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07-3007 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Qulk& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00003007! Property Address: 78281 DEACON DR W APN: 770-210-033- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW .DENSITY RESIDENTIAL Application valuation: 500 Applicant: Architect or Engineer: NIS' LICE SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professionals Code, and my License is in full force and effect. License) /Class: 8 C27 C29 License No.: 656128 Date:!/ O. 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 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, 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 1 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/26/07 Owner: PEARSON GLEN C/O LAW OFFI 6225 LUSK BL SAN DIEGO, C F J SKAY 9�B �. 121 NOV 2 7 a7�r) Contractor: TESERRA Cr'rOFI-AQu#A� -,; P.O. sox 12so 'ONCE t), j 17 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 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 policymber are: u Carrier SEABRIGHT Policy Number BB1070510 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 ecome subject to the workers' compensation laws of California, and agree that, if I s Id beco a subject to the workers' compensation provisions of Section ii 37 0 of the Labor o e, .shall with comply with those provisions. Date:) �11 plicant WARNING: FAILURE TO SECUR ' 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 1 have read this application and state that the above infor • tion is correct. I agree to comply with all city and county ordinances and state laws relating to building nstruct on, and hereby authorize representatives of this cou ty to/en"ter upon the above-mentioned property r i specti n purposes. Date: // !v -nature (Applicant or Agent):— - —Application Number . . . . . 07-00003007 Permit BUILDING PERMIT Additional desc . Permit Fee, 15.00 Plan Check Fee 9.75 Issue Date Valuation 500 Expiration Date 5/24/08 Qty Unit Charge' Per Extension ------------------------------------------------------------ BASE FEE ---------------- 15.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 15.00 Plan Check .Fee 3.75 Issue Date . . . . Valuation . . . . 0 Expiration.Date 5/24/08 Qty Unit Charge Per Extension BASE FEE 15.00 7 -------------------------------------------------------------------- Special Notes and Comments FIREPIT PER APPROVED PLAN. Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 30.00 ---------- .00 ---------- .00 30.00 Plan Check Total 13.50 .00 .00. 13.50 Grand Total 43.50 .00 .00 43.50 LQPERMIT ♦_ V #4 TIE STEEL AT 36" DIAM. TOP COURSE --\,, INSIDE DIMENSION WATERPROOF MEMBRANE I.C.B.O. # (TYP. INTERIOR . ANSI # ��►p"L SURFACES) BTU #4 BAR U.L. APPROVED. VERT AT 32" O.C. (TYP. ) 7A 7B LENGTH OF GAS PIPE 6x8x8 OR DIAM. OF GAS PIPE �� 8x8x8 CMU OUTDOOR FIRE RING SOLID GROUT 7 112"=l 1 -0" GAS -SHUTOFF 'GAS LINES SHALL BE INSTALLED VALVE GRAVEL PER CPC FOR DEPTH, LOCATED COURSE COVERAGE, AND PLACEMENT. WITHIN 36° L GHTOR SAND WATER PROOF OF UNIT MEMBRANE (TYP') STONE CAP 3-1/2"-'#4 TIE STEEL 1.03 #4 BAR VERT. AT 32" O.C. 8x8x8.CMU; SOLID GROUT F.S. 3„ CLR METAL GAS RISER GRAVEL SUMP 2° DRAIN OR PROVIDE 12" DIAM. 3ST. HED ROCK OPENING IN FOOTING 7A OUTDOOR FIRE RING - STONE .CAP I/2"=1'-0" I 'A -4.w p" .s5 w o / �I ,,,, o ) I� 0.5,/ - I OF LA QUINT 0 ILDING & SAFETY DE 0o APPROVED -0- W n-�-i -T� 1 G I! - GU ( '��r1 E -: n FOR CONSTRUCTION - JAr-�D-/ 'i- & �I P'OI.�LI�E_ _�� 2E IT �� ' 2�_ I i/ DATE y� A�Y� `t7N � Q,Ji.a� �+'f�C+�► � �i 1 • `� � VA � �v (�:`� c /�.®. I - . � r ,�} Q SY`� I �LHES — �`. eD .\l col --� Bin # City of La Quinta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �j001 Project Address: $� ' • Owner's Name: 0� J A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: `— Telephone: Address: ,3 0 Project Description: City, ST, Zip: Htz LLik CA, ff ZL-� Telephone: -3q �— State Lic. # : .5 , f City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: C Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: "�'��r Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: S60 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. / Reviewe eady or corrections l/ Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction %3 Flood plain plan Plans resubmitted Mechanical Grading plan r' 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.I.P.P. Pub. Wks. Appr School Fees Date o per issue k.,olI BUILDING & SAF Total Permit Fees T DATE 8Y