The URL can be used to link to this page

08-1877 (SIGN)P.O: BOX 1504 ; 78-495, CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 08-00001877 46660 WASHINGTON ST STE 1 643-020-999-3 -30903 REGIONAL COMMERCIAL BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WASHINGTON 111 LTD _ C/O JACK TARR 30240 RANCHO VIEJO RD. SAN JUAN CAPISTRANO, C VOICE (760) 777-7012 ' FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/20/08 Contractor. Applicant: / Architect or Engineer: , PARAGON SIGNS ZTY"��7��® �bwl�'/c_z /f 77650 ENFIELD LANE C / ". PALM . DESERT, CA 92211 R G°n a (760) 345-3340 - - a LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with - Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect. License Class: C45 D42 N 637739 Date: Contractor: OWNER -BUILDER DECLARATION 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 mcie than five hundred dollars ($500).: (_ I 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 -w6rk for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: , LQPERMIT Lic. No.: 637739 T -------------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 STATE FUND Policy Number 1735081-2008 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 3700 of the Labor Code, I_shall forth omply wthose provisions. r Date: Applicant: WARNING: FAILURE TO SECURE WORKERS"CENSATION 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. i 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. 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 building construction, hereby author representatives of this county to enter upon the above-mentioned property for inspectio rposes. Dater 26 40kignature (Applicant or Agentl: LQPERMIT Bin # ",City of La Quints Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253- (760) 777-7012 - Building Permit Application and Tracking Sheet Permit # �� Project Address:' "_440 waf-�.0-, s7TE. l Owner's Name: �/,,,�,�� •ro w..//� GT+a. A. P. Number: Address: Legal Description: Contractor:912 44,0 q/ .i .✓,f' City, ST, Zip: Telephone: f76--6-3-of Address: ��`r� C',�F/,EGD '.(J✓• Project Description: City, ST, Zip: 0.9��-t „iJ6�5K7- �.P. �?2Z.1/ ��Lui•vi,�.aTsd " c. �.�a✓areC. LcTl 1 Telephone: 3i�S=3�Yo . � ^.4 /C ES 10" State Lic. # : City Lic..#: ej Arch., Engr., Designer: Gr�C , e?•- �A •. , Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: aga,i �'w w We- L Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 23 # Stories: # Units:. Telephone # of Contact Person: P if = O Estimated Value of Project: Z60 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd 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 Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2nd 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:LP.P. Pub. Wks. Appr Date of permit issue School Fees * Total Permit Fees ow