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05-2322 (SOTB)4 P.O. BOX 1504 �VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/14/05 Application Number: 05-00002322 Owner: Property Address: 60520 DESERT ROSE DR a ROGER FOSS APN: 764-270-999-5 -300233- 60520 DESERT ROSE DRIVE Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 5000 d Contractor: Applicant: D rchitect or Engineer: MARTIN MASONRY, MARK 78760 RUNAWAY BAY JUN 14 2005 INDIO, CA 92203 (760)345-0977 CITYOF®UINTA fl Lic. No.: 784794 �A 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 Profes onals Code, and my License is in full force and effect. /Li�censeClass: C27 C29 L�ense;.: 784794 / Date: � �� 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).: (_) 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.). (_) 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: I P LQPERMIT 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 REDWOOD FIRE ' Policy Number W5533840 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 s bject to the workers' compensation laws of California, and agree that, if 1 should become sub' t to the workers' com nsation provisions of Section pp )�/ 3700 of the Labor Code, I shall fort th c�///IyI ith rov ons. 'Date (C `/ T'"0� pplicant: ` ! 7 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 state that W22�,_� i correct. I agree to comply wit all city and county ordinances and laws relating to bhereby authorize represent." of this countytone(n`ter upon above-mentioned proposes. /^e, Date: `� v �gnature (Applicant or Agent):! rn - Application Number . . . . . 05-00002322 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date 12/11/05 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 16.50 Plan Check Fee 4.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/11/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 .7500 --------------------------------------------7------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 1.50 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/11/05 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 & TABLE STYLE FIRE APPLIANCE (RGA2-72),PER APPROVED PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited ---------=----------------- Due Permit Fee Total ------------------------------ 106.50 .00 .00 106.50 Plan Check Total 55.43 .00 .00 55.43 Other Fee Total 5.18 .00 .00 5.18 Grand Total 167.11 .00 .00 167.11 LQPERMIT 1 �I CITY OF LA QUI ETNT BUILDING & SAFETY DE APPROVED FOR CONSTRU N �D I 2E3V;i Avy,cfe, Int 4a 2 - Ir (O ocsere l Y.I-osc V1c�o�>f 2. �14ket fobe- 4 VIP a _f- u - re t; � al r Ice Fl- T-] J 641 CA ob WrX2, 44, FA BUILDING AND SAFETY DEPARTMENT GARDEN WALL STANDARD 6' C.M.U. rrn- 1350psi, Fy- 40000psi /4 O 24' Vert O CL /4 0.32' Horiz 6 1/ 3- CLEAR � /4 NORM AS SHOWN ' IT 6' C.M.U. rm- •1350psi. Fy- 40000psi /4 O 24' Vert O CL /4 O 32' Horiz GARDEN WALL Scale: 3/8' i 1'-0- 10-11/16: 300PTL'IOOANPP AL. ' 1 � 3 CLEAR ALTERNATE T N /4 HORIZ. AS SHOWN t o . I -O' S GARDEN WALL scale:_p- 6' C.M.U. , Fy- 40000psi /44 24' VtrO 24' Vert OCL /4 O 32' Horiz OPTIONAL 10-11/16' 30 -LAP 3 CLEAR ALTERNATE #4 HORIZ. AS SHOWN T N 4 GARDEN WALL Score: 3/8- C.M.U. ^- 1350psi, Fy- 40000psi 04 O 24' Vert O CL /4 0 32' Horiz 3- CLEAR' -•L 114 HORIZ. AS SHOWN 'T SGARDEN WALL Scoie: 3/8' - 1'_p' 6' C.M.U. f'mr 1350psi, ry- 40000psi /4 O 24' Vert O CL 04 O 32' Horiz 3' CLEAR -� /4 HORIZ. AS SHOWN T (v GARDEN WALL Bin #f City of La Quinta ,. Building 8L Safety Division P.O. Box 1504, 78-495 Calle Ta mpico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 3 � a Project Address: O -S' 2 c) �` r ip , `O C, Owner's Name: f S A. P. Number: ' Address: C Legal Description: City, ST, Zip: r r. Cont acto z1r C, Telephone'. Po h e. Address:J Inc[ Project Description: Cit)-, ST, Zip: (4 2 UA Tn : e h e e1P 0 0- 7 � 3 tit 7 State Lic. # : %L�'% �j City Lic. #: „ LA Arch., Engr., Designer: Address: City, ST, Zip: Telephone. : . . .. .....................P : Construction tion Type: e Occupancy: _ State Lt c. #: Addtcr Repair Demo 1 e tt5Pecircle o e) ._� Name of Contact Person: Sq. Ft.: Telephone # of Contact Person: - Estimated Value of P oject: Soe�n O 0 APPLICANT: DO NOT WRITE BELOW THIS L NE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs.. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Valance vl Title 24 Caics. Plans picked up Construction t/ Flood plain plan Plans resubmitted Mechanical Grading plan 2wd Review, ready for correctionslissue Electrical y� Subcontactor List Called Contact Person Plumbing i G)dS Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN 110USE:- '^' 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 7•