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14-0233 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000233 Property Address: 54835 DAMASCUS DR APN: 767-320-999-219 -32879 - Application description: SPECIAL INSPECTION Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 0 c&t 4 4aQ" Applicant: Architect or Engineer: 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: 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 fnr 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 exempttherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ✓any plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: 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 contractorls) licensed j pursuant to.the Contractors' State License Law.). am exempt under Sec. , B.&P.C. for this reason Date: r —r t//Lf Owner: _ CONSTRUCTION LENDI AGENCY I hereby affirm under penalty of perjury that there is a cons nding agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: MCCOMIC GRIFFIN LLC 7979 IVANHOE AVE i LA JOLLA, CA 9203' Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/20/14 ----------------------------------------------- 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 workcrs' 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 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. Date: Applicant: WARNING: FAILURETO 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, 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 an5,county ordinances ano state laws relating to but ing onstruction, and hereb uthorize representatives of thi co my to me upon a above-mentioned prop y f inspection ses. zo Date: ignature (Applicant or Agent): Application Number 14-00000233 Permit . . SPECIAL INSPECTION Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/16/14 Qty Unit Charge Per Extension 1.00 71.5000 EA MISC SPECIAL INSPECTION 71.50 ---------------------------------------------------------------------------- Special Notes and Comments SPECIAL INSPECTION FOR RELEASE OF ELECTRICAL & SEWER CONNECTION, MUP 2014-1066 GRIFFIN RANCH CONSTRUCTION & SALES TRAILER. 2013 CALIFORNIA BUILDING CODES. Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total. .00 .00 .00 .00 Grand Total 71.50 .00 .00 71.50 LQPERMIT Bin # City of La Quinta a Building & Safety Division FEB P.O. Box 1504, 78-495 Calle Tampico .20 2014 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Trach F LA c�UrNTA Permit # 1 Q� Project Address: r Owner's Name: 1^Cw O G MEN A. P. Number: 5 GV Address: PD VL^ a ,T 3 C72- 2Legal LegalDescription: City, ST, Zip: caV O L -'Q t� Contractor• Telephone: 1 8 Z "``.::..:..•::.;?.;: ?.>•.:> •::;r:;;: Address: Project Description: t v City, ST, Zip: Telephone: ::;;s;:s:;.:;:;>: •?. •:. ?,..;,.::>: State Lic. #: City Lie. #; �.�..�= L . J Arch.,l3ngr., Designer: C i Address: City., ST, Zip: Telephone: <c` :s:•<:<::<• :; ;.;::::„;:;;::•;'. ?.;:.;,;:•;;:;;: Construction Type: Occupancy: •:vf::v iii ?•. rr •: �}. :: State Lie. #: e <hu <<:<:<'>N '>?'><'::<.>•.;:._.. >::><•s:,«;i••:••:?;;,.?.;:.. ;.>. ;. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: r 7 �/ Ft.: # Stories: #Units: Telephone # of Contact Person: stimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted �i / Item Amount Structural C21eS. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21” 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:- 3" 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 �5 Total Permit Fees u S r. �r 3r pP 6y-- 1 ff I � ')KAA C 4 Dk(b-W4 -!SNL;V-5 54e,55 DkgA,ScL)S lam. J�WLICXjlv� 1-tlA -2.33 reC asL4J COUP �.5 l(KL�LCA(T,m� iffG CAO ��a 'TT., Aks -5 � /-Zo I I P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253-1504 Phone (760)777-7000 • Fax (760) 777-7101 PERMIT INSPECTION HISTORY REPORT (SPIN-14-233) FOR CITY OF LA QUINTA Special Inspection 03/04/2014Application Date:Permit Type:Parcel Special InspectionWork Class:Issue Date:54835 DAMASCUS DR LA QUINTA, CA 92253 Address: Approved Expiration Date:Status:Description:SPECIAL INSP. ELECTRICAL & SEWER FOR SALES TRAILER Owner:Contractor:Applicant:Jane Doe Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Required?CompleteActual Start Date 03/21/2014 Final Building COHT:1406281000 00199724 Approved No Complete 78-495 Calle Tampico Page 1 of 1October 08, 2024