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05-3556 (BLCK)y or P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: (95t-00003'5561 Property Address: 47647 CALEO'BAY APN: 643 -200 -004 - Application description: WALL/FENCE Property Zoning: COMMUNITY COMMERCIAL Application valuation: 5500 Applicant: T414t 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner,: LA QUINTA MEDICAL PARTNERSHIP 5500 TRABUCO RD #100 SEP 2 2 Z00[ IRVINE, CA 92620 i Py LiR I A QUINT, �INf$N:� b4€�T. Contractor: DIFFENBAUGH INC, J D 6865 AIRPORT DRIVE RIVERSIDE, CA 92504 (951)351-6865 Lic. No.: 181805 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 Class: A B C8 C27cense No.: 181805 Date:S TZ"�s•Contractor: L y OWNER-ILDER CLARAT ION 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 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.). (_) 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 _ 1 I am exempt under Sec. , B.&P.C. for this reason IQ Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPE%IIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/20/05 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 AMER CASUALTY Policy Number WC274965862 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 Ishould ecome su ject to the workers' compensation provisions of Section 3700 of the Labor de, shall fort Nith c ply with those provisions. Date: Z�Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION 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 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 county to enter upon the above-mentioned proper for spectio purpo S. / Date: Z ��Signature (Applicant or Agar Application Number . . . . . 05-00003556 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . 81.00 Plan Check Fee.. .00 -Issue Date . . . . Valuation . . . . 5500 Expiration Date 3/19/06 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 7 ----------------------------------------------------------------------- Special Notes and Comments Pre -cast concrete panel trash enclosure. - Fee summary ----------------- Charged -------------------- Paid Credited -------------------- Due Permit Fee Total 81.00 .00 .00 81.00 Plan Check Total .00 .00 .00 .00 Grand Total 81.00 .00 .00 81.00 I LQPERMIT -Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #. ell j1 05-%) I Project Address: -41,14,41-7 Owner's Name: 1".-esro� A A. P. Number: Address: 151$06794BULdle) A!?Yl /00 Legal Description: City, ST, Zip: 1,0 154 q41 oZ Contractor: 19ei6JRg&61 /4 Tel 41 4:2 Address: 6 A G Project Description: City, S -44 Telephoneqil State Lic.#: =Efi!n2E�= J Arch., Engr., Designer: e -e Ape' Address: MAO(; City, ST, Zip: ,g acv .......... ­.. -Occupancy: Telephone:140/ 441 aao Construction Type: VIMN ge Ue xx. . . . . . ...... % State Lic. #: -*i Proje ct type (circle one r.Ne�) Add'n Alter Repair Demo Name of Cont___ Sq. Ft.: oc) #Stories: # Uni Telephone # of Contac erson: Estimated Value of Pr APPLICANT: DO NOT WRITE BELOW THIS LINE # 'Submittal Req'd RecId TRACKING PERMIT FEES Plan Sets Plan Check submitted 0 Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person 1/14 Plan Check Balance Title 24 Cates. Plans picked up -Construction Flood plain plan Plans resubmitted * or Mechanical Grading plan 2"" Review, ready for correction issu '05 -Electrical Subcontactor List Called Contact Person lAlm gS Plumbing Grant Deed Plans picked up S.MJ. 11,0.A. Approval Plans resubmitted Grading IN HOUSE- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Tub. Wks. Appr Date of permit issue School Fees lov lssvr-A�� A-4 V'-GI L Total Permit Fees /f 4,1Aq ly tv. Wks Te- 7-4, 9/9310-5 For, 7U4 F-,�XoXv*`— TdY . 44.Q" 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: August 11, 2005 From: Doug Evans, Director -CDD Due Date: August 23, 2005 Status: 1 ST Check 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: Address Or General Location: Applicant Contact: La Quinta Medical Center Concrete Tilt Up Trash Enclosure 47-647 CALEO BAY Chris Devoung 951-906-8359 Diffenbaugh Inc The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. IDS ...these Building Plans are approved by the Community Development Department. ❑ ...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. CA '4 e'6t a' Ir ans, Director -CDD Date /I Y®UNG ENGINEERING SERVICES •Engineering •Architecture•Surveying• Building & Safety Services Letter of Transmittal To: City of La Gluinta Attn: Ed Randall Tel No.: (760) 777-7012 We are forwarding: No. of Copies 1 1 Date: 09/16/05 Project: PC#: 05-3556 Tract No.: X By Messenger By Mail Your Pickup Description: Revised Plans Revised Struct Comments: Structural contents are approvable Thank You. This Material Sent for: Your Files Per Your Request Your Review x Approval Checking At the request of: Other By; N@blin Pochunuri Phone # (760) 360-5770 EXT. 108 77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770 Bronz Young ti4 4� MEMORANDUM , S FCS OF 9ti TO: Building and Safety Department FROM: Andrew J. Mogensen, Associate Planner Wallace Nesbit, Associate Planner DATE: 8/19/2005 RE: La Quinta Medical Center Trash Enclosure, 47-647 Caleo Bay 1. Trash enclosure must be forwarded for approval by Waste Management of -the Desert. 2. Site plans for the trash enclosure have been submitted and approved independently of building plans. If you have any questions, please contact me at X7068. c: Planning Manager P:\Andy's\Plan Check\Trash Enclosure 47-647 Caleo Bay Medical.doc V ti4 4� MEMORANDUM , S FCS OF 9ti TO: Building and Safety Department FROM: Andrew J. Mogensen, Associate Planner Wallace Nesbit, Associate Planner DATE: 8/19/2005 RE: La Quinta Medical Center Trash Enclosure, 47-647 Caleo Bay 1. Trash enclosure must be forwarded for approval by Waste Management of -the Desert. 2. Site plans for the trash enclosure have been submitted and approved independently of building plans. If you have any questions, please contact me at X7068. c: Planning Manager P:\Andy's\Plan Check\Trash Enclosure 47-647 Caleo Bay Medical.doc • u��cv P.O. Boa 1504 BUILDING & SAI'r"ry DL"PARTMENT 78-495 CALLI:_ TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701 1 To: Greg Butler, Building & Safety Manager From: Doug Evans, Director -CDD To CDD: 9-12.2005 Due Date: 9-19,2005 Status: 2nd 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: Address or General Location Applicant Contact: Concrete tilt-uo trash enclosures 47-647 Caleo Bay Chris 1-951-906-8359 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. 0� ...these Building Plans are approved by the Community Development Department. ❑ ...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. Doug jeans, Director -CDD Date -3400417 WASTE MANAGEMENT 10:23:08 a.m. 09-02-2005 2/2 WASTE MANAGEMENT 41-575 Eclectic Street Palm Desert, CA 92260 (760) 340-6445 (760) 340.2732 Fax September 2, 2005 www.wmdesert.com Chris Deyoung 47-647 Caleo Bay La Quinta, Ca 92253 Ref: 47-647 Caleo Bay (trash enclosures) To Whom It May Concern: Per Mr. Deyoungs request, our Route Manager Roman Quiroz met with him today, to go over the plans for the enclosure. Roman has approved the plans, they are the right demension & design for us to place and service the trash bins. If you have any further questions, please feel free to call me (x3760-340-2113. Sincerely, Alma Hockaday 401 Customer Service Manager Waste Management of the Desert 1,71,