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08-1943 (SOTB) X� I IIIIIII VIII III VIII IIII 30 1 4 IE J VOICE(760 777-7012 P.O. BOX 50 -- ) 78-495 CALLE TAMPICO FAX(760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/21/09 Application Number: 08-00001943 Owner: Property Address: 80875 AVENUE 60 R.T. HUGHES APN: 766-110-016- - - 78900 AVENUE 47, STE. 200 Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL f Application valuation: 7280 Contractor: l fir C( ) Applicant: Architect or Engineer: DANTOR MARTINEZ CONSTRUCTIO Z- C) 11! 81057 AVENIDA ROMERO INDIO, CA 92201 ^' (760)702-6209 Lic. NO 926128 - -- ---- --- - ---- -- ----- - -- - - ------ - =-- - - --- --------- -------- ------ - - ---- -- - - --------- - - - - ----- - - - - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the Business and Professionals 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: B In License No.: 926128 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is { issued. Bate:1L—u'D ntracm _ 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 workerscompensation OWNS BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjuryth t I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason ISec.7031.5,Business and Professions Code: Any city or county that requires a permit to I certify that,in the performance of the work for which this permit is issued,I shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor o ,I shall forth tithrovisions. 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).: ate: L Z_ I'-0 plicant ( 1 I,as owner of the property,or my employees with wages as their sale compensation,will do the work,and 00 the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKE S'COMPENSATION COVER E IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 COST 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.). APPLICANT ACKNOWLEDGEMENT 1_1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director 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, I—) I am exempt under Sec. B.&P.C.for this reason 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. 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 permit,or cessation 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 the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city a+id cuunty ordinances and state laws relating to building construct; n,and 1 reby author; representatives / of this county to enter u'on the above-mentioned prop for inspecti purpos . Lender's Name: `�1/ Si ature(Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . . 08-00001943 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 99.00 Plan Check Fee 64.35 Issue Date . . . . 12/11/08 Valuation 7280 Expiration Date 6/09/09 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25, 000 54.00 ---------------------------------------------------------------------------- Permit . . . .ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 37.25 Plan Check Fee 9.31 Issue Date . . . . 12/11/08 Valuation 0 Expiration Date 6/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 3 .75 1.00 18.5000 EA ELEC SVC r=600V/<=200A 18.50 ------------------------------7--------------------------------------------- Special Notes" and Comments SUBTERRANEAN VAULT STRUCTURE FOR THE MALAGA ESTATES ENTRY LAKE EQUIPMENT [ENGINEERED] THIS PERMIT DOES NOT INCLUDE THE LAKE LINING OR OTHER LAKE SYSTEMS. APPROVED BY AO FOR JLJ. December 10,, 2008 12:51:52 PM AORTEGA 12/21/2009 JAMES A. SHIRLEY REMOVED AS CONTRACTOR OF RECORD. FINAL INSPECTION REQUIRED -----------------------------------------------------------------------"----- Other Fees . . . . . . . . . CHANGE OF CONTRACTOR 4.50 STRONG MOTION. (SMI) - COM 1.52 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- Permit Fee Total 136.25 136.25 .00 .00 Plan Check Total 73.66 73.66 .00 .00 Other Fee Total 6.02 1.52 .00 4.50 Grand Total 215.93 211.43 .00 4.50 LQPERMIT A;7 JAMES A. SMRLEY CONSTRUCTION INC: _ General Engineering Contractor Ca.Lie.#710357 )` 59160 Mesa Drive,Yucca Valley,Ca 92284-1373 (760)228-0447 Fax(760)228-0129 December 21,2009 To: City of La Quinta Attn: Phillip Re: Malaga Estates Entry Lake Equipment Permit# 081943 Phillip, Our name was listed incorrectly on the above mentioned project. We were the underground utility company on this project only. Please remove our name off the permit as this was done in error. Thank You, Vmes C. Copeland,O ce Manager A. Shirley Construction, Inc. Z0/10 3Jdd 1SN00 A3-1dIHS d r 6ZZ08ZZ09LT Z0:5T 600Z/ZZ/ZZ 2009-12-21 15:13 Gem Realty 760 771 8891 >> P 1/2 T. HUGHES CO. , LLC DATE, December 21, 2009 TO: Philip--City sof La QutnIA Bulking:Deprt (760)777-7000 (Ply) (760)777-7112 (Fax) FR,OW Alicia Gregory an behalf of bandy Hughes (760) 771-8890 (Ph) (780)771-8891 (Fac) RE: Malaga Estates Philip Per your conversation with Yvette at James A Shirley Con$trucbotid please tame the attached letter as confirmation of the request to change.the name of the contractor ars building perm it #D8-1043. Thank you, Alicia Gregory P.0, Box 1992 La Quints,CaMbrnis =47 7W 779-8890 Fex.760 771-e8B1 2009-12-21 15:14 Gem Realty 760 771 8891 >> R 2/2 o To HUGHES Co., TLC December 21, 2009 Philip City of La Quinta Building Depar ent 78-495 Calle Tampico La Qui nta, CA 92253 760.777Y7112 (Fax) RE: Building Permit#08-1843—Subterranean fault Structure Malaga Estates Entry.Lake Eq'uipmert To Whom It May Concern. — Please use this letter as a request to change the named contractor, James A. Shirley Construction, Inc., to Dantor Martinez Construction on the above named building parmit. Thank you for your time and cooperation..in making the appropriate change. Please feel free to contact our office for any additional informadon, Sincerely; Randall T. 46es-- Aire President R,T. Hughes Co, LLC P.0; Box 1 E112-La Quints,Ch 92247-Tele".a(ip)771-SOW•Fex(750)771-8891 �� IIIIIIIIIIIIIIIIIIIIIIIII 28 • P.O. BOX 1504 4 VOICE(760)777-7012 78-495 CALLE TAMPICO FAX(760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/11/08 Application Number: 08-00001943 Owner: Property Address: 80875 AVENUE 60 R.T. HUGHES APN: 766-110-016- - - 78900 AVENUE 47, STE. 200 Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7280 D Q Contractor: Applicant: Architect or Engineer: SHIRLEY CONSTR INC. , JAM DEC 1 ZU�B 59160 MESA DRIVE YUCCA VALLEY, CA 92284 (760)228-0447 CFN NG qrA \ l Lic. No. : 710357 E�EPT ------ -------- - - ----- -- ------ --------- -- ----- - - ----------------- - - - - ----------- ------- -- --------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed 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 Business and Professionals 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: A License No.: 710357 for by Section 3700 of the Labnr Cnde,fnr the performance of the work for which this permit is issued. Date: Contractor: _ 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier C IF. INSUR I Policy Number 4600065450104 following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to I certify that,in the performance of the work for which this permit is issued,I shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to th orkers'compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the orkers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor C ,I shall forthwith com with those provisions. ' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r�""" ��` any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date:) ��^+ pl�cant: ( ) 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 WARNING:-FAILURE TO SECURE WORKERS'COMRdSATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 COST 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.). APPLICANT ACKNOWLEDGEMENT ( 1 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director 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, (_I I am exempt under Sec. ,B.&P.C.for this reason 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. ner: 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 CONSTRUCT LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a cons coon lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I gr to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby orize�epresentatives of this c my to enter pon the above-mentioned property in tion p r ses. Lender's Name: ate: l� ure(Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . . 08-00001943 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 99.00 Plan Check Fee 64.35 Issue Date . . . . Valuation 7280 Expiration Date 6/08/09 Qty Unit Charge Per Extension5 BASE FEE 4 .00 6.00 9.0000 THOU BLDG 2,001-25, 000 54.00 ----------------------------------------------------=----------------------- Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee 37.25 Plan Check Fee 9.31 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/08/09 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 -.7500 PER ELEC DEVICE/FIXTURE 1ST 20 3 .75 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ----------------------------------------------------------------------- ----- Special Notes and Comments SUBTERRANEAN VAULT STRUCTURE FOR THE MALAGA ESTATES ENTRY LAKE EQUIPMENT (ENGINEERED] THIS PERMIT DOES NOT INCLUDE THE LAKE LINING OR OTHER LAKE SYSTEMS. APPROVED BY AO FOR JLJ. December 10, 2008 12 :51:52 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . STRONG MOTION (SMI) - COM 1.52. Fee summary Charged Paid Credited Due ---- ---------- ---------- ---------- Permit Fee Total 136.25 .00 .00 136.25 Plan Check Total 73.66 .00 .00 73.66 Other Fee Total 1.52 .00 .00 1.52 Grand Total 211.43 .00 .00 211.43 LQPERMIT - .