PERMIT FEES
Plan sets
Pian Chert submitted Item Amount
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit. .
Tress Cala.
Called Contact Pmoa .�. /p Plan Check Balance _
Title 24 Cales.
Plans picked rap be2"' YU Construction •
flood plain plan
Plans resubmitted Mecharilcal
Grading plan
2" Revlcw, ready t rrectio rssue Electrical
Subcontactor List
Called Con ct erson Plumbing llp
Grant Deed
Plans picked up &bLL
H.O.A. Approval
Plans resubmitted Grading
DY HOUSE:-
Review, ready for eorrectlouslissue Devdoper Impact Fee
Planning Approval
Called Contact Person AXP.P'.
Pub. Wks. Appr
Date of permit issue
SCA061 Fees
Total Permit Fees
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