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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