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11-0412 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-4bt 4 40" Application Number: 11-00000412 Property Address: 47647 CALEO BAY APN: 643-200-004- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: COMMUNITY COMMERCIAL Application valuation: 4500 Architect or Engineer: 01A . 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 Class: D42 C45 License No.: 830131 Date: C tractor: 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 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(sl 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.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 1938607 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 Code, I shall forthwith comply with those provisions. a� te: plicant: . 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 ($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, indemnity 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 property for inspection purposes. e: Signa (Applicant or Agent): Date: 4/28/11 Owner: ACCRETIVE LA QUINTA PARTNERS 1 PARK PLAZA #340 IRVINE, CA 92614 J UU D Aff�292011 Contractor: SIGNARAMA G� ! 41945 BOARDWALK, 111,11�f+Sd>'.NZ PALM DESERT, CA 92211 (760) 776-9907 1-- Lic. No.: 830131 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 1938607 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 Code, I shall forthwith comply with those provisions. a� te: plicant: . 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 ($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, indemnity 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 property for inspection purposes. e: Signa (Applicant or Agent): Application Number . . . . . 11-00000412 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation 4500 Expiration Date 10/25/11 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL 2 FLAG POLES 20' ABOVE GROUND TO MATCH EXISTING, PER APPROVED ENGINEERING. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - COM .95 Fee summary Charged Paid, Credited --------------------------------------------------------- Due Permit Fee Total 72.00 .00 .00 72.00 Plan Check Total 46.80 .00 .00' 46.80 Other Fee Total 6.63 .00 .00 6.63 Grand Total 125.43 .00 .00 125.43 LQPERMIT TWY 4 111aa�rw P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning Permit #: BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: Due Date: A5eq Status: /J -e 0—/e .Building! Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building 'Plans for the following project: Description: 02 ��� 7� i17uk' . J Address or General Location: Z47_(041? & i . g_p� Applicant Contact: %�O - S%8�04 The Planning Department finds that: ❑ - ...these Building Plans do not require Planning Department approval. ...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, Pi"roctor-Planning • Aclt �a�c.� '� bc. •FGA_ so.� _ _UV • /I -VI( Date received APR 2 9 2011 City of Lc1 f16!n a PlCtrmiftg De�bcrfircflt To: 71-780 San Jacinto Dr. Ste. E2, Rancho Mirage, Ca. 92270 ph, (760) 834-8860 fax (760) 834-8861 Letter of Transmittal City of La Quinta Today's Date: 4-26-11 78-495 Calle Tampico City Due Date : ASAP La Quinta, CA 92253 Project Address: 47-647 Caleo Bay Attn: Philip Plan. Check #: Submittal: ® 1st ❑ 2"d ❑ 3 r We are forwarding: Includes: # Of Descriptions: Copies: ® 1 ® 1 Structural Plans. ❑ D Struct. Calcs El Revised Struct. Calcs D ❑ Revised Truss Calcs Soils Report El Revised Soils Report 13 ❑ 11-412 ❑ 4'" ❑ 5"' ❑ Other: 4� ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Descriptions: Includes: # Of Descriptions: Copies: ❑ Structural Plans. ❑ Revised Structural Plans Struct. Calcs ❑ Revised Struct. Calcs Truss Calculations ❑ Revised Truss Calcs Soils Report ❑ Revised Soils Report Structural 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. By: John W. Thompson Rancho Mirage Office: ® # (760) 834-8860 Other: 0 This Material Sent for: ❑ Your Files Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office: ® # (760) 834-8860 Other: 0 zta q-5AP C. City of La Quiin ta 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 Per it# l Project Address: Owner's Name: 9C //,5- A. P. Number: Address: h/�� ?71—< Z Legal Description: City, ST, Zip: Contractor: /V Tele hone: P Address: (r JebAep w/17 L Project Description: City, ST, Zip: W Z�Zo� �� Gc. G�lL—rte Telephone: fj , %,� 7 alir BuWp State Lie. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: ne: Telephone: �State Lic_ #: Name of Contact Person: Construction Type: Occupancy: : Project (circle one):. New Add'n Alter Repair Demo Sq. Ft: # Stories: # Units: Telephone # of Contact Person: - F -?62 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted �[ ( 2 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees zta q-5AP C.