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07-1716 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ce4-!t1441Q*& BUILDING &.SAFETY DEPARTMENT Application Number: 07-00001716 Property Address: 79315 TOM, FAZIO LN N APN: 766-032-008- - - Application description: STRUCTURES OTHER' THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL.. Application valuation: 3000 Applicant: Architect or Engineer: PIA BUILDING PERMIT. = ,4.ia .r fora. Owner: BILL SIMMONS 79315 TOM FAZIO LANE NORTH LA QUINTA, CA 92253 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. License CI ss: B 'cense N 506667 ate: 01 ntractor: f JA 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.). (_) 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 Contractor: CLARK JR, JACK L. 51220 AVENIDA CARRANZA LA QUINTA, CA 92253 (760)564-3511 Lic. No.: 506667 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/07 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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 far which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 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 sh a d ecome subject to the workers' compensation provisions of Section 3700 of the Labor Coe hall forthwith =e provisions. Rete: � 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. I . 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 buildi c struction, and hereby authorize representatives of/thi/s poU y to nter upon the above-mentioned property r pection purpo at9 e: Jg� Si ure (Applicant or Agentl: Application Number . . . . . 07-00001716 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date Valuation . . . . 3000 Expiration Date 12/11/07 Qty Unit Charge Per Extension BASE .FEE 45.00 1.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 9.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation 0 Expiration Date 12/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 ----------------- ---------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . ... PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue.Date . . . . Valuation :, 0 Expiration Date 12/11/07 QtyUnit 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 &.FIREPIT PER APPROVED PLANS ---------------------_----------------------------------------------------=-- Other Fees . . . . . . . . . ENERGY REVIEW FEE 3.51 STRONG MOTION (SMI) - RES .50 Fee summary Charged ------ Paid Credited ---------- Due ----------------- ------ Permit Fee Total 89.25 - --- ---------- .00 .00 89.25 Plan Check -Total 43.91 .00 .00 43.91 Other Fee Total 4.01 .00 .00 4.01 Grand Total 137.17 .00' .00 137.17 LQPERMIT Li W .+ r L.HIN Y IL YY CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION 5GALE,.1/8' = 1'-0' 51MMON5 RE51DENGE 03/09/07 BAR—B—QUE BASE DETAIL f it 5EGTION 1' PLYWOOD TREATED FOR — EXTERIOR USE EDGE DESIGN TO BE SELECTED 1' TMIGK PLASTER 3 GOATS TO MATCH MOUSE IN COLOR AND TEXTURE 3 GOATS 6' X 8' X 1G' GONG. ]BLOCK' BULL NOSE WERSGREED 1/2' ]BRICK rAGNG SET ON END AROUND BASE or BBQ SCALE- 1'-1'-0' 3D' EDGE Dru 1' THICK GRANITE TOP WITH 2' THICK EDGE BY LAMINATION BBQ As SELECTED GRANITE EDGE TO BE DET GROUT FILL ALL GEIS CONTAINING REBAR G' X 8' X 16' CONCRETE 1' THIGK PLASTER TO MAT MADE UP OF 3 GOATS 3/4' GAS LINE STAINLESS STEEL DOOR 3/8' THICK GRANITE VENEI STONE TO MATCH Tor SEE DETAIL *3 04 REBAR • 16' O.G. CONCRETE FOOTING SCALE- 1" -l• -O' SmCBURNCR SELECTED IQ 08 FT) .120 VOLT 3XUM BRONZE O GRANJTE Tor Or LUE FOR BBQ G ` GRANITE COUNTER TOP SCALE- 1'-1'-0' SOrBURNER ) BE SELECTED N rLEX ARM ELECTED GRANITE TO BE SELECTED RASTER TO MATCH MOUSE STAINLESS STEEL DOORS 23418-S LER AND RIGHT IDE FM AT BGS -0004 ares) ;ADE M BRICK SCALE- 1'-1'-0' 5AR-5-QUE DETAIL 5GALE: 3/4" = V-0" SIMMONS RESIDENGE FEBRUARY 24. 2000 G' -0"o 3'—G'o R1/2� I I I I I I I IFR1/2 ol I VON Oro WA I _ .� _� _ �il•�• fi i fi, �• �i I��i ��i�i �Yi • i"�� 4-16 / 4" LAVA ROCK Z2l,SS-I��SZ 1/2" DIA STEEL GRATE GAS GRATE WITH FIRE ROCK 3 1/2' THICK CONCRETE COLOR: TO MATCH DECK TEXTURE: ACID WASH TO MATCH DECK #4 REBAR a 18' O.G. VERTICAL 6"X8'X16" CMU BLOCK �v n GAS VALVE + AUTO START EXPANSION JOINT. SEE DETAIL #3 SHEET L3.0 CONCRETE PATIO SEE DETAIL #3 SHEET L3.0 1" PLASTER TO MATCH HOUSE. 1 SCRATCH GOAT, 2 FINISH GOATS. ;ONCRETE FOOTING 3 1/2" THICK CONCRETE COLOR= NATURAL FINISH: MEDIUM BROOM 3" DIA. DRAIN HOLE 12" x 24" GRAVEL DRAINAGE 3/4" DIA GRAVEL 1' GAS LINE TO GRATE 95i COMPACTED 5UBGRADE Bili # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 -•(760) 777-7012 Building Permit Application and Tracking Sheet Permit .# 110 \ Project Address: . S (^ Owner's Name:. LL S A. P. Number: Address: TO 227 o LAS Legal Description: City, ST, Zip: I^A Qui n 2?s3 Contractor: c �� Telephone: 8 ,r . Address: 5- 2 2 v ✓eV1,0 A- c,4 rr 4 n Z A Project Description: City, ST, Zip: Telephone: y State Lic. #: .z&,64P 7 City Lic. #: f Arch., Engr., Designer: P B`CL- Address: 7 7 '7 34 . C \J t_w S ` da° -2 City, ST, Zip: L rA e e T Telephone: 2 _� State Lic. #:��� `' g� Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: a Telephone # of Contact Person: �' Sq. Ft.: # Stories: _ # Units: 5T -00 ?q T Estimated )XIlue of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Plan Check submitted Al/Q' Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans bicked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2n' Review, ready for corrections/issue 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 S7