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07-0415 (RPL) s fllllllllllllllllllllN 48 iq • P.O. BOX 1504 —-- INT _ � 4VOICE(760)777-7012 78-495 CALLE TAMPICO s FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 3/29/07 .. Application.Number: 0-7-00000415 Owner: Property Address: 81165 AVENUE 54 MCCOMIC GRIFFIN LLC APN: 767-320-999- - - 7979 IVANHOE AVE #550 tr Application description: POOL - RESIDENTIAL LA JOLLA, 'CA 92.037 Property Zoning: LOW DENSITY 'RESIDENTIAL Application valuation: 15000 Contractor: Applicant: Architect or Engineer: TESERRA • P.O. Box 1280 MAR 3 02001 COACHELLA, CA 92236 (760)398-9222 Lic. No. : .656128 WY OF WA PINTA -- y-- - - --------------- - ---- ------------- - ------ - ------------------------------- LICENS D CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury ha am I can under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the Busin s and P 'fession I Code,and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided License Class: C8. C27 C29 Li nse No.: 656128 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Dat Contractor: _I have and will maintain workers'co pensation insurance,as required by Section 3700 of the Labor Code,for the performance of they ork for which this permit is issued. My workers'compensation ISection ER-BUILDER DECLARATION insurance carrier and policy numb r are: I hereby affirm under penalty of perjury tempt from the Contractor's.State License Law for the Carrier SEABRIGHT P licy Number BB10.70510 .V following reason(Sec.703.1.5,Business ions Code: Any city or county that requires a permit to _ I certify that,in the performance of rk for which this permit is issued,I shall not employ any construct,alter,improve;demolish,or ret cture,prior to its issuance,also requires the applicant for the person in any manner so as t ' me s bject to the workers'compensation laws of Calif ornia,• x— permit to file a signed statement that he c nsed pursuant to the provisions of the Contractor's State and agree that,if I should come bject to the workers'compensation provisions of Section License Law(Chapter 9(commencing wi7 00)of Division 3 of the Business and Professions Code)or 3700 of the Labor Code, ha fo hwith omply with those provisions. that he or she is exempt therefrom and trt @@alleged exemption. Any violation of Section 7031.5 by 1 any applicant for a permit subjects the applicant to a ciJiI penalty of not more than five hundred dollars($500).: D e: Applicant: (_1 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 WAR INGIFILURE TO SECURE WO KE 'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of propertywhobuilds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL NALT S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN.ADDITION TO THE C ST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST AND ATTORNEY'S FEES. - 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.). APP[CANT ACKNOWLEDGEMENT (_) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the irector of Building and Safety for a permit subject to the 7044,Business and Professions Code: The Contractors'State License Law'does not apply to.an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for pursuant to the Contractors State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_1 I am exempt under Sec. ,B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall d end,indemnify and hold harmless the City of La Quinta,its officers,agents and employees for any It or omission related to the work being performed under or following issuance of this permit. Date: Owner: 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 pe- i ces ion of work for 180.days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that th ove info r ation is orrect. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). 'city and county ordinan as and state laws relating to buildi onstr ion,and ereby authorize representatives Lender's Name: of this county o enter —n the above-mentioned property or i t n pur S. Lender's Address: Datee( : i t Applicant or Agent): LQPERA11T - . Application Number . . . . 07-00000415 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation 15000 Expiration Date 9/25/07 Qty Unit Charge ', Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,.001-25,000 117.00 -------------------------- ------------------------------------------------- Permit ELEC POOL PERMIT-RES Additional desc . Permit Fee . . . . 15.00 Plan Check Fee 3.75 Issue Date Valuation 0 Expiration Date 9/25/07 Qty Unit Charge Per Extension ' BASE FEE 15.00 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . Permit Fee . . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation 0 Expiration Date 9/25/07 Qty Unit Charge Per Extension - BASE FEE 15.00 ti 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ----------------------------------------------------------- ------------------- Special Notes and Comments . MAIN ENTRY WATER FEATURE.March 29, .2007 9:19:06 AM JJOHNSON Fee summary Charged ' Paid. Credited Due - ---------------- ---------- ---------- ------- -- -------- -- Permit Fee Total 207.00 .00 .00 207.00 .Plan Check Total 116:55 .00 .00 116.55 Grand Total 323 :55 .00 .00 323.55 LQPERAM . 111111 City of. La Quinta • . Building 81 Safety Division Per"mit# P.O. Box 1504, 78-495 Calle Tampico �7 �� La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address (('o �' � Owner's Name: (�R_` r,� �rJ Z•-'�.�J C A.P.Number: Address: I_14, 5— T-- Legal Description: City,ST,Zip: L-A Civ a�e✓�e— Contractor: �5� lZZ i� Telephone: - `• Address: L2 �j Project Description: City, ST,Zip:4f_0lt:,G �l lJ� Cly. CjZZ3 !p G Telephone: moo( g- /ZZ Z State Lic.# 576 City Lic.#: Arch.,Engr.,Designer: Address: City,ST,Zip: Telephone: Construction Type: Occupancy: State Lic.#: Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: �� Sq.Ft.: #Stories: #Units: Telephone#of Contact Person: oZ Z s Estimated Value of Project: n k r- Q�CD W APPLICANT: DO NOT WRITE BELOW THIS LINE 11 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Calcs. Reviewed,ready or corrections Plan Check Deposit Truss Calcs. Called Contact Pers, Z Plan Check Balance Energy Cales. Plans picked up n Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2°"Review,ready or corrections/ su .7(•tG d Electrical Subcontactor List Called Contact Pers Plumbing Grant Deed Plans picked up S.M.I. /3 A.O.A.Approval Plans resubmitted Z p Grading IN HOUSE:- Review,ready for correctio issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees Q fC 214-107 Cov APPROUEP a ro 0 La P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 945 78-495 CALLS TAMPICO (760) 777-7012 OF LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: February 07, 2007 From: Doug Evans, Director-CDD Due Date: February 13, 2007 Permit #: 07-415 .Status: 1St Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: Main Entry Gate Water Feature Address or General Location: 81-165 Avenue 54tH Applicant Contact: Nacho (760)250-4425 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. 2 � lq —d- Do.ug-Evans, Director-CDD Date