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13-0684 (RC)P.O. BOX' 1504: 4'`.4 78-495 CALLE TAMPICO LA QUINTA-,'CALIFORNI"A 92253. ` BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 13-00000684 54528 SHOAL CREEK. 77S -071 -089 - REMODEL - COMMERCIAL LOW DENSITY RESIDENTIAL 6000 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. LicenseClass: D06 -D30 License No.: 826234 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 _) 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. , 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: I,Q f l --"IIT Owner: SUNRISE DESERT PARTNERS G KELLEY 76375 COUNTRY CLUB DR PALM DESERT, CA 92211 Contractor: SABER 18345 PASADENA LAKE ELSINO (800)922-24 Lic. No.: 8. STREET VOICE (760) 777-701.2 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/12/13. I hereby affirm under penalty of perjury one o' a following-dbd,IQr°,dj,fQ�� -�.- • - , I have and will maintain a certificate of consent o sation, as provided or by Section 3700 of the Labor Code, for the performance of the work for which this permit is i ed. ,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 FUND Policy Number CWC719490259 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 L ,s a ith comply with those provisions. Date: 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. 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 cbu ty to enter upon the above-mentionedroe r amsp,c_s. - Date: Z Signature (Applicant or Agentl: LQPER\1IT Application Number . . . . . 13-00000684 -------'Sfructure..Information EXIST-48SF RESTROOM BLDG ----- pther struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS no OCCUPANT LOAD 1.00 '1ST FLOOR SQUARE FOOTAGE 48.00 Permit ... . REMODEL 2013 Additional desc . • Permit Fee. -...- 48.62_ Plan Check Fee .00 . Issue Date Valuation 0 Expiration Date 12/09/13 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 Special Notes and Comments VOLUNTARY FOUNDATION LEVELING.HELICAL ' PIER FOUNDATION SYSTEM PER ICC NER-579. 2010 CODES. SPECIAL INSPECTION REQUIRED. ENGINEER: RHETT M. SAVOIE 46423. Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, REMODEL 132.99 STRONG MOTION (SMI) - COM 1.26 Fee summary Charged Paid Credited -- Due ----------------- -- -- --- - -- ---------- ---------- Permit Fee Total 48.62 .00 .00 48.62 Plan Check Total .00 .00 .00 .00 Other Fee Total, 135.25 .00 .00 135.25 Grand Total 183.87 .00 .00 183.87 LQPER\1IT Y Bin .# City �f Lel Quin Building 8r Safety Division P.O. Box 1504,78-495 Caffe Tampico fa.Qllinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �r Project Address: ^ Zd 01,7G`/ Owner's Name:. WBTW;i MT Al t A. P. Number. Address: S-2 h Legal Description: City, ST, Zip j h ob Z2 Contractor: ,�—:�)4?— Telephone: Address: l T ProjectDescription: City, ST, Zip:. 51 �CY lfJ SCJ el VL VE I--� Telephoner qZ2 2-"g �;V r L State Lic. City Lia #: Arch., Engr., Designer./esAY M 201 Address: City, ST, Zip �Vjj- ► C,��2o COMMUN17Y D Telephone?%1.,;p5 State Lic. #: 7./ Name of Contact Person: Cj�%Q� E Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: Units: Telephone # of Contact Person: Estimated Value of Project'�— APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Reed '[RACKING PERMIT FEES' Plan Sets TReqld Plan Check submitted Cj Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Cala. Called Contact Person Plan Cheek Balance. Title V Calci. Pians picked up Construction Flood plain plan Plans resubmitted Mocha" Grading plan 2" Review, ready for corrections/mue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.OA. Approval Plans resubmitted Grading IN HOUSE:- '`' Review, ready for correctionslissae Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees ' Total Permit Fees 01 0 i ✓� 033. ��7 s4---� 54--� 31 B "5,�, - 3A` � 54- C. 7 -C 0 bSS 1 4 ® p1b,cP 4 1 ,bp 1 _ 1 O 3061°,63 � O� N 03S S3 ul E S 54- 915 I�� 949 � 973 015 033 PGA WEST. ss 52 RESIDENTIAL ASSOCIATION, INC. 069 2F 087 1 ' los 173 197 'i 221 ® I 295 269 0 2 15 Ss 93 E3 Hl �Im I 6 3 5 CPO II 16 ' CITY OF LA QUINT ` 5 BUILDING & SAFETY DEP ®' APPROVED FOR CONSTRUCTION it By]Ek 4 6 �� Ti�i. idT■ ■ lim p _ T _t: `:-- _ -c I- C 11 -0 ER COURSE List , �U int � 7a r•:zt ■ � ar' T ° 15 r81 \e 311 5 ' 3 4T � ss Q�d s7 1 35'3 \ � g 377 � s � © /s■s i\9 SS � 3743 �7G � 5♦ 355 O 4 42 J 4419 5 'L� ssy 143 °76 r p1'yJl ` a44 ® '4065 62 439 3 1 pitNOLD PAL76ER 506 T 520418 6C 473 S71 6 2 U © (n 532 786 784 7� F 611 = 59922 p 778 776 ss 649 \5 57 01) © 77 768 �� 68) 0 616 W 67-62� ID, 7 ,96 754 /zs/ I,lqsyi' 79 g 9 ; MaCsl �H—�� ® \mhl sl 1 27. 9 RRE STAMN GOLF COLUME \nELL I mi um 3oc �- ✓`i+ �r3 � 7Q s4 ej a CZ1 S t E ♦2 mss J J P qC+ 5 B 7 Z6A STADIUM COURSE E% S, s4- 2028 54-3 _ 614 B77 2B _ 0©�', 6B B, 4 9 4 4 q 5 65 7 s6- 280 71I 658 889 (�7 3 8 3 0 4 2 4 3 4 5 4 7 49r 4 j 5 1 3 5 3 1 9 a 1 3 ,p 7 680 /6 7 5 3 d + PEBBLE BEACH 707 ® 5 5 ° 336 / 54- 783 724 'I pi 3It B01 746 54 ® V 3 8 4 0 31 )6956�R—�� 8B 73 sb "7 1 B 973 976 JUS �zjt3 7596 8 ©® Bi7 1 M � � ji. 99I 994 56- lql 8sf � 839 �I ozJ,_ ou /eat /ss /tip eo/ ef6 /. , O - OOs ooe S5- 6 °6 0 eat /°b 33 "-- - -= Spy ? 878 �!=-:•-.a - .a _y� .i a 7 /) 063 < b S9 , 35 S! 7994i 1- / W . 081 yiy I/ b 6 , j 3 /f0 19I8 9�f J 9'7 �- � 7C 117 S 120 h � rv$ 4 9 � � 29B � � ➢e/ % � ID r3 ; 135 yC 5- 1 153 > Q 171 = � Y 't•2° �ss•0 °-b ° •7S p37 / /,, ® 24o szs Sa ss � °7a ® 07 � °sa ss S85 D $90 °77 r[ - ss 300 Ss � � -1 \T 7lf 741 y��` 361 s M5 b`� / si ➢J ° YY/l 793 � (/ss `\J (/f�j W //��� \\\ 355 47° 1oi O3 3O � 7➢i 208 u/// U \O \ ss ss� n`P ss - / 6 45S ��SS ^1M Q'�4 °7O i l � �. � 534�f 0'O®4 S © 7�_�-.• � � i O I ppN°�OVP� 1.✓ 13� ° ss ® - IL:�,L-1= 7w \ s5tj�6{-- >' 1 © C DC7 u ® © fs D D i1 -p�-� - GO3FCWB 1 ub4_ 1 6 1 6 1 F f S 5q ❑ ❑ sS/ © 44 ENDS sournERN naLs onrNfarbyi;E C�