SOTB (07-1364)58588 Madison St
07-1364
P.O. BOX 1504
72-195 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
T -&t 4 4 Q"
07-00001-364. _
58588 MADISON ST
7.64-200-012- - -
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
15000
Architect or Engineer
01
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
wner:
ANDALUSIA GATEHOUSE
58-588 MADISON ST.
1 LA QUINTA, CA 92253
C` 0<11)
. ,y '1
_ /
V
I hereby affirm under penalty of perjury that I a, licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect.
License Cla s: C8 C27 C29 License No.: 656128
r -
t Date: t . ontractor.
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: 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.).
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:
I QPERMIT
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/09/07
k -A --u
MAY 09 2007
FA
---- - - - - ------------ - - - - -- -
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 SEABRIGHT Policy Number BB1070510
_ 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 b ome subject to the workers' compensation laws of California, ,
and agree that, if I should beco a subject to the workers' compensation provisions of Section
700 of the Labor Code, hwith comply with those provisions.
Date: V 0 Applicant:
WARNING: FAILURE TO SECURE WOeENSATION 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 info ation is correct. I agree to comply with all
city and county ordinances and state laws relating to4buildinnstrEution, and hereby authorize representatives
of this county o ente upon the above-mentioned grur oses.
-e Date: 0 ature (Applicant or Agent):
Application Number . . . . . 07-00001364
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
162.00 Plan Check
Fee
105.30
Issue Date . . . .
Valuation
. .
15000
Expiration Date
11/05/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
117.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
75.00 Plan Check
Fee
18.75
Issue Date . . . .
Valuation
. . .
. .0
Expiration Date
11/05/07
Qty Unit Charge
Per
Extension
BASE FEE.
15.00
8.00 7.5000
----------------------------------------------------------------------------
EA ELEC PWR APP >1 TO <=10
60.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
42.00 Plan Check
Fee
10.50
Issue.Date . . . .
Valuation
. . .
. 0
Expiration Date . .
11/05/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 6.0000
EA PLB FIXTURE
24.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
-------------------------------------------------------
Special Notes and Comments
--------------
(4)FOUNTAINS Q ANDALUSIA
GATEHOUSE PER
APPROVED PLANS
----------------------------------------------------------------------------
Other Fees . . . .
. . . . ENERGY REVIEW FEE
10.53
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total
279.00 .00
.00
279.00
Plan Check Total
134.55 .00
.00
134.55
Other Fee Total
10.53 .00
.00
10.53
Grand Total
424.08 .00
.00
424.08
LQPERMIT
'.: #-; s
d City .sof La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico '
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
13VT1
Project Address:' _ 5
`S000 grOwner's
Name:
• A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: L
Telephone:
a -
Address: b 2 Q
Project Description:
City, ST, Zip:
Telephone:- //L Z Z
State Lic. #
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: C
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: z7-5--02-L/.6
Estimated Value of Project: (D .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
or
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan'
2"d 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:-
''d Review, ready for corrections/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
JOdfOs PAWA/ia APP2eU .
r4L P/LoViDS 66 6ejqw, #At
FR IO L ?o Pew mr
wI7PA/ NSv46M!-7741, C
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager
From: Doug Evans, Director -CDD
Permit #: 07-1364
To CDD: Mav 4. 2007
Due Date: May 8, 2007
Status: 1 st 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:
Fountains a-)- Andalusia Gatehouse
Address or General Location: 58-588 Madison St.
Applicant Contact: Jesse (760) 275-0244
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development
\ Department approval.
`❑ ...these BuildingPlans area roved b the Community Development
pp Y Y p
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.
Doug Evans, Director -CDD. Date