12-1285 (DEMO)P.O "BOX 1504 Tit�/ 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
--� BUILDING PERMIT
Application Number: 12-00001285 _ Owner: O
Property Address: 78195 CALLE NORTE LAND O O CALIF INC
APN: 770-011-024-1 -18767 - P O OX 0
Application description: DEMO - COMML/OTHER LA Q I CA,2
Property Zoning: MEDIUM DENSITY RES p�A z?
Application valuation: 0 .lL"L
Contractor:o{�
Applicant: Architect or Engineer: FRENCH CO TI IN
705 SUNNYS NUE o
REDLANDS , CA •3 3
'� (909)841-1379
-1 Lid. No.: 6673 3
------------------
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 C d my License is in full force and effect.
Licens Class: B ^i'Gce seNo.: 667383
ate: C. tractor:
O ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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 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 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760 -70
FAX (760) 7 - 11
INSPECTIONS (760) 777-7153
Date: 11/07/12
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
TTT 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 INS Policy Number 1967263
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 war rs' compe ation provisions of Section -
3700 of thebor Code, I s all forthwith c ply t those prov'�ions.
ate: micant:
WARNING: FAILURE TO SECURE WORKERS' COMOENSATION 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 cor�ct_l-agree etfmply wnh�ll-`
city a county ordinances nd state laws relating to building construction, and -hereby au i e•fepresentatives /l
of t ' caunn nter up n the above-mentioned property f r:! spection purposes.
/, /
ate: �% % nature (Applicant or Age Yom/
e t to CA
Application Number . . . . . ,12-00001285
Permit . . DEMO PERMIT
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 5/06/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
- ----------------------------------------------------------------------------
Special Notes'and Comments
DEMO EXISTING GUARDHOUSE PER PLANNING &
PUBLIC WORKS APPROVALS. PROTECT IN-PLACE
EXISTING CURB AROUND PLANTER PERIMETER.
2010 CODES.
Fee summary. Charged Paid Credited
------------------------------------- ----------
Due
,----------
Permit Fee-Total 45.00 .00 .00
45.00
Plan Check Total .00 .•00 .00
.00
Grand Total 45.00 .00 .00
45.00
t
LQPE"1IT
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Burt Hanada, Plans Examiner, Inspection Supervisor
From: Les Johnson, Planning Director
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
Building Plans Approval
To CDD: 4�I2
Due Date.Ac5fi P
Status: /66 ye,
The Community Development Department has reviewed the Building Plans for the
following project:
Description: eG Se -&,12A �D�•
Address or general location:
Applicant Contact: 47-"� /.37 J
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
approval.
...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.
Les Johnsoly, Planning Director Dat
.6 M04CIL eo* to,
M p.,.n�, 4e4we,.
received
OCT 2 9 2092
City of La Owto
Planning Departmnt
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 9/25/2009
Green Sheet approval's are forwarded to the Building & Safety Department directly by Public Works. Please DO i"
NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL
requirements listed below are complete. Incomplete applications or applications which cannot be processed will be
returned to applicant.
Date: /0 /0 /A Developer: kGuyj,6t Aa_dV "" �1�.74 tgl. n
Tract No.: Tract Name: Q taLNo.(s):
Address(s)'114M -1V Phone Number: (.f4oq) e4l - 497
The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the
Building & Safety Department:
❑ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW
❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW
❑ POMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW
EV'WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW
IF
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad
(maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6
months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet
submittal until a Pad Elevation Certificate can be provided.
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed
Soils Engineer. Recently rough graded residential developments which have a !previously approved
geotechnical certification are exempt from this requirement.
3. Attach recorded final map or title. information/grant deed showing proposed building locations are legal lots.
4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10
plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy
plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with
grading plans & are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building
location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain
development plan.
6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations.
7. Complete and sign the attached water quality management plan (WQMP) exemption foam, if applicable. PW
approved building construction projects require either a WQMP or a completed WQMP exemption form.
Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx
have reviewed and confirmed the requirements -listed above as presented and find the improvements to be
sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s).
Pursuant to my findings, the above project may be released for building permit issuance.
This section completed by City staff.
Recommended by:
Date
Public Works Distribution: ( ► Green Sheet to Building & Safety
( 1 _Green Sheet to Planning Department
Declined for approval for reason(s) as follow(s), please correct and resubmit:
TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc
Duna La Quinta #1 Homeowners Association
c/o Personalized Property Management
68-950 Adelina Rd., Cathedral City CA -92234
(760)325-9500
October 25;2012
The City of,La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
To Whom It May Concern,
Please allow this letter to serve as confirmation that Duna La Quinta
Homeowners Association #1 has contracted to have the guardhouse at the '
entrance to our property completely removed, and we give our permission
for the complete demolition of the guardhouse.
If you ve any questions concerning this matter, please feel free to
contac e ae(76 0 48 0.
SZin y, D n' LoPre
President
Duna La Quinta Homeowners Association #1
1124 ED
OCT 2 g 2012
BY:
Bin. #
City. of La Qut*nta
Building ST Safety Division
P.O. Box 1504,78-495 Calle Tampico
CA 92253 -:(760) 777-7012
S 04-24 Building Permit Application"and Tracking Sheet
Permit # p'
YU.Quinta,
Project Address: - Z.3 5 - Th
So Av
Owner's Name: . to �! LA Cst�.t,vv- C G
A. P. Number. "7 -7 Q —0h — O Z e
Address: Z5-5
Legal Description:
City, ST, Zip:\/�, (A�
Contractor. y- Q C �! i"aG;Ol-I RA l NC
Telephone:
Address:' O5 s I�.
Project Description: Vi lc / 7`lN
City, ST, Zip: /� S 1� 2373
Telephone Ga0. l-1379
'
r. AMR-
City Lic. #;
Lia # : 3
State�
R� 4a -,j vA%J-(A
Arch., Engr., Designer: 5 t Lrjref-
Address:
City., ST, Zip: PJ'` Cly g2 -Z11
Telephone: 7L� wo—
State Lia #: � `� r%`»aProject
Nameof Contact Person: —' 2 � (— ��e.N ��
onstruction Type: Occupancy:
type (circle one): New Add'n Alter Rep • Dem
Sq. Ft.: CA to
# Stories: `
# Unite:
Telephone # of Contact Person:�O9 -�Z f f —/37
Estimated Value of Proj q eC742, 62A
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd 'Ree'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
O
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' Review, ready for correctiouslissue
Electrical
Subcoatactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
1i6 Review; ready for correetionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
OK 10/3
�v�