SOTB (07-2938)P:O. BOX 1504' VOICE (760) 777-7012'
t 44
78,495 CALLS TAMPICO _• FAX (760) 777-7011
ti,''LA�QUINTA',ICALIFORNIA 92253 `BUILDING &SAFETY DEPARTMENT INSPECTIONS.(760) 777-7.153. .
E - • ' , *.ti BUILDING PERMIT
'Date: 11/13/07 ,
t ' Application Number: 07-00002938" Owner: • i * ` * c' ,
Property Address 61770"MESA=CT ' SHEA LA •QUINTA
APIC: 764-280-999-64 -300237 = `.•"r • C/O JEFF MCQUEEN 6� `
r, Application description: 'STRUCTURES OTHER THAN- BUILDINGS 8800 N GAINEY CENTER 350 t~
Property Zoning: MEDIUM HIGH.DENSITY RES }•. SCOTTSDALE,,'AZ 85258
Application valuation: - _ 500
+,, ~i. Contractor. r - •'. /if I _ e r ••.
Applicant: Architect or Engineer , TESERRA �: i �� L`l�_ • . O vT i.
P.O. BOX 1280 �,r} P 4
COACHELLA;' CA92236.
(760)398-9222 C'!Y
-I ic., No. 656128. OR .1
------------------------- -----------------
- - - - ____ --- _--- r,-- -- ___
LICENSE coNTRACTOR'S DECLARATION • � ! + `WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that ) am " u sed under provisions of Chapter 9 (commencing with , - r t+', I hereby affirm under penalty of perjury one of thefollowingdeclarations: '' r- , •� '
Section 7000) of Division 3 of the Business and Prof sionals 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.ci ss: 8 C27 C29 656128. " for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
L_^�,. issued.
Date: /0T Contract r' ? • • _ 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
UILDER DECLARATION - insurance carrier and policy number are: '
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEABRIGHT • Policy Number BB1070510 - t
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to ' _ 1 certify that, in the performance of t e 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 be ome subject t0 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 . .. K and agree that, if I should becom 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 _ 700 of the Labor_C e, hall f rthwith comply with those provisions. -_ y
-- Vthat heorshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031-.5 by �L�"�� • `r ` .
�. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) Date: ,'-Applicant:
_ (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and • a - '�`---
• the structure is not intended or offered for said (Sec. 7044, Business and Professions Code: - The WARNING: FAILURE TO SECURE WO ENSATION 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 _ a r
improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT .
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 i ' 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 ` 1 I a_ m 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 "
' f performed under or following issuance of this permit. -
Date: - Owner: , 2. Any permit issued as a result of this application becomes n I ad
ativoid if work is not commenced .
y . within 180 days from -date of issuance of such permit, or cesson 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 a info mation is correct. 1 agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). •• city and county ordinances and state laws relating to b ' ing c nstr tion, and hereby authorize representatives
• .� `• - - of this cou y to/mer upon the above-mentioned pro rty for spe ion purposes.
• Lender's Name:
Clam- 'L . d tignature (Applicant or Agent .
Lender's Address:
LQPERMIT
Application Number .
_ . . . 07-00002938
Permit . . .
BUILDING PERMIT'
Additional desc .
Permit Fee-
15.00.
Plan Check
Fee
9.75
Issue Date
Valuation
. . .
500
- Expiration.Date
5/11/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00 ;
Permit
PLUMBING
Additional desc.
Permit Fee . .
18.00
Plan Check
Fee
4.50
Issue Date
Valuation
0
Expiration Date ".
5/11/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE
174 OUTLETS
3.00.
-------------------------------- 7 ---------------------------
-------------------------------------------------------------Special Notes and Comments
Sp
---------
FIREPIT PER APPROVED
PLAN
Fee summary Charged
Paid
Credited
Due
Permit Fee Total
33.00
.00
.00
33.00
Plan'Check Total •
14.25
.00
.00
14.25
Grand Total
47.25
.00
.00
47.25
N
LQPERMIT
r .. G�S SHUTOFF
GASTINES. SHALL BE LED
VALVE
TED GRAVEL
LOCAN
LOCA
.INSTA
PER CPC FOR DEPTH,
COURSE- COVERAGE, AND PLACEMENT.
36" GAS LOG
SAND WATER PROOF
OF. UNIT LIGHTER
.
MEMBRANE
(TYP.}
STONE CAP
3-I/2
#4 TIE STEL'.
.�:
#4 BAR;VERT. AT. 32" O.C.
a 8x8x8. CMUi; SOLID GROUT
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METAL GAS RISER
GRAVEL SUMP
2" DRAIN OR PROVIDE 1211 DIAM.
3 CU. FT.CRUSHED
OPENING IN FOOTING
' ROCK
n OUTDOOR
FIRE RING- STONE CAP
SaUA E
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
In
APPROVED '�
FOR CONSTRUCTION
con?
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Wco Of ry CO
Bin #
�. City of 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 #
Project Address: 61,- ,?-Q Ma� GI
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:'r
Telephone:z
Address: 0 R6X�lz 0 -
Project Description:
City, ST, Zip: HL L L CA, 17- Z -
Telephoner T� / L. �: r?3�.H
City Lic. #:
State Lic. # : S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: ter`
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: - tSL;n5e
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for correctionstissue
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