07-0734 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,iht °F:WQ"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
07-00000734
Property Address:
78115 CALLE ESTADO
APN:
770-152-.010- -
Application description:
WALL/FENCE
Property Zoning:
VILLAGE COMMERCIAL
Application valuation:
3054
Applicant: Architect or Engineer:
�IA
--------------------------------------------------
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 and Professionals Code, and my License is in full force and effect.
License Class: B License 8920
ate: Contractor:
WNER-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.).
(_) 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 contractorls) 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:
DAVE B RUDVICK
74140 EL PASEO NO 377
PALM DESERT, CA 92260
Contractor: ! D
ASARO BUILDERS, INC.
42220 GREEN WAY, H
PALM DESERT, CA 92211
(760)776-0043 j(
Lic. No.: 588920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/12/07
MAO 11 2 1001
�- ®F � QIII ,4 I
�ANee .-__
------------------
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 policy number are:
Carrier STATE FUND Policy Number 229002420506
certify that, in the performance of the work for which this permit is issued, 1 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 hall forthwith comply with those provisions.
D Ap ant:
WARNING: FAILUFtE TO CURE WORK COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
ofthis oun y to ter upon the above-mentioned property r inspection purposes. 1-57
nature (Applicant or Agent):
Application Number . . . . 07-00000734
0
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . .. . . 63.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 3054
Expiration Date 9/08/07
r '
Qty Unit Charge Per Extension
BASE FEE 45.00
2.00 9.0000 THOU BLDG 2,001-25,000 18.00
------------7----------------7-----------------'-----------------------------
Special Notes and Comments
30 L.F. 6' GARDEN WALL & 144 L.F. 4'
WALLS' FOR TRASH ENCLOSURES, CITY
STANDARD
Fee summary Charged
----------------- ----------
Permit Fee Total 63.00
Plan Check Total .00
Grand Total 63.00
LQPERMIT
Paid Credited Due
---------- ------- - -- ----------
.00 .00 63.00
.00 .00 .00
.00 .00 63.00
Grading: plin . .
2'' Review, ready for iorrectiowissue.
Din #
i Permit #
City Of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Carte Tampico
Quinta, CA 92253 - (7b0) 777-7012
Building Permit Application and Tracking SheetAddress:
Called Contact Person
�O Owner's Name:
mber.
Address:
rALa
escription .
:
CityST, Zap:tor.. Telephone:
Project Description:,T,
Zip:.
Telephone:
Stite Lic. #':
City Lic, m
Acrh., j3nV4Designer
Review, ready [or.eorrections/issae
Address:
Planning Approval
City, ST, Zip;
A.LP.P:
• Telephone:
State Lia #:
Coastzaction Type: " Oooupaocy:
Project type (circle one): New ' Add'n Alter-.* Repair Demo
Name of Contact Person:Sq.
Ft i
#Stories: # Units:
Telephone # of Contact Person:'
`
F.stimatcd Value of Project: .
APPLICANT: DO -NOT WRITE' BELOW THIS UNE
g submittal Req'd
Rc<d TRACKING . PERMTr FEES
Plan Sets
Plan Check submitted Item Amount .
Structural Cala.
RevieW4 raid; for corrections Plan Cheett Deposit
Trois Cala.
Called Contact Peraou Plan Check Balance .
Energy Cala.
Plans ticiced•ap Cowtrattioo
Flood plain plan
Pians resubmitted Mechanical . .
Grading: plin . .
2'' Review, ready for iorrectiowissue.
Electrical
Subcoritaitor LII .
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.LL'
ILO.A. Approval
Plans resubmitted
Grading -
IN HOUSE-''�
Review, ready [or.eorrections/issae
Developer Impact vee
Planning Approval
Called Contact Person
A.LP.P:
Pab. Wks. Appr
.Date of permit issue
School Fees -
Total Permit Fees
JW Y
Building �' J
Address
Owe ,c
Mailing"
AddressZ—(�rj�
city I _1
Contractors' ha, 0
Address
P.O. BOX TAM APPLICATION ONLY
ALLE
LA QUINTACCALIFORNIA 02253
VgAillf, BUILDING: TYPE CONST �L� ' OCC. GRP.
Wt.,,A.P. Number
Zip�2 el 3 Legal Description
36 V(P �t-Sxz- op t 4-w Ut4RJzsIvC-,uA
Project Description
& Classif. Lic. #
Arch., Engr.,
Desi
Desi ser 4"dU1 w
Cit Zi Q State
y yew p IZZ�3 Lic. # GL 0 D
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provision$ of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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).
0 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I 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, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
1a It
1-1 �k +1V_ S u Lls>(hlcr a
C4tl���
Sq. Ft.
Size
No. No. Dw.
Stories Units
New>( Add ❑ Alter ❑ Repair ❑ Demolition ❑
�b�►��
V'
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
AK U ZUUb
UIN
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
YELLOW = APPLICANT PINK = FINANCE
CERTIFICATE OF COMPLIANCE ���F�&I
Desert Sands Unified School District �4��'��oo
47950 Dune Palms Road Q BERMUDA DUNES 17
V] RANCHO MIRAGE Q
Date 10/6/06 La Quinta, CA 92253 INDIANWELLS 1
PlIm
ADESERT
OUINTy
No. 28959 (760) 771-8515 `�'
41QINDIO y7�
0
Owner
Calle Estado, LLC
APN # 770-152-010
Address
78-115 Calle Estado
Jurisdiction La Quinta
City
La Quinta Zip 92253
Permit #
Tract #
Study Area
Type
Commercial
No. of Units
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1
78115 Calle Estado
10726 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/Walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.42 X 10,726 S.F. or $4,504.92 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By C/C-Palm Desert National Bank, Frank Esquivel Check No. 098423
Name on the check Telephone
Funding Commercial
By Dr. Doris Wilson
Superintendent _
Fee collected /exemp d by Patri is Barbuzza Payment Recd $0.00 gip.
�� $4,504.92 'Overffln-dir.
Signature
1 , �.
NOTICE: Pursuant to Government Code Sectio06020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
Nov 01 06 01:^Q1P Van Surveying, Inc. 760-323-5060
VA N -S L.T- -' Y EY Iii ( N �� (
LAND SI�CRV6YINCj-M.hPPINCj-GONSTR.t�tCT10N sTi41�.IN4
November 1, 2006
Mr. Jesse G. Jimenez
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92252
RE: Building Pad Verification '
Plaza Estado - Lots 10-12, Block 9, MB 19/75
Precise Grading Plan — DWG No. PG103001
P.1
Dear Jesse:
This letter is to verify that the locations and elevations of the building pad for the lot referenced
above were field checked by Van Surveying, Inc., and found to be in substantial conformance with
the approved Precise Grading Plans. The results are as follows:
Lot #
Address
Plan
Field
Difference
10-11
Calle Estado
43.60
1 43.6
0.0
12
Calle Estado
43.10
1 43.1
0.0
If you have any
questions, please contact our office.
Steven J. Van, PLS
President
-c-
�S!p LAND SUS`
STEVEN J. AN �•�\
CO
* FSG. EX 0
s9TF No. moo
OF C AL1F�
425s..Suwrise Wad +47, #120 PaLYK spr%vv.gs CaUforvu.a 92262
Ph0►�.0 �60) 323 204 �aX (�60) 323-5060
yam,
- Summit Structural Engineering
PO BOX 2618
902 Baycolt Way
McCall, ID 83638
(866)862-8148
(208) 634-8148
Fax (208) 634-6395
January 7, 2013
City of La Quinta
Building and Safety Department
78495 Calle Tampico
La Quinta, CA 92253
Attn: Greg Butler
Subject: Plan Release Letter
Plaza Estado
Lot 10-12, Block 12 Desert Club Drive
La Quinta, CA
To Whom It May Concern:
We are writing this letter to confirm our telephone conversation with Steven Nieto
yesterday, allowing the City of La Quinta to release the structural drawings and
associated documents to the new owner, for his use and reference.
Yours truly,
SUMMIT STRUCTURAL ENGINEERING
1
Benjamin Herbst, P.E.
g:\My Documents\2007jobfiles\SV-385\plaza estada struct release 2.doc
Residential, Commercial, Industrial, Land Development