10-0720 (DSF)i - - 'I" V"� �,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000720
Property Address: 56405 RIVIERA
APN: 762-022-005-
Application
62-022-005 Application description: DEMO - COMML/OTHER
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 0
Applicant: Architect or Engineer:
r /q
------------------
LICENSED CONTRACTOR'S DECLARATION
• "W
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Licen_ se No.: 684857
te: tractor:
ILDER 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 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. , BAP.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
56-405 RIVIERA
LA QUINTA, CA
9225
Contractor:
EDWARDS CONSTRUCTI
51455 DESERT CLUB
LA QUINTA, CA 9225
(760)777-8202
Lic. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/04/10
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
1 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.
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 be ct to the workers' compensati ection
337/700 of the bor shall ' h sions.
te:O pplicant:
WARNING: FAILURE 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 pursuantto 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,Guinta, 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 th ion is correct. I agree to comply with all
city and county ordinances and state law g to building construction, an reby authorize representatives
of this u ty to enter upon above -men roperty for inspection purpo es.
te: 'nature (Applicant or Agent).
LQPERMIT
Application Number . . . 10-00000720
Permit . . . DEMO PERMIT.
Additional desc .
Permit Fee 45.00 Plan Check
Fee-.
00
Issue Date Valuation
. . .
. 0
Expiration Date 1/31/11
Qty Unit Charge Per
Extension
.BASE FEE
45.00
Special Notes and Comments
DEMO OF HARDSCAPE., LANDSCAPE, REMOVAL OF
EXISTING GARAGE DOOR, DEMOLITION &
ABANDONMENT OF ELECTRICAL, MECHANICAL &
PLUMBING WHERE REQUIRED TO PREPARE FOR
REMODEL PERMIT.
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
Bin #
.0ty of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking S,)eet
Permit #
Project Address:iz—
Owner's Name: Z, 70/t?
-DAMEo
A. P. Number: 762- (9
Address: Yo -- A/ V�e--4
Legal Description: L. -F I —tft, 2—q&ol
City, ST, Zip: C4
Contractor: OWW-S COMSF TW(
Telephone:
M`—
Address:
Project Description:
City, ST, Zip:
5C
Telephone:
/A 121 Re-� VA I -,,r— j7X (42,
State Lic. #: 6 -7 City Li,.,'j
�Ij -
Arch., Engr., Designer: (?o
Address:
+ PJ()1',)b,'wQ PJA'VS
City., ST, Zip:
T t/: -I")
Telephone:
State Lic. #:
Name of Contact Person: L Axl4L I-
Construction T . ype: Occapancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: '760 -T
Estimated Value of Project:
740-T71- %O7 APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Req'd
ItWd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' 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:-
Review, ready for correctionslissue
Developer ImEact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
+ t ItTom McDaniel #
j • ` TR:Ranch@gmail'com
{ = (Office) 714=960-4102 t
(Cell) 949=231-2163 �,
TR Ranch`' : ►' _ -
[(Fax) 714-960=4183 r
August 4,,2010--
j
,,2010 j Greg Butler; Manager +
City of La Quints - Building,Dept. '
4•, 78-495 Calle Tampico
La Qu hta, CA 92253 '
-Dear Greg Butler,
This letter is to actino_ w_ ledge that I own the property at 56-405 Riviera, La
Quints in PGA Wesi: I' authorize Bob'Edwards Construction, Inc. to perform
r. ,
;demolition An preparation ifor _ a new .addition%re-orientation of-;garage'_>= +
.� _ - -
• { door/remodel..This demolition will include removal of hardscape,'landscape, -
'stucco drywall and abandonment of electrical and plumbing where required.
` .Thank :you ,in 'advance for your c-
_ onsideration."and approval `of this request r '
and please feel'free to contact me if there are any questions or concerns.;,
r Sincerely
'
Thomas R. McDaniel - T
949-23'1-2163 mobile {
2145th St.; Suite'•201, Huntington Beach, CA 92648
_ ,. r.�7•;al.r.4aa.�ny��-"-.�,rrye.�i%t-A1a+...+-.Ytr+.!a5.w..wrk.,..+ll..sw......•.�..,pe, +' v� H
i
- MAY/20/1008 ITE 1.1;04 AM Mor�*•ch filaria "" 511
, = Management" PAX No. 760. � 1 P 002
'PGA WEST II RBSIDET'TiA.LA:,SSOCIAnoN,WC
42-500 C.A FOLINE COURT, SUITE 16,
1?ALM DESERT, CA_LjFORfi A 92211
PHONE 760 776=5100
) FAY (760) 7765.1 1.
May 14,260'8
Mr. Thomas McDaniel '
' 19601 Mayfield Circle•
Huntington Beich, C,A 92648 ` y
Reference;:: 56-405 Riviera;uinta
Q CA 92253_,
.Arehitectural Request Addition ofCasiia, Cart Garage, Relocate Garage Door P
- Relocate Front Gales
-
avers,
Dear Mz. McDaniel:lie r
Architectural C6bwxnittec and i
Casita Cart Garage, 'end landscape Committee reviewed our
The lens , Relocate Garage Door on Exis Y plans t,
approved .addition of new '
P are approved by the Architectural Committee. �ge' Relocate Front Ga�:s; and Pavers:
The Architectural Committee Teo
uires
• ,adjacent Facing Neighbors Coe. following conditions:
' nunent Form froze 56-385 Riviera;
Once the homeowner installs custom concrete s Prior to work commencing;
mauxtenanoe O• repairs for such mo "- ' unlaces, the Association ha no. ruponsibili
ty
'21 Critezia of the Association dnxcahons: Per thehiteatural Guiclelines,'r; fcreuces page
c Concrete Mi, and 13. Paco Dac
lcing &Patio Exterssions.
Review liv the Comnmittee is'oaly foreQeral conformance with:the Archft
res ons;bility Of the ovrner to. full o
whether or not al defecfle cies are Dbted'dur d and conformi to .the• Arefiite ectatra(Rgufl criteria 1.
field veru ail esLs ` fisc ieview, Itis also the owner's
mal conditions: 'Tlde Coistmittee•s decis'on with re and -to rod ect *o ibill t-
lease're£er to a Atchitectural Rules for aIC r hired sul►mittals. •
will be
-' Please ote:` A'Maintenance A• 'e
soon as itis �. ement wi1I be xegttited; one gill be seat to u
Ppared. yo for propel execution as- .
. Absolutely no a es to
P1au5`are allowed wjthout the written approval of tlic Associatio
u
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