06-4412 (CNHK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
A .
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant: /
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
06-00004412;
45245 SEELEY DR POOL 1
604-040-999-2 -31116
NEW COMML - OTHER NON -HOUSEKEEPING
TOURIST COMMERCIAL
6888
Owner: •
CP DEVELOPMENT LA QUINTA
77564 COUNTRY CLUB DRIVE#100
PALM DESERT, CA 92211
Contractor:
Architect or Engineer: LENNAR HOMES OF CALIFORNIA
!�•7Gtw 40004 COOK ST.
l� !! PALM DESERT, CA 92211
(760)601-3100
Lic. No.: 728102
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.: 728102
Date: 11K IU r Contractor:
J 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 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.).
(_) 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 I am exempt under Sec. , B.&P.C. for this reason '
Date: U I Li 110 1 Owner:
C019STRUCTION 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:
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/07
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 OLD REPUBLIC IN Policy Number MWC11495100
I certify that, in the performance of the work for which this permit is issued, 1 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
1L1Y 37 0 of the Labor Code, I shall forthwith comply ith those provisions.
Date: ` Applicant:
F_W
WARNING: FAILURE TO SECURE WO RS' 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 hereby authorize representatives
ofthi o ty o enter upon the above-mentioned pr erty for inspection purposes.
Date:" Signature (Applicant or Agent):
Application Number. . . . 06-00004412'-
------ Structure Information OUT BUILDING #5 - POOL EQUIPT/-SHOWER -----
Other struct info CODE.EDITION 01BMP04EOSEN
FIRE SPRINKLERS YES -
MIXED -USE OCCUPANCY S -1/B
OCCUPANT LOAD 3.00.
1ST FLOOR SQUARE.FOOTAGE '194.00
2ND FLOOR SQUARE FOOTAGE 41.00
Permit . ... BUILDING PERMIT
Additional desc•. OUT BLDG 5
Permit Fee 90.00 Plan Check Fee 58.50
Issue Date . . . Valuation 6888
Expiration Date 9/18/07
Qty Unit Charge Per Extension
-BASE FEE 45.00
5.00 9.0000 THOU BLDG 2,001-25,000 45.00
Permit ELEC-NEW.COMMERCIAL
Additional desc .
Permit Fee 19.70-• Plan Check.Fee 4..93
Issue Date . . Valuation 0
Expiration.Date 9/18/07
Qty Unit Charge. Per Extension
BASE FEE 15.00
235.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .4.70
Permit MECHANICAL
.,•Additional desc
Permit Fee . . . 21.50 Plan Check Fee 5.38
Issue Date Valuation 0
Expiration Date .9/18/07
Qty Unit Charge .Per Extension
BASE FEE 15.00
1.00 6.5000 EA MECH VENT FAN 6.50
----------------------------------------------------------------------------
Permit PLUMBING
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee.. 18.0,0
Issue Date Valuation . . . . 0
Expiration Date 9/18/07
1 .
LQPERMIT -
Ile
Application Number" 06-00004412
'Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15:00
1.00 6.0000.EA PLB FIXTURE
6.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 1.5000 EA PLB WATER HEATER/VENT
7.50
1._00 3.000O'EA PLB WATER INST/ALT/REP
3.00
1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH
7.50
1.00 3.0000 EA' PLB GAS PIPE 1-4 OUTLETS
3.00
1.00 15.0000 EA PLB GAS METER
15.00
Permit. . . . GRADING PERMIT
Additional desc
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0•
Expiration Date ... 9/18/07
" Qty Unit Charge Per
Extension
BASE FEE
15.00"
Special Notes and Comments
OUTBUILDING #5-POOL EQUIPT / SHOWER.
235 SF. S-1 OCCUPANCY, TYPE V-N
CONSTRUCTION, OCCUPANT LOAD = 3. 2001
CBC,CMC,CPC, 2004 CEC, 2005 ENERGY
CODES. **PERMIT DOES NOT INCLUDE
TEMPORARY POWER, BLOCK WALLS, POOLS,
SPA OR SITE LIGHTING.**
----------------------------------------------------------------------------
Other Fees . . . . . . ACCESSIBILITY PLAN REVIEW
5.85
ART IN PUBLIC PLACES-COM
20.00
DIF. CIVIC CENTER - COMM
36.65 "
ENERGY REVIEW FEE
5.85
DIF FIRE PROTECTION-COMM
10.57
STRONG MOTION (SMI) - COM
1.44
DIF STREET MAINT FAC-COMM
24.90
DIF TRANSPORTATION - COMM
618.51
Fee summary Charged Paid Credited'
Due
P6rmit Fee Total 218.20 .00 .00
218.20
Plan Check Total 86.81 .00 .00
86.81
Other Fee Total 723.77 00 .00
723.77
Grand Total 1028.78 .00 ..00
1028.78
41
LQPER-sIIT