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12-0057 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: •512'=00000057_ Property Address: 44435 --BLAZING STAR TR APN: 604-083-007-70 -22982 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines �n.lsand my License is in full force and effect. . License Class: B o.: e221518 /te: i_at9�ctor: 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).: (_ I 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.). (_ 1 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.I. Lender's Name: Lender's Address: LQPERMIT Owner: BANK OF NY MELLON 44435 BLAZING STAR UNKNOWN, CA 99999 Contractor: L� GRISA ENTERPRISES INC L 44695 SAN BENITO CIRCLE PALM DESERT, CA 92260 (760)341-0555 Lic. No.: 921518 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/19/12 ITY 0>;' ,,,qOUI 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 GRANITE INS Policy Number 5171647 I certify that, in the performance of t e work for which this permit is issued, I shall not employ any person in any, manner so as t eco a ubject to the workers' pensation laws of California, and agree that, if I should ecom ct to the worker ' mpensation pr isions of Section 3700 of the Labor Cod , I s wit comp] ose provisio . a6 te:Acant:`'' WARNING: FAILU EURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000). 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. 1 certify that I have read this application and state that the above infor tion is correct. I agree to comply with all city and county ordinances and state laws relating to building cons c ' n, a ereby authoriz representatives of this county to enter upon the above-mentioned property for in e o oses. Dater Si lure (Applicant or Agent): 1 Application Number . . . 12-00000057 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 162:00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Expiration Date 7/17/12 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------- -----------------= 117.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/17/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments Permit includes Demo of 418" x 1316" extension of garage and trash shed on side of house, -Re -location of condenser unit out of side setback.area. Re -build , back wall of garage per approved plan. 2010 CODES: --------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1:00 ENERGY REVIEW FEE 10.53 STRONG MOTION (SMI) - RES 1.50 Fee summary Charged Paid Credited Due Permit Fee Total 186..00 .00 .00 186.00 Plan Check Total 111.30 .00 .00 111.30 Other Fee Total 13.03 .00 .00 13.03 Grand Total 310..33 .00 .00 310.33 LQPEM11T Bin City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # A • ( Project Address: 1 3 6(J 4 4 2 / h/ S Ta Owner's Name: Zaab ' b A. P. Number: Address: / 3 S' /6 2," S Legal Description: ; City; ST, Zip` „� a Contractor: S G W re /0�' / SP Telephone: r y .srx Address: Project Description: v� City, ST, Zip: Telephone: / 3 / a ��•rr , ?A:;..._ ; .: — Y EL �v q L / p State Lic. # : City Lic. #: Arch., Engr., Designer: 1/ e. tv t G L Address: 3 C o L 6l City, ST, Zip: u L L Telephone: State Lic. #: C'; ' „ Construction Type Occupancy: °": '"" ��3�: r:>?" �rr:.��r2.=� Project type (circle one): New Add'n Alter ep r Demo Name of Contact Person:S Lo V "-� Sq.. Ft.: # Stories: 1 # Units: Telephone # of Contact Person: '7 6 D . y Estimated Value of Project: % O O APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Constriction J{k L Flood plain plan Plans resubmitted Mechanical Grading plan 2' 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:- 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 0 C L,t(O 4 t! 4 OsosO �Q. Parcel Number: 604083007-8 CO O1 ��4p; Exsiting Dwelling V 44435 Blazing Star RPlot Plan JGV 1 Scale: 1/16" = 1' Z. Garage e N Blazing Star RECEIv]e:D JAN 18 ^012 7WTYYOF LA C�lJlN A DEPT. APPROVED FOR CONSTRUCTION DATE • A4 S 7 S61e' h"EV GAMS oN plad Addition not permitted To be demo Exsiting Dwelling 44435 Blazing Star Scale: 1/4" = 1" Footing Detail IIAII 13'6 ----------- 5/8" anchor bolts 3' apart Top View 2"X6" Tvr) Toa Plat 13' "X6" Pressure treated Wall Section Detail "B" 611 n ----- 2'0 1 '6 Side View 2"X6" Typ 5/8" anchor bolts 6" Scale*: 1/2" = 1' 2'p ' Top View 6" Side view. 18- " __1 --------- I Exs'iting footing Newc'urt 18" 1/2" Reba 1' embeded -with construction epox 1 1 /2" Clearance around r'ebar 44435 Blazing Star New footing detail Scale: 1/2" = 1' 210----IiTop View ',1/2" Rebar) e ----------------- — — - --------------------------------------------------------------------------------------------- 4•0� � OOOOOOOJOOOOJr � r �Or � OOOJJJJOPJ� � JO�OiOJPOPPJO� i OOPS 0000000 �OJOOOOOJOP � OOJOOOOOOOOOOOvi OOH O� � JJr•000JJJO00O000� 00JOOJ.4D �Oi�.�O.OrrOrrrrirrrrrrrrr�r�r�.�rrr�.rr�rrO.�.�r�.0�.�.�.�.� 0�.�.rO.rrrO�000.rrrrrO•r�rOrrOOrrrOrOrrrrrrrr�rrrrrrrrr�r�rrr�i.�.rr�rrrrr�r�rrrrrrrrrrrr.•rrrrr�rOOi rrr•:rir:•iriririiiiiiiiiriiiiiiii•Oiriii i �OOOOOrrrrrrrrrrrrr�r�r�r�rrr�.�rrrrrrr�r�r�.rrrr�i�.�rr.�.�r�O�•O.�.r.�.� �� •OiO�.rrOr �irOrr�40rOOrOrrrrrrr�rOrrrOrO�rrrrrrrrrrr�.�rrr�rrr�rrrrrr •iiiiiririirii i Oi r r r. r.... r. r.... r r... r r. r r r r ..rrrrr.�rrrrrrrrrrrr rrrrrrrrrr�rrrrrrrrrrrr.�.r rrr r rrr r.�r�r�.r �r�.rrrrrOrr�r�rrrrrrrrrrr�.i i i rri i'i r i iririri i iri i - - - - - - - - - - New curb :...........:.. . ............ ............... :.......:.........:... . :............. ........... :............. ::............. ........... ........... ........... :............ .............. Exsiting footing 44435 Blazing Star New footing detail