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SOTB (05-2994)57325 Madison St Lot E 05-2994 P.O. BOX 1504 78-495 CALLE TAMPICO' LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT /BUILDING PERMIT Application Number. X05=A0002-9,9.4) Property Address: 57325 MADISON ST LOT E 4 APN: 762-240-003-E -300961- Application description: STRUCTURES OTHER THAN BUILDb GS Property Zoning: MEDIUM DENSITY RES Applicationvaluation: 3200 Applicant: Architect or Engine LICENSED CONTRACTOR'S DECLARATION 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 isin full force and effect. License Class: License'No.: ate: j Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Iam 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 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 _ 1 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.). 1 I I am exempt under Sec. B.&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 t VOICE (760) 7.77-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/01/05 Owner: PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 PORTLAND, OR 97224 7 D Contractor: RIPARIAN ENVIRONMENTS WCC: STATE FUND WC: 1769754-2005 .05/01/06 CSLB: 839002 05/31/06 ------------------- 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 Xissue d.. 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 C8 C27 C29 C53 Policy Number" - - - - - - - - - - - - - - - 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' compensation provisions of Section 3700 of the Labor 994e, I.shall forthwith comply with those. provisions. ate: l GJ Applica.-__ .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 1$100,0001. 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, indem6ify 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 permitto 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 build' construction, and hereby authorize representatives of this county to enter upon the above-mentioned property - inspection purposes. ` f p r / e: l 1 ( V J Signature (Applicant or Agent): Application Number . . . . . 05-00002994 Permit . . . BUILDING PERMIT Additional desc " Permit Fee . . . . 19.00 Plan Check Fee 12.35 Issue Date Valuation 700' Expiration Date 4/30/06 Qty" Unit Charge Per Extension BASE FEE 15.00 2.00 2.0000 ---------------------------------------------------------------------------- HND BLDG 501-2,000 4.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date Valuation 2500 Expiration Date 4/30/06 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9::0000 THOU BLDG 2,001-25,000- 9.00 Permit ELEC-MISCELLANEOUS Additional" desc . "Permit Fee . . . . 15.45 Plan Check Fee 3.86 Issue Date Valuation . . . . 0 Expiration"Date 4/30/06 Qty Unit Charge Per" Extension BASE FEE 15.00 1.00 .4500 --------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 ------------------- .45 Permit . . . PLUMBING Additional desc . Permit Fee '18.00 Plan'Check Fee 4.50 Issue'Date . . . . - Valuation . . . . 0 Expiration Date 4/30/06 Qty Unit Charge Per Extension BASE FEE 15.00' 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments WATERFEATURE. 28 L.F. 6' to 8' BLOCK WALL, ORCO SYSTEM & TWO COLUMNS. ------------------------------ - Other Fees . . . . . ------------------------------- . . . . ENERGY REVIEW FEE --------------- 4.75 LQPERMIT Application Number . .. . . . 05-00002994 Fee summary Charged Paid Credited Due Permit Fee Total 106.45 .00 .00 106.45 Plan Check Total 55.81 .00..00 55.81 Other Fee Total 4.75,' .00' .00 4.75 Grand Total 167.01 .00 .00 167,01 LQPERMIT .. `►. Iq Sf r c, c,+ : d ran T_ ue. • Zln liq C 0'bU7.1(D x'/29 C b Total Permit Fees 76Z-a4ro ...oa City. 0 f Qui Permit #P.O. Building &r Safety Division Box 1504, 76-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Project Building Permit Application and Tracking Sheet Address: '2 Testi S A. P. Number: Owner's Namc: .Legal -Description. Address: 2 Contractor: City, ST, Zip: /i2c A d d r e s. s Lo Telephone:. City, ST, Zip: P ' Project Description: Telephone: 3 CIA s State Lic. # : gOe7Z citvn• 'Lic. c. 0: Arch., Engr., Designer:. (z -- Aotier, Address: Q p. citv. sr, zip: . _ Telephone: CF f 2 v Li cU'0nT3Pc:ConsttuStato OccuPancv: • Name of Contact Person: --------------- Pr Je ctt)pe (circle one): N v Add'n Alter Repair Demo Telephone # of Contact Person: ] r 7 ' s Sq. Fl.: # Stories: #Units:, Estimated Value of Project: J J dC> # Submittal APPLICANT: DO 'NOT WRITE BELOW THIS LINE fi-Pi H Re9'd Recd TRACKING' a 1 Y Plan Sets Plan Check submitted PERMIT FEES Z Structural Cates. Reviewed, ready for q Item Amount . . Truss Calcs. corrections 3 Plan Check Deposit Title Called Contact Person /3 Plan Check Balance 24 talcs... Floodplain -plan Plans picked'up Construction 5 6 Plans resubmitted Grading plan 2" )'Review, Mechanical Subcontactor List read), for corrections/issue Flectrical Called Contact Person • Grant Deed Plumbing v Plans picked up II.O.A. A pp oval — S.M.I. Plans. resubmitted IN 110USE:_ Grading Planning Approval Review ' eady for corrections/issue Developer Impact Fee Called Contact Person I'ub. \ 'I . Appr A.LP.P. Date of perniibissuc School Fees `►. Iq Sf r c, c,+ : d ran T_ ue. • Zln liq C 0'bU7.1(D x'/29 C b Total Permit Fees PRECAST SCUPPERS PRECAST' MEDALLION 23'-6" 21-6 " 9'-011 a, 0'-9" O DECORATIVE TILE ROYAL BLUE DECORATIVE TILE BLUE MARINE 2'-0" WHITE PRECAST ALL CAP WHITE,STUCCO ON WALKS-.& PILASTERS U'E RTA U L' Qo 0 0 0 B FRONT ELEVATION - BACK ELEVATION WHITE PRECAST BLOCK WALL. WHITE PRECAST PILASTER CAP 20" HIGH.. COPPERS y WATER PROIF M. -' WATER LINE .. AT 14" , Oo O 01 EQUIPMENT SPECIFICATIONS (1)FILTER 20 (1) 2HP PUMP (5) UNDERWATER LIGHTS 100 WATTS EACH Y PVC SCHEDULED 40 PLUMBING PIPE _ . uNDERwATER =1111=1111=1111=1111=1111=1111=1111 ., ' _co N LIGHTS IIII,-1111-1111-1111-1111-1111-11 ~-IIII-IIII-IIII-IIII-IIII-IIII=IIII20"BLOCKWALL E 20"BLOCKWALL WATER PROF - ' •. =IIII=IIII=IIII-1111-IIII-IIIIII ' 'WATER PROF. COLUMN (SEE ORCOPLAN BASIN WITH TORO SEAL .. $2, y N = IIII IIII -IIII -IIII - 1111 - 1111 -IIII FOR DETAILS) ' .' io„+• ;' , ` ;` WHITE PRECAST SIDE ELEVATION ` SECTION WALL CAP TOP ELEVATION g F CITY OF LA QUINTA 6 BUILDING & SAFETY DEPT.. - APPROVED FOR CONSTRUCTION 5 )A -.