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05-0143 (RC)cedy BUILDING & SAFETY DEPARTMENT P.O..Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . .05-00000143 Date 1/19/05 Property Address . . . . . . 78982 HIGHWAY 111' APN: 643-080-047-9 -000000- Application description REMODEL - COMMERCIA Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation 1500 W 0 21005 Owner Contractor ------------------------ .------------ �1�tllNTA ONE ELEVEN LA QUINTA CONSOLIDATED ,O• .INC.. C/O SABBY JONATHAN 46753 ADAMS STREET 42620 CAROLINE CT STE 102. LA QUINTA CA 92253 PALM DESERT CA 92211 (760) 324-5488 WCC: STATE FUND WC: J 1770749-2005 01/01/06 CSLB: 824183 - 09/30/05 CCC: B -C8 Other struct info . . --------------- . . . CODE EDITION ----------------------------------------------- 20014,' -------------- Permit BUILDING PERMIT , Additional desc Permit. Fee . . . . 35.00 -Plan Check Fee 22.75 Issue Date . . . . Valuation 1500 Qty Unit Charge Per _ Extension BASE FEE 15.00 10.00 2.0000 HND BLDG 501-2,000 20.00 7 ---------------------------------------------------------------------- Permit ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 16.50 Plan Check Fee 4.13 Issue Date Valuation . . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2:00 .7500 -------------------------- - --------------------------------------------------------------=---------- EA ELEC POLE LIGHT 1.50 7 -------------------------------------- Special Special Notes and.Comments ---------- TWO"PARKING LOT LIGHT POLES Fee summary Charged Paid Credited Due Permit Fee Total 51-50 .00 .00 51.50 Plan Check Total 26.88 .00 .00 26.88 Grand Total 78.38 .00 .00 78.38 P.O. Box 1504 78-495 CALLE TAMPICO�� VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 4 44FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: I• I Date: 2- 2 OJ App (cant. C l Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: MUILUING rtKMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chap err 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my LiceCL is in I fo and effect. r License Class _License No. Contractor '�r�/-� Date � 6a4a4zqW � , lh�l., OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 maintai workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is p rt o peppVon insurance carrier andp Carrier - Policy Number (��CJ�G/• certi y that, in the pe ormance of the work for which this pernit is i su 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 Code, I shall forthwith comply with those provisions. Date Applicant WARNI GYFILURE TO SECURE WORKERS' COMPENSATION COVE GEIS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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 Ouinta, 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this coun enter upon ove-me ed property for inspection purposes. Date -!/ Signature (Applicant or Agent): R F STRUCTURAL CONSULTANTS, INC. 75-153 MERLE DRIVE,'STE. B, PALM DESERT, CA 92211 PHONE (760) 836-1000 FAX (760) 836-0856 E-MAIL R. FRANGIE@VERIZON:NET December 22, 2004 Consolidated Contracting, Inc. 46-753 Adams Street -..-La Quinta, CA. 92253 Tel. (760) 771-3345 Fax (760) 771-4431 Attn.: Mr. Dave Smoley Re.: Retail Shop, Parking lot lights 78-982 highway 111 La Quinta, Ca..92253 Job no.: 4110 Subject: Parking lights footings OFr- /CE C.a/'Y CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT 1 -If -06' a 7.00 I GAS G Dear Mr. Dave Not E: ,QEF ,•,9" 4 fvn. In regard of the above mentioned project, and as per our phone conversation on December 3, 2004, we submit the following: Follow the attached. detail "A" for the flag pole footing at the parking lights.. Verify the above information with the building department prior- to -construction: If 'you have any questions please do not hesitate to contact our office. Zeyad 'Fagih P.E. QROFESS/ply M. Fq� �F2 attachment (3) CI, No.57958 rn Exp. 06-30-0 �o s'T c/m. �P 9TFCF CAL1F�� To specify your title block on Titie : Job # r these five tines, use the SETTINGS - Dsgnre Date: 10:15AM; 22 DEC 04 Elescnphord. main menu selection, choose the S. Printing & Title Block tab, and ent Scope. your title bCock information. Rev, 550100 User:.K1N•0604868..Ver5.5.0.25Sep•2001 Pole Embedment in Soil Page 1 (c} S832001.ENERCFLC Engineering Software Description LIGHT POLE FOOTING General Information Allow Passive 250.00 pcf Applied Loads... Max Passive 1,500.00 psf Point Load 500.00 lbs Load duration factor 1.330 distance from base 16:000 ft Pole is Circular Diameter 24.000 in Distributed Load 17.36 #/ft No Surface. Restraint distance .to top 16.000 ft distance to bottom 0.000 ft :.Summary, _ Moments..@ Surface. Point load 8,000.00 ft-# Total Moment 10,222.08 ft-# -Distributed load 2,222:08 Total Lateral_ 777.76 lbs Without Surface Restraint... Required Depth 5.431 ft Press @ 1/3 Embed... Actual 609.58 psf Allowable 601.90 psf LAY 2QWL�—:�- �\Ilv -*/4o 07 z D d M WS .2A° m® �: mz fn -1 � mz MIN. rn �� m I mm Ne z pg 37U mD -� 7oUJn m=4 ��rn a z p� -0 p. H "rnN?' , v D1.r N� mlo Z�3 Oro zwm 79 ® -ucn H. � IU) z m —tA AQ H C N = D zn -- I i Inns •nu vu.1 01TAIWJIInt) AITIAOUC LIN bCtni nui nnn?-4j-,)an