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07-2414 (SOTB)P.O-. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CAp024'14� Property Address: 81676 C CANYON DR APN: 764-280-999-133 -300237- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: S00 Applicant: Architect or Engineer: --------------------------------------------.------ LICENCONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I ar licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s an Professionals Code, and my License is in full force and effect. License Cl s�sy C8 C27 C29 cense No.: 656128 C.Date:f.`,'�i---tContracto QQ6 NER-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 ($5001.: (_ 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/27/07 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rr-..- ---- - Contractor: D TESERRA P.O. BOX 1280 AUG 28 20`1 COACHELLA, CA 922 6 (760)398-9222 CITYOFLAQUIIYTA Lic- No.: 656128 FINAMrrnvoT -----------------------------------------.------ 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 be me subject to the workers' compensation laws of California, and agree that, if I tome ubject to the workers' compensation provisions of Section 700 of the Labor Cod , I hall o comply with those provisions. Applicant: WARNING: FAILURE TO SECURE W KERS' COMPENSATION 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 abo information is correct. 1 agree to comply with all city and county ordinances and state laws relating to buil 'ng co struction, and hereby authorize representatives of this co my to enter upon the above-mentioned prop ses. Da�te�- "_?__Signatu�e (Applicant orAgent)-_ Application Number . . . ... 07-00002414 Permit BUILDING PERMIT - Additional desc . Permit Fee .".. 15.00 Plan Check Fee 9.75 Issue Date . . . . Valuation 500 Expiration Date 2/23/08 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 2/23/08 r 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 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 Bin # City Of La Quinn 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:5?/— 7—W York/ Owner's Name: -5 J A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: Address: 12-5 6 Project Description: City, ST, Zip: CW C17 CI C.A— 2Z-3 to Telephone:7,7,, State Lic. # : &.S City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: 3 State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): Ne Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units' Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 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.plau 2nd Review, ready for' corrections/issue Electrical Subcontactor List Called Contact Person Plumbipg Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading. IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact F( Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of T School FeesING & SAFETY EPTT. _APPROM FOR CONSTR Total Permit Fees _ I DAT7=dL' b`I By i #4'TIE -STEEL AT 36" DIAM. TOP COURSE INSIDE DIMENSION WATERPROOF - GAS FIRE RING: (MEMBRANE ANSI O. #. ` SURFINTERIOR ANSI # BTU #4 BAR f U.L. APPROVED. VERT 32" O.C. I ' (TYP.) I 7A 7B ........ . _..._.JLENGTHOF8X8X8� CMU:: - DIAM. OF GAS PIPE 1 r SOLID GROUT OUTDOOR FIRE RING 1/2"=l 1 -0" GAS -SHUTOFF GAS LINES SHALL BE INSTALLED VALVE GRAVEL PER CPC FOR DEPTH, LOCATED COURSE COVERAGE, AND PLACEMENT. WITHIN 36,, GAS LOG SAND WATER PROOF - OF UNIT LIGHTER MEMBRANE (TYP.) STONE CAP #4 TIE STEEL #4 BAR VERT. AT, 32" O.C. 8X8X8,CMU; SOLID GROUT F.S. F.S. N•. a 30 CLR METAL GAS RISER GRAVEL SUMP R d AIN OR PROVIDE 12 DIAM. 3(CU. FT. 2 CRUSHED ROCK OPENING IN FOOTING 7A OUTDOOR FIRE RING STONE CAP U2' 1'-0 :LI