08-0153 (SOTB)T!Iyl
P.O. BOX 1504 44
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00000153
Property Address: 80385 TORREON WY
APN: 777-330-055- - -'
Application description:. STRUCTURES OTHER THAN BUILDINGS:
:Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Licensil��C27 C53 License No.:' 859417
- Date Contractor: `
OWNER -BU ECLARATION
I hereby affirm under penalty of perjury that I am exem rom the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Profession ode: y 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 155001:
1 _ 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 1 am exempt under Sec. BAP.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:
LQPER 11T
Owner: .
MARGUILES RESIDENCE
80-385 TORREON WAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/17/08
Contractor: "0#26--i
AMERICAN LANSCAPE/POOLS O
85265 DAMASCUS AVENUE
COACHELLA, CA 92236
(760)880-1173
Lic. No.: 859417 C
___________ , OP,
--- - - - - -- ---- ------
WORKER'S COMPENSATION DECLARATI
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 worker compensation, ;as provided
for by Section 3700 of the Labor Code, for the performance of the wo for whicft.a65is permit is
issued.
have and will maintain workers' compensation insurance, as required by Se n 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 1890134-07
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 '
'I /v.0 of the Labo Co I shall rchwith co with those provisions.
Date: 111 110 ApplicanC_
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER EUNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 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 information is correct. I agree tocomplywith all
city and county ordinances and state laws relating to building construction, -and hereby authorize representatives
of this c unty Jo enter upon the above-mentioned pro for VctiZn�
Date: Signature (Applicant or Agent):
Application Number .
. . . . 08-00000153
-Permit.
BUILDING PERMIT
_.
Additional desc .
Permit. Fee'
45.00 Plan Check Fee
29.25
Issue Date..
Valuation .
. 2000
" Expiration. Date
`7/15/08
Qty Unit Charge'
Per
Extension'
BASE'-FEE
15.00
15.00 2.0000
HND BLDG 501-2,000
30.00
Permit
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
15.75 Plan-Check Fee
3.94
Issue Date.'.
Valuation
0
Expiration Date
7/15/08•
Qty Unit Charge
Per
Extension
BASE FEE
15.00'
1.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
.75
Permit
PLUMBING
Additional desc .
Permit Fee . . .
18.00 Plan Check Fee
4,50
Issue Date . . ...
Valuation .
. 0
Expiration Date
7/15/08
Qty Unit Charge
Per
'Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE-'1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ ONLY PER APPROVED
PLANS
Other Fees . . .
. . . . ENERGY REVIEW FEE
2.93
Fee summary Charged
Paid Credited
Due
Permit Fee Total.
78.75 .00 .00
78.75
Plan Check Total
37.69 :00 .00
37.69
Other Fee Total
2-.93. 00 .00
2.93
Grand Total
119.37 .00 .00
119.37
LQPERMIT
Bin, #
City of la'Quinta
Building 8z -Safety Division
P.O. Box 1504, 78-495 Calle-Tarnpico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permitfl
Project Address:
Owner's Name:
A. P. Number:
Address:
Legal Description: T -Al t1i V k t�_w G_(!_
Contractor: Ai ZPA eA_1V1J L+ F
City, ST, Zip: el?,
Telephone:
Address: -9�- 2-6 C)A-vn A-5 (f_t,4_5' OR -U -
Project Description:
City, ST, Zip:
Telephone: 160 7,3
State Lic. # '9�4 1 -7
Arch., Engr., Designer:
City Lic. #: lo
Address:
City, ST, Zip: f
Telephone:
State Lic. #:
Name of Contact Person: A-f� C44
Construction Type: Occupancy: i
Project type (circle one): New A dd'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
99v 99v 7 7
Estimated 'Value of Project:
APPLICANT: DO NOT.WRITE-BELOW THIS LINE
Submittal
Req'd
Rec.1d
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calci.
Called Contact Person Plan Check Balance
Energy Cates.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan2
d
Review, ready for corrections/issue Electrical—
;9 fi)f7V21F8'
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval'
Plans resubmitle"Oly OE I A QI 'IF IW)n1'
HOUSE:-
qIN
Review, rea yAU11&dNGLD"? e r Impact Fee
Planning Approval
Y
Called Contac PersonAPPROVED A.I.P.01
I.Pub. Wks. Appr
-()H WTR
Date of permi issue NSUCTIQ J
School Fees
DATE b
Permit Fees
5'0--I
LAYOUT PLAN
7
I
+12"
QUARTZ
SP SPILLWAY
.810 1 g'6 22'6
15'6
30'0
8'0\
BE CH
27'0 26'6 3
39'0
fi
F 17'6
26'0
B
EXISTING CONCRETE B
Q ❑
El
STEP STONES
MARGUILES RESIDENCE Cl
80-385 TORREON WAY
LA QUINTA, CA. 92253 EQUll�
MOUNTAIN VIEW C.C.
CITY/OF LA UINT 1 .6
f CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
BUILDING & SAFETY DEPT -
APPROVED
`/ FOR CONSTRUCTION
Da��-�c.oj®yT