07-1471 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00001471
79255 HIGHWAY 111 STE
649-030-999-8 -30420
WALL/FENCE
REGIONAL COMMERCIAL
513
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S.DECLARATION
I 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 is in full force and effect.
License Clss:' B License o.: 690043
�t � Contractor.
• 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 _ 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 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. , BAP.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
Owner:
STAMKO DEV CO
C/O PROVIDENT FINANCIA
10345 W OLYMPIC. 2
LOS ANGELES, CAI
Contractor: �j
KNEISLEY-COCITA C NS
525 N. ANDREASEN RI
ESCONDIDO, CA 920 9
(760)735-6446
Lic. No.: 690043
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/15/07
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 STATE FUND Policy Number 7560000021
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 suble t to the worker compensation provisions of Section
700 of the Labor Code, I shall forth comp) with se provisions.
Date: �1S Applicant:
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$100,000). 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 1 have read this application and state that the above information is correct. I ag a -to comply with all
city and county ordinances and state laws relating to building constructioviptl hereby auth ze representatives
of this.co ntyp enter u on the above-mentioned property for i echo pull
IA�
D/ Is. t Signature (Applicant or Agent): ,
Application Number . . . . . 07-00001471.
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . • 17.00 Plan Check
Fee-
.00
Issue Date Valuation
. . .
. 513
Expiration Date 12/12/07
Qty. Unit Charge Per
Extension
BASE FEE
15.00
1.00 2.0000 HND BLDG 501-2,000
2.00
- ----------------------------------------------------------------------------
Special Notes and Comments
67 LF WROUGHT IRON FENCE 4.5 FEET HIGH.
----------------------------------------------------------------------------
Other Fees' STRONG MOTION (SMI)
- COM
.50
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 17.00' .00
.00
17.00
Plan Check Total .00 .00
.00
.00
Other Fee Total .50 .00
.00
.50
Grand Total 17.50 .00
.00
17.50
LQPERMIT _ -
\ ' \
'Y of ta Quinta
4ilding u Safety Division
P.O. Box, '504, 78-495 Calle Tamoico
La Quinta,U 92253 - (760) 777-7012
Building'Permit Xpplication and Tracking Sheet
Permitfl
Project Address:'
wri&s Name:
Legal Description:.
Pity, ST, Zip:
Contractor: Coc"A-A
Address: 6' LA' k'
Telephone: �,
Project Description:
Tdlephope(7601 ?7 ISO Y4
Arch., Engr., Designer:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle.one): New Add*'n. After Repair Demo
# Stories:
Units:
Telephone # of Contact Person.'
Estimated Value of Project:
APPLICANT: bO. NOT WRITE BELOW THIS LINE
ff"ancSets
Plan Check submitted
1tcm
Amount
tructural Calts.
Reviewed, ready' fZ��rr�ections
(4
Plan Check Deposit
Truss Cales.
Called Contact
Plan Check Balance
Energy Cales.
Plans bicked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Gradingplan'.'
2" Review, ready f6rcor'
rectionsrissue
Electrical
Subcontactor. List.
Called Contact Person
Plumbing
Grant beed
Plans picked up
S.M.L
HbA. Approval
plans resubmitted
Grading
IN-HOUSE:-
hd Review, ready for correctionslissue
Developerimpact Fee'
Planning Approval
Called Contact Person
Pub. Wks. Appr
Pate of permit issue
.School Fees
Total Permit Fees
T'dY 44Q"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: Mav 16. 2007
From: Doug Evans, Director -CDD Due Date: ASAP
Permit #: /i�; �Status: 1St 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: Rod Iron Fence
Address or General Location: 79-255 Highway 111 Ste. 6
Applicant Contact: Cocita Construction (760)735-6446
The Community Development Department finds that:
O ...these Building Plans° do not require Community Development
Department approval.
El,--' ...these Building Plans are approved by the Community Development
Department.
0 ...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.
ED
ns, Director -CDD
.5J I S -CD -7
Date
44Q
MEMORANDUM
OF T49
TO: Building & Safety *Department
FROM: Andrew Mogensen, Principal Planner
DATE: 5/18/07
RE: 79-255 Highway 111 Ste. 6
1. Metal railings shall be painted in accord with the approved color palate
for The Center at La Quinta and related Site Development Permits.
Any screening mesh utilized shall also closely match the color palate.
2. The submitted plans are conditionally. approved by Community
Development Dept.
Should you have any questions, please contact me at (760) 777-7125.
C: File, Yo, Sawa
P:\Andy's\Plan Check\To.rtilla Express Patio Railing.doc