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