08-1821 (SOTB)P.O. BOX 1504
787495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
t!'�Gf�idci
BUILDING & SAFETYDEPARTMENT
BUILDING PERMIT
Application Number: 08-00001821
Property Address: 78130 CALLE TAMPICO
AP N: 770-020-012-
Application description: ' STRUCTURES OTHER THAN .BUILDINGS
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 12480
Applicant:
Architect or ��'E"""rigjneer:
zt'f
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LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of that I am licensed under provisions of Chapter 9 (commencing with '
Section 7000) of Division 3 the Bus., ss and Professionals Code, and my License is in full force and effect.
aClass: B License No.: 808029
Dtje
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 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 _ 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:
LQPERMIT
Owner:
HIGHLAND LA QUINTA I
80 S LAKE AVE STE 66
PASADENA, CA 91101
Contractor: I
PATTERSON BUILDERS
13057 VICTORY. BLVD
NORTH HOLLYWOOD, CA 91606
(818)762-5795
Lic. No.: 808029
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/22/08
DEC 23 2008 L
CITY OF LA
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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 STATE FLTND Policy Number 1763924-2008
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 beco a subject to the workers' compensation laws of California,
and agree that houId become s ject to the workers' compensation provisions of Section
3700of t
700oft - abor ode, I shall fort with c ply with those provisions.
�� plicant
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 stat the above informa ion is correct. I agree to comply with all
city and county ordinances and state laws rel ing to bu ding constructs ,and hereby authorize representatives
offtthis county to enter upon the above-mentioned pr rty for inspectio purpos
'Dorm gnaturelApplicant or Agent).
.7%-
_
Application Number .
. . . 08-00001821
Permit . . .
BUILDING PERMIT
Additional desc
3 QTY -TRASH ENCL
W/TRELLIS
Permit Fee . . . .
144.0.0
Plan Check Fee
93.60
Issue Date
Valuation . . .
. 12480
Expiration Date
6/20/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
11.00 9.0000
THOU BLDG 2,001-25,000
99.00
----------------------------------------------------------------------------
Special Notes and Comments
3 QTY, CONCRETE BLOCK
TRASH ENCLOSURES
LOFT X 20FT W/ METAL
TRELLIS STRUCTURE
ABOVE. 2007 CODES.
-------------------------------------------
Other Fees . . . . .
. . . . ART iN
---------------------------------
PUBLIC.PLACES-COM
42.4.0
HOURLY
PLAN CHECK
475.00
STRONG
MOTION (SMI) - COM
2.62
Fee summary Charged
----------------- ----------
Paid
Credited
Due
Permit Fee Total
---- - -----
144.00
---------- ----------
.00 .00
144.00
Plan Check Total
93.60
.00 .00
93.60
Other Fee Total
520.02
.00 .00
520.02
Grand Total
757.62
.00 .00
757.62
O
Bin #,
ct
City of CI La
� , Qulnta
Y Building & Safety Division
�,(�a P.O. Box 1504,78-495 Calle Tampico 1v
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #�(
'
'S pA
Project Address - ��� C L(,F '� P�C� Owner's Name: J Dhfi 1,0P1_
A. P. Number: Address: sot f j f 61,r -'C Ac JI & i9O
Legal Description: City, ST, Zip: Oqcso 6,/�f 014. P rr 01
Contractor: A T FV_C0lfJ 1,4 j.,:7L DE4�5 wv-&q (p -110 1
Address: 1-3057 U LC11_0P_Project Description: P wa
City, ST, Zip: 1,3 -14O LL-11.VJ DIQ . lNt ' 01)(X (n
1 16
Telephone:4? 5 Sl t X91 ry/ L �th�
State Lic. # : 090902al City Lic. #:
CC-O�iLt�'F S?FbINu4CN,D
Arch., Engr., Designer: �LStf►i� �C,-co0—A TtS L j�l
Address:
City, ST, Zip: S 4 C - qO qO
Telephone: �) 31 Lf - �j ?)
Construction Type: Occupancy:
XProject type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact -Person: Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
I) �j ��
Item
Amount
Structural Calcs.
()fk r
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Olcx
Construction
Flood plain plan
Plans resubmitted �y
lrk16
Mechanical
Grading plan
2"" Review, ready for corrections/issue
tZ j 2
Electrical
Subcontactor List
Called Contact Person
l y Z Z
Plumbing
Grant Deed
Plans picked up
S.M.I. J
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correetionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
75 7, to 2,
14/
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VJJqJ1C)'q RAA*
"c 1 q15---/ VCS Dae t-l/a
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P.O: Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 922_`3
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #: 08-1821
BUILDING & SAFETY DEPARTMENT
° (760) 777-7012
FAX (760) 777-7011
To CDD: November 03, 2008
Due Date: November 10, 2008
Status: 1 st Review
Building Plans Approval
(This is an approval to "issue a Building Permit)
The Planning Department has reviewEd the Building Plans for the following
project:
Description: Trash Enclosures & Fountain
Address or General Location:
Applicant Contact:
78-130 Calle Tampico
Highland Development (626)696-2009
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
l2r ...these Building Plans are approved by the Planning 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 Planning Department for review.
a nson, Director -Planning Date