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12-1040 (RER)
P.O. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: F12-0000104 0 Property Address: '-78591 .TALKING ROCK TURN APN: 770-300-031- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secon 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Li nse Class: B License No.:. 813507 Date: A? / -ontractor: 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.). (_ 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: BRENT ANTHONY 78591 TALKING LA QUINTA, CA ( ROCK TURN 92253 Contractor: MAP DEVELOPMENT, INC. 71248 FLAT BRANCH MOUNTAIN CENTER, CA 92561 (760) 616 - 03 96 Lic. No.: 813507 ------------------ WORKER'S COMPENSATION DECLARATION 1 1 7� 77 - 777-7153 0/29/12 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 workerscompensation, 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 EXEMPT Policy Number EXEMPT ' 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 �- 3�70��0 of the Labor Code, I shall forthwith comp) with those provisions. L Date ZYApplicant: WAR INE TO SECURE WORKERS' COMPENSATION O�Gl 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 1 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 oIlhis county to enter n the above-mentioned property for inspection purp s. e � r Date:1 ?� ignatwe (Applicant or Agent): i� Application Number . . . . .. 12-00001040- 2-00001040Permit PermitBUILDING PERMIT > Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 , Issue Date Valuation . . . . 10000 Expiration Date 4/27/13 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 172.00 Special Notes and Comments STRUCTURAL REVISION TO,INTERIOR STRUCTURAL FRAMEWORK PER ENGINEERED DESIGN AND WDW CHANGEOUT 6 QTY AT U -FACTOR .550 AND SHGC .460. ENGINEER: CHARLES GARLAND C 11991. 2010 CODES. -----------------_-_-------------------------------------------------------- Other Fees . . BLDG STDS ADMIN-(SB1473) 1.00 ENERGY REVIEW FEE 7.61 HOURLY PLAN CHECK 175.00 STRONG MOTION (SMI). -RES 1.00 Fee summary-_ Charged ---Paid_-- Credited Due Permit Fee Total 117.'00 .00 .00 117.00 Plan Check,Total 76.05 .00 :00 76.05 Other Fee Total 184.61y 00' .00 184..61 Grand Total 377.66 .00 .00 377.66 -LQPERMIT - _ - /Bln.# vl . City of La Quinta Building ty a Safe Division Box 1504,78-495 Calle Tampico ta.Qllmta, CA 92253 - {760} 777-7012 Building Permit Application and Tracking Sheet Pem>it #P.O. ./Z --"o YO Project Address: — Sol I AUV W 6 0-be� L Owner's Name:. -� A-P.Number. pp �✓Q Address: %O ' J /� 1 �l1`�G 4,c/z- Tc. Y, Legal Description: Ci f � tY. ST Zip. �7 ,,ti �' llv- . . Contractor. V C-�t O jO N�G--pJ Telephone: Item Amount Address: '%11 Q �L� 3Y1��({- Project Description: City, ST, Zip: G— j . G b Telephone: 60 - ( b - D. : b' Lis A --r iZc A h- O State LiQ # : City Liicc/. #; 1 �n) rJ G q Rc j a(/yeti ., gr., •$I1CT': �� V.•v,' -(-Tl� �{'i� Y ` � � Called ContactPerson /D Plan Check Balance. City, ST. Zi : Title 24 Cates. Telepho : • D ON State Lia #: Construction Type: , Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft : # Stories: #Units: Name of Contact Person:V v A G �� ; Telephone # of Contact Person '` O �`i % Estimated Value of Projeo ov 0 °c^ APPLICANT: DO NOT WRITE RI -i nW YmLC t INC # Submittal Req'd Reed TRAL'jMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit. . Truss Cala. Called ContactPerson /D Plan Check Balance. Title 24 Cates. Plans picked up 3 Construction • Rood plain plan Plans resubmitted.. 5 Mechanical Grading plan 2" Review, ready for correct!rasue t, 26 p ectrical Sabeontactor List Called Contact Person Plumbing Grant Deed Plans picked up ML H.O.A. Approval Plans resubmitted P 2-+ Grading IN ROUSE:- Review, ready for correetionalissuc Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Feu Total Permit Fees 4;wn7 Tl(�/9.— /D./a cs Qi4� CITY OF LA QUINTA CITY CLERK'S DEPARTMENT Mail: PO Box 1504, La Quinta, CA 92247 Location: 78-495 Calle Tampico, La Quinta Tel 760-777-7000 1 Fax 760-777-7107 SUBPOENA FOR PUBLIC RECORDS (THIS DOCUMENT COMPLETED BY CLERK DEPT. STAFF FOR TRACKING ONLY) DA • / ••9 �g,,Jy i . COMPANY: STREET ADDRESS: CITY: rAJM�,, EMAIL: PHONE: W STATE: CA ZIP: 1 DOCUMENT(S) REQUESTED BY SUBPOENA: The request will be processed in compliance with subpoena instructions, except with respect to public records exempt from disclosure. Costs shall be charged in accordance with California Evidence Code Section .1563, which states .that costs shall include, but not be limited to: ten cents ('100) per page for copies size 8'/2x14 or less; twenty cents (200) per page for copies from microfiche; actual costs for copies of oversize documents or documents requiring special processing; clerical costs incurred in location and making records available billed at $6 per '/4 hour or fraction thereof; actual postage charges; and actual cost of offsite retrieval and return of records. , Official Use Only PvaL : ( Z "Department & Staff Member: rs ' b AAA, Staff Member/ Date Records Provided: 0/is / D (h._ Copy Cost: cbx 16 1$ C a J;a W .C. LO JA— A0 1/ "AtA4 PAJ NAForms\Public Records Subpoena Request .doc _ t °� �QurKrw P.O. Box 1504 LA QUINTA, CA 92247-1504 CITY CLERK DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7103 LA QUINTA, CA 92253 FAX (760) 777-7107 Finance Revenue Code: Ml . t Date of Invoice: October 28, 2009 Copies Made For: Catherine Gayer Winet, Partick and Weaver 1199 East Ramon. Road, Palm Springs,'CA 92264 Regarding: Subpoena for Records Case # INC 072936 Giannulli v. DWC General Contractors, Inc., et al. Copy fees are in accordance with City Council Resolution and California Evidence Code Section 1561 Actual or estimated postage/fax cost will be added to all mailed or faxed documents/discs. Fees must be'paid prior to release of copies. ITEM First page, up to 81/2x14 NUMBER FEE 950 each AMOUNTI Additional pages, up to 8,Y2x14 150 each First page, 11 x17 $1.90 each Additional pages, 1 1 x17 300 each Oversized sheets & plans 6 $3.00 each 18.00 CD or _DVD $5.00 each Estimated FAX or postage cost 2.00 SUBPOENAS ONLY: All pages, 8 Y2 x14 or smaller 49 100 each 4.90 All pages, over 81/2x14 See plans above Actual cost Labor ($6 per 1/4 hour or part thereof) 1.5 (3 employees) $24. per hour 1 36.00 Less amount received 10/20/09 (Macro Pro check 2052380) - 15.00 TOTAL DUE .................................................! $45.90 PLEASE REMIT CHECK PAYABLE TO: CITY OF LA QUINTA ATTENTION: CLERK'S DEPT. PO Box 1504 �. LA QUINTA, CA 92247-1504 PLEASE RETURN THIS INVOICE WITH PAYMC N:\Forms\Records Request- Invoice & Receipt.doc 10.14.2009 Maysels 71-780 San Jacinto Dr. Ste: E2, Rancho Mirage Ca. 92270 ph.;(760) 834-8860 fax (760) 834-8861 To: City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Letter of Transmittal Today's Date: 10-11-12 City Due Date: 10-11-12 Project Address: 78-591 Talking Rock Turn Attn: Kay Plan Check #: 12-1040 Submittal: ❑ 1st We are forwarding Includes: ® 2nd ❑ 3rd © By Messenger ❑ Descriptions: Structural Plans Structural Calculations Truss Calcs ❑ Soils Report Update ® 1 Structural P/C Copies: Comments/Responses ® 1 Redlined Structural Plans ® 1 Redlined Structural Calcs ❑ Redlined Truss Calcs ❑ Redlined Soils Reports Comments: Structural content is aoarovable. ❑ 4th ❑ 5th ❑ Other: By Mail (Fed Ex or UPS) Includes: # Of Copies: ®El 1 ® 1 171 El D ` El El El ❑ Your Pickup Descriptions: Revised Struct. Plans Revised Struct. Calcs Revised Truss w/Stamp Revised Soils Report Approved Structural Plans Approved Structural Calcs Approved Truss Calcs Approved Soils Report Other: Structural Plan Review Time =0.5 HRS This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office : ® (760) 834-8860 Other: ❑ R OCT 12 � 2012 `: