Loading...
BSPN2020-000678-495 CALLE TAMPICO Ct a D sepi1u+CR1 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: SPECIAL INSPECTION/ Application Number: BSPN2020-0006 Property Address: 78495 CALLE TAMPICO APN: 770130001 Application Description: ART CELEBRATION / EVENT DATES 3/5/2020-3/8/2020 Property Zoning: Application Valuation: Applicant: D 2A�, SCOPE EVENT LLC POBOX 104 2 6 2020 LA QUINTA, CA 92247 FEBr P C D CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: Contractor: OWNER -BUILDER 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 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 scts 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 c pmpensatlon, 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 she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to onstruct the project. {Sec. 7044. Business and Professions Cade: 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 ontractor(s) licensed pursuant to the Contractors' State License Law. (_) I am exempt under Se P.0 7LC. for this rea on Date:12i�21�wner: z-1=Q CONS N 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/26/2020 Owner: CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: 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: Carr ' Policy Number: f certify that in the performance of the work for which this permit is issued, I shaany person in any manner to become subject to the workers' compensation laws of California, and re that if I should b come subjec o the workers' compensation provisions o Secti n 3 00 of the or Code, I sh I forthwi comply ftl th se provisions. Date: rU Applica WAR NG: F ILURE 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 8f hat t e above information is rrect. I agree to comply with all city and county dlri s d state la relating to ui[ding construction, and hereby authorize rep sentativ f this city t enter upon t e abover✓ menti7_07WAgnature(A rty for inspection pu poses. 11 Date: licant or Date: 2/26/2020 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SCOPE EVENT LLC POBOX 104 LA QUINTA, CA 92247 Detail BSPN2020-0006 78495 CALLE TAMPICO 770130001 ART CELEBRATION / EVENT DATES 3/5/2020-3/8/2020 Owner: CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: Llc. No.: DESCRIPTION ACCOUNT I CITY I AMOUNT SPECIAL INSPECTION 1101-0000-42404 10 $80.50 Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $80.50 OwAra ta PERMIT # S P/J o� O �-- 00 ® _ PLAN LOCATION: Project Addres ` V C C-C--C� �' Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech Applicant Name: YG(��j AA—c— Address: OiC D %A City, ST, Zip: �.C� ©,� i t1�o` C- ` 9 / 'a Telephone: O —+S S.S Email-tig� )5 CC ` GV f— -=, • D Valuation of Project S Contractor Name: New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: Lxz,_ jw cial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000