07-3126 (BLCK)ce4ht 4 - 4 0l, __
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: 12/11/0.7
Application Number: 4ZZZZ07 0000312;6 Owner:'
Property Address: f452'0'o-WASHINGTON ST - CENTRE POINTE DEVELOPMENT
APN: 604-040-070 - 77564 COUNTRY CLUB DRIVE 47
Application description: WALL/FENCE PALM DESERT, CA 92211
Property Zoning: TOURIST COMMERCIAL
Application valuation: 600
Contractor:
Applicant: Architect or Engineer: TURNER CONSTRUCTION COMP�
.1900 S. STATE COLLEGE BL-V,'2
ANAHEIM, CA-92806"
/(714)940=9000
A-- Li.c. No.: 210639
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code,.and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided
License Class: B License No.: 210639 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�p��� /yy �„� issued.
Contractor: (�� L}��J /•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
OWNER-BUILDER DECLARATION - insurance carrier and policy number are: -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number WC7625092815037
following reason. (Sec. 7031 .5,'Business and Professions Code: Any city or county that requires a permit.to- _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject-to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or _ 3700 of the L�b�l fort ith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by. ;n� /%�
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: ate: i( ica1 • 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 - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED.FOR IN _
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
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.). - APPLICANT ACKNOWLEDGEMENT
1 ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The, Contractors' State License Law does not apply to an owner of . conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 : Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). , - whose benefit work is performed under or pursuant to any permit issuedas a result of this application,
(_) I am exempt under Sec. _ , B.&P.C. for this reason 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.
Date: Owner: ' 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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for, the performance of the 1 certify that I have read this application and state that the above information is correct. I agree to comply with all -
work for which this permit is issued (Sec. 3097, Civ. C.): t - city and county ordinances and state laws relating to building construction, and hereby authorize representatives
,t '. q , . ' of this c my to enter upon the above-mentioned properJy.f ' spection purpo - -
x .'�Lender:s Name _ ` '
'. �� .•' •.
toa/(Applicant or Agent):
lender's Address tj
LQPERA11T
Application Number 07-00003126
`
Permit . . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee 17.00
Plan Check
Fee
.00
Issue Date
Valuation
600
Expiration Date 6/08/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 2.0000 HND BLDG
501-2;•000
-
2.00
Special Notes and Comments
-------------- --------
-----.----
24 L.F. BLOCK WALL FOR MONUMENT
SIGN AT
SEELEY WATER FEATURE, VARYING "IN
HEIGHT
FROM 4' TO 6', ORCO SYSTEM
Fee summary Charged
Paid Credited
Due
Permit Fee Total 17.00
.00
.00
•17.00
Plan Check Total .00
.00
.00
.00
Grand Total 17.00
.00
.00
17.00
Bin#
L
} CitY� of� La. Qunta
Building 8T Safety Divisio0a'
P r
PO. -Box 1504,78=495 Calle. Tampico
L Quinta,'CA 92253 - (760):777-7012
Permit
f
:Bullding•Pe'rmit Application sand Tra' din'Sheet '
` � 'S
Project Address:
,��341�6.
Owner's Name:
A. P. Number: • - .
Address:✓ '
Legal Description:
City, ST, Zip: 00q. '
Contractor: ,-
Telephone. `•- 't. ''
Address: Jl'
Project Description: 57
.�//�/
City, ST, zip:1,4 U 1 3
'
711t
Telephone:
�y
State Ltc.'# , PP
City I ic. #:
%li��ib r ` `y, ° , • F
e .>
Arch:, Engi.,-Des(gner: G j .
j% '
Address: ��
P -• ° l
City, ST, Zip: IIS !fib
t ,
Tele 'one:. r
P 51 �.
s . ( P , y. ,
Construction Type: Occu anc
State Lie. #: , . *.'
Project type (circle one): New Add'n' Alter'' Repair' ' Demo ,.
Sq. Ft.: :p f # Stories '' ' # Units:
Name of Contact Pers on:• -
Telephone # of Contact Person:
Estimated Value of Project: s' 4 .`'• "
_ APPLICANT: DO NOT WRITE BELOW THIS LINE F - r • "�
ai
Submittal ;
Req,
Recd
TRACKING . l
:PERMIT FEES.
Plan Sets.. "'
Plan Check submitted `
Item `
'
Amount
Structural Calcs
r
Reviewed,`ready for corrections T
Plan Check Deposit
Truss Calcs.':
Called Contact Person n `,
Plan Check Balance
Ener t Calcs. _
gy,
�.
.. in.'
Plans,picked up � .
Construction x
►'
Flood plain plan
Plans resubmitted' (' ,, r •
Mechanical :►
`
a
Grading plan',
,`
2'd Review, ready for corrections/issue ' ^R
Electrical
Subcontactor List
x,
Called Contact Person t
Plumbing,.*',
rs_
Grant Deed
Plans picked up �' "*
t
S.M.I. .t".,
H.O.A. Approval
P ,a ;
Plans resubmitted
' `
Griding
y
IN HOUSE: •
i"'Beview, ready for corrections/issue '`
Developer.Impact Fee V
-
Planning Approval
' '
�_
Called Contact Person
a
A.LP.P..
Pub. Appr- WksA r`
.- •.
, .
Date of perm rt issue
S R
.,
School Fees,
a
-
c
Total Permit Fees -
` � 'S
7 -.
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I
4211
iifRMANN & ASSOCIATES
30 BfLMON1E DRIVE
PALM DESERT, CA
92211
llL# 2154
N. (160) 776-0940
fAX (160) 776-0950
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REVISIONS
DATE
DRAWN
g
CITY SIGhtLf't.4ht
Div"
ut-
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SEW
FS IT _ MANYE SIGN
flat'
SCALE
tL WT�lI M 16/2V01
JOS. NO.
SEELECITY 1 �$4iBMITTAL
1014
lD
SEELEY VIRIYE 5"
cny FwssuamAL
ifd/IS/
00-7
PRECAST ACCENT CONCRETE CAP �C 91.64
q �
NOTE: aLL BRASS LETTER AND LOGO £ OF C�
MUST BE CONSTRUCTED PER MILTON SPEC. -v
3I� �51.ETT Rv EXISTING.SIDEWALK
PRECAST CONCRETE CAP
311 IEC 66E NICHE STUCCO II.+ TO MATCH 04+40RIZONTAL RISAR AT 32° oc.
COLOR TO BE CREAM/ WHITE MERLEX NO, P-5160 2 � OF LA, QUINTA
BUIL &SAFETY DEPT.
DESERT Y ILLA _ 04 ARTICAL REBAR AT 14° c.G. APP E
SIGN TRI FOR CONSTRUC
a t.ET E NG StU
.. , , CCO FINISH 70 MATCH ARCHITECTURE
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DATF y
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RESTAURANT
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AR MEN
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( ) (TO BE DETERMINED) Fr�IG-H GR,4Df: 0 FO STRUGTiO / ��n�^ to �)
B. �� DATE `e
t1" RVANGULAR LIGHT FIXTURE E HIBIT
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SIGN WILL BE UPLIGHT - FIXTURE TO BE DETERMINEDt`�
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04 ;DEBAR CONTINUOUS
DESIGNED
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DRAWN
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CHECKED
«d
DATE
9/8/25
SCALE
NOTED
JOS. NO.
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w 2B CONCRETE FOOTING
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