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06-3700 (SOTB)
1 P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,iht 4 4 Q" Application Number:X06=00003700` Property Address: 81095-GIACOMO WY APN: 767-320-999-276 -32879 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 a Professionals Code, and my License is in full force and effect. Licensee Class: C8 C27 C29 License No.: 656128 atey64; tractor: O NER-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 applicarit for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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 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 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 contractors), 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 work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: MC.COMIC GRIFFIN LLC 7979 IVANHOE AVE #550 LA JOLLA, CA 92037 Contractor: . CALIFORNIA POOLS & SP P.O. BOX 1280 COACHELLA, CA 92236 (760)398--9222 . Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/18/06 D ° Q OCT 18 2006 CITY OF IAA Gi0INTA FINMACIP 02PT ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 1 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. 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 SEABRIGHT Policy Number BB1060510 I certify that, in the perform nce of the work for which this permit is issued, f shall not employ any person in any manner so s to become subject to the workers' compensation laws of California, and agree that, if I sho me subject to the workers' compensation provisions of Section I� 37 0 of the Labor C e, shat orthwith comply with those provisions. . WARNING: FAILURE TO SECURE WORKPEALTIES ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (s10o,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 pe it, or cessation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that t abo . formation is correct. I agree to comply with all city and county ordinances and state laws relating to bu 'ng ns ' ion, and hereby authorize representatives of th' bumpyZt;te�ru�ponnbove-mentioned property 'o *urposes. Da I ignature (Applicant or Agent): Application Number . . . . . 06-00003700 Permit BUILDING PERMIT n Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . Valuation . . . . 5000 Expiration Date 4/16/07 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 17.25 Plan Check Fee 4.31 •Issue Date Valuation . . . . 0 Expiration Date 4/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------------- Special Notes and Comments BBQ - ANSI.#Z21-58-1995 ------------------------------=--------------------------------------------- Other Fees ... . . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due Permit Fee Total 89.25 .00 .00 89.25 Plan Check Total 51.11 .00 .00 51.11 Other Fee Total 5.18 .00 .00 5.18 Grand Total 145.54 .00 .00 145.54 LQPERMIT Vitt tt City of. La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 5100 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: N_6 57 � � � w A►.Y Owner's Name: A. P. Number: Address: G1Z-�Ff-r�nJ. ��UC Legal Description: City, ST, Zip: Contractor:`, c r�S Telephone: _ Address: ��© Z Project Description: t Q zz I'SS� (�: S City, ST, Zip• CA Z23 Telephone: Zo 39 yZ2 �— State Lic. # : Z City Lie. Arch., Engr., Designer: 'Izz, JQ Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: � Estimated Value of Project: S,_ 00 0 # Submittal Req'd Plan Sets APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACMG _ PERMIT FEES Plan Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing k� LA. Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person ---"—aii, !P.P. Pub. Wks. Appr Date of perm°tis u OF -[.School Fees%� r__n _f IJCTI Total Permit Fees DATES Y - GRILL LIGHT N STAINLESS STEEL SINK NONE OR TILE COUNTER d • • �0 • • INN LENGTH VARIES PROVIDE VENT, WASTE, AND PLUMBING FOR SINK ON SEPARATE CONSTRUCTION DOCUMENT. V—i STUCCO OR STONE VENEER FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION GFI OUTLET a LIGHT SWITCH (WATERPROOF) BBQ: t/WZ4wr9 150 I.C.B.D. # ANSI #2Z`TT lYgr BTU f -S-,000 U.L. APPROVED. W LIGHT � a GRILL XE I K > FREE-STANDING OUTDOOR KITCHEN - PLAN ADAPT DIMENSIONS =� IA �• TO FIT APPLIANCES 1/2"=1'-0" 6x8x16 CMU- GROUT .CELLS WITH STEEL #4 BARS VERT. AT 24' O.C. (TYP.) N I w w BBQ LAYOUTS MAY VARY. FOOTING SIZE a REINF. ARE TYPICAL. > l r l LENGTH VARIES IB FREE-STANDING OUTDOOR KITCHEN - FOUNDATION PLAN�r 1/2"=1'-0" STONE CAP, TILE OR POURED CONC. #4 BAR HORIZ. AT 32. O.C. (TYP.) 3" 6X8X16 CMU GROUT CELLS WITH STEEL #4 BAR VERT. AT F.S. 24' O.C. (TYP.) e 7'244 BARS HORIZ. CONT. ,tel V� .ARIES i� FREE-STANDING BBQ - WALL SECTION ,_BBQ AND - SIDE ELEV.