11-1018 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TdY 4,,
tGGGt/
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
11-00001018
Property Address:
47925 CALEO BAY
APN:
643-200-001-4 -31248 -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
3000
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 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
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.).
() 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., or this rgRyn
✓. 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
Owner:
CALEO BAY
39250 REGENCY WAY
PALM DESERT, CA 92211
---------------------------------
Contractor:
Owner
Date: 10/11/11
o a a
FCT-
2 2011
CITY OF LA QUINTA
FINANCE DEPT.
------------------
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 Policy Number
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 oma subject the workers' compensation laws of California,
and agree that, if I should beco subject a workers' compensation provisions of Section
L/�0 of the Labor Code, al hwitl nply with tho provision/
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CkERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 ' formation i correct. I agree to comply with all
city and county ordinances and state laws relating to building co suo, a hereby authorize representatives
of this court ctin d
%to/fn/-ter upon the above-mentioned property i s coon poses.
Date: �r �7� / Signature (Applicant or Agent):
Application Number . . . . . 11-00001018
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check Fee
35.10
Issue Date . . . . Valuation . . .
. 3000
Expiration Date 4/08/12
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
NON -ILLUMINATED CALEO BAY PARK MONUMENT
SIGN AT EAST ENTRY [ENGINEERED] SIGN
APPLICATION NUMBER: 2011-1541. 2010
CALIFORNIA BUILDING CODES.
October 11, 2011 4:47:43 PM AORTEGA
------------- ---------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
3.51
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 54.00 .00 .00
54.00
Plan Check Total 35.10 .00 .00
35.10
Other. Fee Total 4.51 .00 .00
4.51
Grand Total 93.61 .00 .00
93.61
LQPERMIT
Bin #
City of La Quinta
Building & Safety. Division
P.O. Box 1.504, 78-495 Calle Tampico
Permit # a
I v
La Quinta, CA 92253 -,'(760) 777-7012
lv`
Building Permit Application and Tracking Sheet
Project Address:LI-1-cm
Owner's Name
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor.#Ssc?'v?z
.s.
Telephone:
,I ,�, ,�,,,,, pp
Address: .� 4 L'lti
Project Description:
City. S rP= kit !!-V/—/
0 l/J/I
Telephone::;
1 cop 44A 1,
State Lic. # :kvitty Lie. tE:
Arch., Engr., Desi6:
Address:
i
AU41
City, ST, Zip:
Telephone: a zv
.Construction Type: ' ancy:
oject type (circle one): New Add'n Alter Repair Demo
State Lic. #: <�< �a>r%y <?::',•
Name of Contact P n: 4/11"m
L: #Stories: # Units:
- I -Sq.
Telephone # of Co tact Person (��j �-- d
E ated Value of Project:
APPLICANT: DO NOT W E BELOW THIS UNE
N
Submittal
eq'd
RecdCV.MG
PERMiI FEES
Plan Sets
Pia- C matted Item Amount
Structural Cala.
71Reviewed,
ready for corrections Plan Check Deposit
Truss Cala.
Called Contact Person Plan Check Balance
Title 24 Cala.
Plans picked np Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2'! Review, ready for correctionsRssueElectrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
sa Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fee
Total Permit Fee
Q/,U � .0 3�
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: 9-27-11
78-495 Calle Tampico City Due Date: 9-26-11
La Quinta, CA 92253 Project Address: 47-875 Caleo Bay-
Attn: Kay
Plan Check #: 11-1018 (Sign Foundation)
Submittal: ® 1St
❑ 4w
❑ 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
Structural Calculations
❑
Revised Struct. Calcs
❑
Truss Calculations
O
Revised Truss
❑
Soils Report
❑
Revised Soils Report
❑
Structural Comment List
❑
Approved Structural Plans
❑
Redlined Structural Plans
❑
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
O
Redlined Truss Calcs
❑
Approved Soils Report.
❑
Redlined Soils Reports
❑
Other:
Comments:
Structural
content is approvable, please note the size of the footing shall
be per the engineers detail
not the -foundation
size noted on the sign manufacturers drawing.
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 : ❑
CITY OF LA QUINTA
° COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7125
INSPECTION REQUEST LINE
Fy of �(760) 777-7153
Owner
Contractor
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
U/G PLUMBING /WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
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