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10-0177 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000177 Property Address: 43576 WASHINGTON ST APN: 609-070-051-2 - Application description: WALL/FENCE Property Zoning: COMMUNITY COMMERCIAL Application valuation: 500 c&t!t 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LIC ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Professionals Code, and my License is in full force and effect. License Class: B A License No.: 693077 te: —- 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 70001 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 _ 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: LQPERDIIT Owner: GANDHI SANDHYA S 30926 STEEPLECHASE DR SAN JUAN CAPISTRANO, CA 9 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/30/10 Contractor: /41 3 ORR BUILDERS 0 �� 10 39301 BADGER, SUITE #300 '- PALM DESERT, CA 92211 (760)360-6632 Ar Lic. No.: 693077 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the fallowing 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. Y. 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 DELOS INS Policy Number 02DKRM12003959 I certify that, in the performance of work for which this permit is issued, I shall not employ any person in any manner so as to me subject to the workers' compensation laws of California, and agree that, if I shout bec subject to the workers' compensation provisions of Section 3700 of the Labor Code, s f' hwith comply with those provisions. ate. * 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 state that the a die information is correct. I agree to comply with all city and county ordinances and state laws relating to build' construction, and hereby authorize representatives of thiWcoty enter upon the above-mentioned prope�orinspection purposesinspection purposeseV Si tura (Applicant or Agent): Application Number . . . . . 10-00000177 Permit . . . WALL/FENCE PERMIT Additional desc . . TRASH ENCL.MED WASTE Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 500 Expiration Date . . 9/26/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1916" L.F. 6' CMU WALL WITH PLASTER FINISH, CITY STANDARD - TRASH ENCLOSURE FOR MEDICAL WASTE. 2007 CODES. **PLANNING DEPT. APPROVAL REQUIRED FOR OLIVE TREE LOCATION PRIOR TO FINAL INSPECTION** ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - COM .50 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 15.00 .00 .00 15.00 Plan Check Total .00. .00 .00 .00 Other Fee Total 1.50 .00 .00 1.50 Grand Total 16.50 .00 .00 16.50 LQPERAIIT Bin # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ^ �1 l Project Address: Gj 74p A I N , �cn cJ . Owner's Name: rn rJ , A. P. Number: Address: 4-:�> e S76 60ghim .^ I Legal Description: Contractor:?::..;>: � City, ST, Zip: •:<•: :; .;.;..:.::::::>;;:: .. Telephone: Address: Project Description: City, ST, Zip: _ 1 47-1 Yir�•i �. Telephone: w; •;:::#::`::,»:<!?r ^i?e:>::t:>:>'>€w; 1 G l U State Lic. # : City Lie. #: C Com✓ Arch., s"w.. Address: City., ST, Zip: Telephone: P `'»;>:' : <;°.>..:.z :: >:: . r.. ;':::.:;:,:.: :.:.c ,.:':.� xizw?<sl:x;..«:..;;:;:.h.>:.•.s...:�� • ,..,.r v:::.;<as.;;•:«;>ts.irt:..•:.,.ProJect , &44 r on Type: Constructi Accu an State Lic. #: Name of Contact Person: tYPa circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: F# Units: Telephone # of Contact Perso 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Pian Sets a Plan Check submitted 171V Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cbe6c Deposit Truss Calcs. Called Contact Person Pian Check Balance Title 24 Cates. Plans picked up Constructbon Flood plain plan Plans resubmitted Mechanic::) Grading plan 2ad Review, ready for correction ssu 3/3V Electrical Subcontactor List Called Contact Person V 2P Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Review, ready for corrections/issue Developes Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Per -nit Fees .319 Zt"14.% -� V )QA4X- 09S,09P P.O. Boa 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT f (760) 777-7012 FAX (760) 777-701 1 To: Greg Butler, Building & Safety Manager To CDD: -3, 9- /O From: Les Johnson, Director -Planning Due Date: t¢}5AP Permit #: Status: Building Plans Approval (This is ars approval to issue a Building 'Permit) The Planning Department has reviewed the Building Plans for the following project: Description: o24,.. - - Address or General Location: 435 76 Applicant Contact: 7 &Q- 4/08 - /.-WY The Planning Department finds that: ❑ these Building Plans do not require Planning Department approval. ...these Building Plans are approved by the Planning Depar-ment. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections. t the applicant. When the corrections are made lease retur them to t e Planning Department for review. Les Joh son, DireqoXjlanning V Date r )hveo MAN 0 9 2,010 QrV of Les c?W11to Planning Depelf,.... T-vf 4�a�a MEMORANDUM TO: Building and Safety Department FROM: Jay Wuu, Associate Planner IT DATE: March 29, 2010 SUBJECT: 43-576 WASHINGTON STREET 2ND TRASH ENCLOSURE (MEDICAL WASTE) The following comments apply to the trash enclosure building plan approval: 1. The olive tree that is proposed to be removed shall not be removed. Rather, the tree shall be relocated to a location near the current location (for example, to the south of the enclosures near the southern property line). Final approval of the new enclosure shall not be given until relocation of the olive tree is field -verified by the Building Inspector. If you have any questions, please contact me at 760-777-7125.