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08-1687 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,itit " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00001687 Property Address: 47647 CALEO BAY APN: 643-200-004- - - Application description: STRUCTURES OTHER THAN . BUILDINGS Property Zoning: COMMUNITY COMMERCIAL Application valuation: 4000 Applicant: Architect or Engineer: ------------------ 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 Cod , and my License is in full force and effect. License Class: D31 -C33 Licen o.: 1776064 Date/ 0`S7'a d $Contractor: 102 ` ./ 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, 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 1, 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 _ 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.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/21/08 Owner: LA QUINTA MEDICAL PARTNERSHIP 5500 TRABUCO RD #100 IRVINE, CA 92620 n Contractor: SO CALIF FLAGPOLE 4551 YORK BLVD OF LA QUINTA LOS ANGELES, CA 90041 (323)257-8201 D Clot 094 Cfez: DEP7 LiC. No.: 176064 ----------------------------------------------- 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 STATE FUND Policy Number 0443615 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 subject to the workers' compensation provisions of Section 3700 of the Labor W, I shall forthrwith mply with those p/rovisions Date! 6JO::bf Applicant: Q�% 7 -ej � / / WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND, ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 propert for in pection purpos Data/ 3 6. Signature (Applicant or Agentl: J u /0/ e r Application Number . . . . 08-00001687 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee 63.00 Plan Check.Fee 40.95 Issue Date . . . . Valuation . . . . 4000 Expiration Date 4/19/09 Qty Unit Charge Per Extension . BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments (2) FLAG POLES - 20 FEET & 25 FEET TALL. THIS PERMIT DOES NOT INCLUDE ELECTRICAL FOR FLAG POLE LIGHTING. 2007 CALIFORNIA BUILDING CODES. October 21, 2008 2:11:55 PM AORTEGA Fee summary Charged Paid Credited --------------------------- Due -------------------- Permit Fee Total 63.00 .00 ..00 ---------- 63.00 Plan Check Total 40.95 .00 .00 40.95 Grand Total 103.95 .00 .00 103.95 LQPERM[T w P r �i: ,j 1f3 � ►r r ,\ �"' �•'s j .�s:�, � . '---- = � -- , � y scapi jj N � _ i• � j _� � es. -i-- -'[ � � � � oo�r '� � (�� o�ip 1 _ �. _ f - m rem � lJi `/� - f � I s .. . r ---- --- --- -_------ _ 's``n-_ � • i. +r/c�oo�.m��+sa iZ •_ - �'- • - --_ --- -- - �. .,,,{� .e�: •' _ c=_a_S�_[: ! ',`j��'jY' g " , f '. a .o.mw.�oeo Q Ctr f ...1_l .:.J j t ....�.._ -: _.I i'� :. p.�:iy • _ �w___ ;. �,�......i..� � ;.. a.. '[`.s '-1. _ � � .� .v.�s�.�n .fir a~ ._Q _ •'~• '7• Q •-1' ` r I � ^ 131 i fir, � i � 1 i ` /! j{ 1 1; j i r 1 1 't� r Iy� � � y�! i—, i_ f. i�� '•1 1 LO 1f1LD _ --•- - j........• - ' - e1.— _WASHINGTON STREET V . '!��s ev�r�mrrs.v[ s�a,o,��orai/r�av mFby��a .l�p{pYw�/ap� 04 Letter of Transmittal To: City of La Quinta Today's Date: ❑ 10/10/08 ❑ Your Review 78-495 Calle Tampico City Due Date Checking 10/13/08 ❑ La Quinta, Ca 92253 Project Address: 47-647 Caleo Bay Attn: Michele Plan Check #: 08-1687 Submittal: ® 1St ❑ 4th ❑ 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Struct Calcs ❑ Revised Structural Calcs ❑ Truss Calcs ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ❑ Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other Comments: Structural content is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: JOHN THOMPSON Palm Desert Office: ® # (760) 360-5770 Washington Office: ❑ # (760) 404-9556 ® Per Your Request ❑ Approval ❑ At the request of: TO:DUNG TODAY'S DATE: PROJECT ADDRESS: APPLICANT NAME: P.O. 13OX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA .QUINTA, CALIFORNIA 92253 TRANSMITTAL BUILDING & SAFETY DEPARTMENT (760) 777-7012' \� FAX(760)777-7011 ATTENTION: DUE DATE: SUBMITTAL: (�,(�T . ❑2ND , 1:13 RD ❑4TM TM ❑5 BIN NUMBER: PERMIT NUMBER:X-- ff7, INCLUDED HEREWITH: V'�NS &(Ro'UCT ❑REDLINED. P LANS ❑REVISED PLANS ❑APPROVED PLANS ❑REDLINED STRUCT ❑REVISED STRUCT ❑APPROVED STRUCT ❑TRUSS ❑REDLINED TRUSS ❑REVISED TRUSS ❑APPROVED TRUSS [:]SOILS ❑REDLINED SOILS ❑REVISED SOILS, ❑APPROVED SOILS ❑ENERGY ❑REVISED ENERGY ❑CORRECI"ION LIST ❑CUSTOMER RESPONSES ❑OTHER BUILDING DEPARTMENT USE ONLY. GREEN SHEET TO: ❑CDD [:](w/Plans) ❑PUBLIC WORKS []COVE CHECK (w/Ap Iication) LOCATION ON.BOAR LEFT MIDDLE � RIGHT SENT TO: _ SY �C SH STRUCT/NOWSTRUCT ASSIGN NON-STRUCTURAL TO: COMMENTS: T44f 4 4 4" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: October 21, 2008 Due Date:October 23, 2008/ASAP Permit #: 08-1687 Status: 1St Review Building Plans Approval. (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: av- Description: Flagpole — M,,,- Address or General Location: 47-647 Caleo Bay Applicant Contact: Fres Valler (323)257-8201 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. 3r ...these Building Plans are approved by the Planning 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 Planning Department for review. Les Johnson, Director -Planning Date ry K J 0 c. £S 0^j& y — �l t�'S �tvS I— .&,E /--z> /Jc�►--•� B`# City of La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Al % to� Owner's Name: / t ek L _ r p' i Ge' a Li dI)Zd✓ LA. A. P. Number: D Address: -1424 Cd /G D d Legal Description: City, ST, Zip: 2 -7 Contractor: -5d Telephone: Address:Q�� v� Project Description: ,� T 1 City, ST, Zip: l/� d � �/ 0G y f �> oZ ..� ko / o �i Telephone: IT -7 - F2 -W State Lic. # : 6 L y City Lic. #: Arch., Engr., Designer: U o J ii Address: City, ST, Zip: ,�-�/�Cer Telephone: 323)2-5—c _ 1 i7 Construction Type: Occupancy: State Lic. #: 0 9 � 7 912 b N Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: r -;-,e V a ! l Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: vs) 2 j''7 — Z o/ Estimated Value of Project: T d O a sot APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted er 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 plan 2e° 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:- 3r' 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 ,q -� oi l3 010. 16"*15P l �( 2'( ----1 ?Lwrllnq Asap iOIZ•i �aY1-Yl.un� Total Permit Fees