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08-1287 (DSF)'j,P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001287, Applicant: TA i �IGGIU�iI/ , i 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: --`5"6405 RIVIERA APN: 762-022-005"- - - Application description: DEMO - COMML/OTHER Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 0 Architect or Engineer: P (A - 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 ass: B License.No.: 684857 ate: (7 tractor: ER�ECQ{R'A4f9N� 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 (5500).: (_ 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 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 1, 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.l. 1 _ I I am exempt under Sec. 8.&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: LQPERMiT Owner: TOM MCDANIEL 56405 RIVIERA LA QUINTA, CA 92253 Contractor: EDWARDS CONSTRUCTION INC, 51455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (76.0)777-8202 Lic. No.: 684857 VOICE (760)'777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777=7153 Date: 7/29/08 D � D- JUL 3 0 2000 CIN OF LA► QUINTA 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 GRANITE STATE Policy Number WC 555-61-55 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' compensa ' n provisions of Section 3700 f the Labor Code, I shall forthwith com y with those s. 7;� � : plicant: WARNING: FA URE 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 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and here uthorize representatives of this unty t/o�enter upon t e above -m tienedpT6perty-for inspection ate' . -���v ature (App ica e - Application Number . . . . . 08-00001287 Permit . . . DEMO PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee 00 Issue Date . . . . Valuation 0 Expiration Date 1/25/09 Qty Unit Charge Per Extension BASE FEE 45•.00 ----------- Special Notes and Comments DEMO ENTRY GATES & WALL, PORTION OF GARAGE WALL TO RELOCATE GARAGE DOOR. REMOVE CONCRETE,IRRIGATION & LANDSCAPING TO CLEAR SITE FOR CASITA • Fee summary Charged Paid Credited Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00 LQPERMIT z � ° 'o rTl r -n 70 RIVIERA :CONGRES510NAL zcm ! t 1 •,- It •.o ® YTANGLENOOD .t • o o ..a N0M3W ,_ �y av �r PwenuRST JEFFERSON ST. D SIJ ,�dN+mw �FoaQc i > PGA BLVD r,' • I rn Yin,^ f • - <<'D �C� P3A BLVD N rn 41 r r -n rn x •' ; = p •nT + -� Z CP'" '•-' �"�=- 1',`.r ?k`'1 rn < MINS ,. A., •jr y r t Q• . r o 0000 Om . m c o � m C Z Mo O :.E'® G = p mt�D M 11 � nn Ny , xV m y i z c p �m m z Nm 0 m -4 C m00-4 co y S ROBERT A. PITCHFORD arm A CASITA ADDITION FOR: DESIGN AND D R A F;T I N G MR. & MRS. TOM McDANIEL ` 56-405 RIVIERA 77-622 COUNTRY CLUB S T E O ' LA QUINTA, CALIFORNIA ' PALM DESERT, -CALIFORNIA • 760 346 2856 92211 '0 r1�,• ` ' ,' I a r T .. ® ,• �.Rrs1 ' '- mow. .;.... � , r • • - _ cjjY �..O... Ll 0 rn�0 rn.r � .. •° w. I (i CYO" r r-� .24 - .. 4ti , i"� .. .. ,;,�. _iv ` '— • ._r7 --`—n . - —��. �_ +.-�..,:..-J r—, _ - ... ^ ' 'fin - ; C, ` ,. , "w4 ,...' ®� - - .� .•.:. - �. r f713if z C fi + 0�DDo �t—OR r F Orn O< rn pxf�s rn Z Di • s � �1� z 4=l *++ _ `-:�x+�. :_:.-=air=-•_�•,�` r - r; �^� O � L. D�� , . � . o C IT. 2 OI, 2 n m W oEMoLfrioN PIAN w ROBERT A. 'PITCHFORD m �z - r - m 0x `*P. m ' 4 v - co ACASITA/k7D1TIONFOR:' •' DESIGN AND DRAFTING .. -1y MR. & MRS. TOM MCDANIEL r 4 05E•$055 RIVIERA '77-822 COUNTRY CLUB , S T E O I PALM DESERT, CALIFORNIA LA QU/NTA, CALIFORNIA 760 346 2856 e2z� • �.- tr' a .. � .. .. �� ; 34 .e••.,. .. _ :.... _` :" L�'+.a_ y�.,�"+y • �r� �+. ES.y�" > - s. _f f ` .� f—: 'f#r1-�. _ — ik IT •' a r} I :� . rr. _ • � � ysr' ' ^ a c J'Y _A }' '"' rr .. C, r. , r—D/L Q. — �• V er , ��..� � � { 00 'Ir Al t x a m '' z 110 • x -� r• m co /on A enCity of La Quinta, I, Tom McDaniel, authorize Bob Edwards Construction to do work on my behalf. They have my permission to start demolition on my project. Tom McDaniel 56405 Riviera La Quinta, CA 92253 Bin # of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1� Project Address: 5 - yO S v A Owner's Name: A' -R ANI F F' ,T M A. P. Number: d� - O - �V� Address: V -1 - Legal Description: lJn7 i'7" R3 , T —8!j/L4.f. Z -V Contractor: ���V�- S ��%A✓�A► Address: �. J J — City, ST, Zip: Telephone: Project Description: City, ST, Zip:<yU A ;. :<.<}� r :<::.- Telephone: ;' i ;:: �.r: State Lic. # : � g City Lie. #; Z � Z Arch., Engr., Designer:/ 2� L, �' 1 h ticped o2T` D� • _ �C' ��„ �� /9�•��N R `o .�` OF l�4� /�!�'�' Address: 7 7- (� Z z- L 0�� I %' G, City., ST, Zip: PACIk J�es�r►�i' �- < ZZI I •:.: Telephone: %%RZO 2.�v. n:.•... ... •v,v: State Lic. #: c ,.:• 11 .. . Name of Contact Person: R ,�� v1 -L �►Ndr' c�P,,✓ Tao lac. New sA Construction Type: Occ i ann U Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: s #Stories: #Units: Telephone # of Contact Person: 7 _ 2- Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE #! Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. CaUed Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god 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:- 1rd Review, ready for corrections/issue Developer Impatct Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees �� Total Permit Foes