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08-1485 (CCOM)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001485 Property Address: 79215 CORPORATE CENTRE DR APN: 649-820-018- - - Application description: CARPORT - COMMERCIAL Property Zoning: COMMERCIAL PARK Application valuation: 14444 Tii!t " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BLOOD BANK OF SAN 384 ORAGE SHOW RD SAN BERNARDINO, CA (909)885-6503 BERNADINO 92408 Contractor: Applicant: Architect or. Engineer: BAJA CONSTRUCTION CO ,w A P / ) 223 FOSTER STREET r -L dti/i, MARTINEZ, CA 94553 G 3794L5 (925)No.: 432 Lic. No.: 412390 LICENSED CONTRACTOR'S DECLARATION 1 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: C51� License No.: 412390 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 1, 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: i LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/27/08 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. 1 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 TRAVELERS INDEM Policy Number 3473M221 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. Dte: ' a✓Applicant: 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, 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 ruupon the above-mentioned property for inspection purposes. Signature (Applicant or Agent): Application Number . . . . . 08-00001485 Structure Information 9 SPACE METAL CARPORT S-3, II -N Other struct info . . . . . CODE EDITION. 2007 CBC FLOOD ZONE NO --------------7------------------------------------------------------------- GARAGE SQ FTG 1085.50 Permit CARPORT/GARAGE Additional desc 9 SP. METAL CARPORT Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation 14444 Expiration Date 2/23/09 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9:0000 THOU BLDG 2,001-25,000 117.00 ---------------------------------------------- Special Notes and 7 ------------------------------- Comments METAL CARPORT -83.5 X 13 FT.S-3 X 12'-6" HGT.S-2 OCCUPANCY, TYPE II -B CONSTRUCTION. 2007 CBC. REPLACES EXISTING MET CANOPY (PERMIT 06=3159) -------------------.----------------------------------------------------------- Other Fees . . . . . . STRONG MOTION (SMI) - COM 3.03 Fee summary Charged Paid Credited ---------- Due ---------- ----------------- Permit Fee Total -------------------- 162.00 .00 .00 162.00 Plan Check Total 105.30 .00 .00 105.30 Other Fee Total 3.03 .00 .00 3.03 Grand Total 270.33 .00 .00 270.33 LQPERDIIT Bin #{ City of La Quinta Building U Safety Division po 8,67 (dw) P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet %._� I — Perrnit # Project Address: .7+" 15 6 ro ` Owner's Name: P>10011,� A. P. Number: Address: W . Legal Description: City, ST, Zip: ��L� Contractor: Q �� Telephone:-(prjQ Address:x,13I - Project Description: City, ST, Zip: f� /t l(W-Z 54553 Telephoner 6 d State Lic. # : 102.:j o City Lic. #: 109 Arch., Engr., Designer: P Address: City, ST, Zip: P,,n_w-5� 3 Telephone: 'tGd _ 3"—tJ WC6 State Lic. #: t� I `� l (.) Y,c�tstruction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 393 Estimated Value of Project: G�00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING I PERMIT FEES Plan Sets Plan Check submitted AW Item Amount Plan Check Deposit Structural Cales. Reviewed, ready for corrections Called Contact Person Truss Calcs. Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionAssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' 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 Total Permit Fees cedf 4 41 QUMZ P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -PDD Permit #: 06-3158 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 Due Date: 08-12-08 Status: 1St REVIEW Builth ig Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: REVISION/ RAISE CARPORT AWNING Address or General Location: 79-215 CORPORATE CENTRE DRIVE Applicant Contact: BLOOD BANK OF S.B. MEREDITH ROSEHURE (909) — 885-6503 EXT 383 The Planning Development Department finds that: ❑ ...these Building Plans do not require Planning Department approval. these Building Plans are approved by the Planning Department. ❑ ...these Building lans require corrections. Please forward a copy of the attached corre tions to the applicant. When the corrections are made plea ,eturn em to the Planning Department for review. i g �Gl Les on, Director -PD Date 0 4." 1 PO.L QC pR 't�GG"t t -P %ZC� (G.C- )