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06-1105 (SOTB)P.O. BOX 1504 • 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00001105 81245 LEGENDS WY 762-420-027- - - STRUCTURES OTHER THAN BUILDINGS LOW DENSITY RESIDENTIAL 5000 Architect or Engineer: 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 rofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 te: Contractor WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am xempt 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 (5500).: I _ 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 ofsale.). (_) 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ I 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: WELCH 81-245 LEGENDS WAY LA QUINTA, CA 92253 Contractor: CALIFORNIA P.O. BOX 12 COACHELLA, (760)398-92 LiC. No.: 6 VOICE (760) 777-7012" FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/17/06 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. 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 HRH INS Policy Number BB1060510 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 b come subject to the workers' compensation provisions of Section 3700 of the Labor Code III forthwith comply with those provisions. Date Applicant: WARNING: FAILURE TO SECURE WOR ERS' 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 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 const r ti n, and hereby authorize representatives of this count to enter upon the above-mentioned property for 'Asps ion purposes. Da� Signature (Applicant or Agent):/ Application Number . . . . .. 06-00001105 Permit . . . BUILDING PERMIT - Additional desc . Permit Fee 72.00 -Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date 9/13/06 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 . . . . •18.75 Plan Check Fee 4.69 Issue Date . . . . Valuation . . . . 0 ExpirLtion .Date 9/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 3.75 Permit . . . PLUMBING Additional desc . Permit Fee 24.00 Plan Check Fee 5.25 Issue Date Valuation 0 -Expiration Date 9/13/06 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------------------------------------------------------=------------------- Special Notes and Comments BARBEQUE ONLY (Z21-58-1995). -------------------------------------------- Other Fees . . . . . ------------------------------- . . . ENERGY REVIEW FEE 4.68 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 114.75 .00 .00 114.75 Plan Check Total 56.74 .00 .00 56.74 Other Fee Total 4.68 .00 .00 4.68 Grand Total 176.17 .00 .00 176.17 LQPERMIT 1 Total Permit Fees Bin # City of. La Quinta Building u Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico (j / — /A9,.)4-' (%(J La Quinta, CA 92253 - (760) 777-7012 HIM Building Permit Application and Tracking Sheet Project Address:-$( Zy6'- LaOwner's c►'°�' Name: A. P. Number: Address:$,, c/5-C� Legal Description: City, ST, Zip: Lt:. Qv;� Contractor:1.� 0C �. Telephone: . Address: © 12_Co Project Description: City, ST, Zip 'C CJS • 1 2-Z3 Telephone -.76C 3% I ZZNMI State Lic. # : Z City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: P cy: . State Lic. #: Project type (circle one): 6w, Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 950— Y(_12 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal ' Req'd Recd TRACIONG PERMIT FEES Plan Sets Plan.Clieck submitted Item Amount Structural Calcs, Reviewed; ready for corrections Plan Check Deposit Truss Calcs. Galled Contact Person Plan Cheek Balance Energy Cales. Plans picked up Construction ll� Flood plain plan Plans resubmitted Mechanical Grading.plan tad Review, ready for corrections/issue Electrical Al 5 Subcontactor List Called Contact Person t� I' F *T.3 Plumbing CSS I_ � extfCtZg Grant Deed Plans picked up S.M.I. H.O:A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correction �ssu Developer Impact Fee Planning ApprovalCalled E ctPA ILA A.I.P.P. Pub. Wks. Appr _ Date Mf rqi ISS & SA L School Fees !® 1 Total Permit Fees 1+ aMlle C, 1, 1 � I! I I — ]A J_ STAINLESS STEEL SINK C—STONE OR Tc U COUNTER PROVIDE VENT, Olid NPi UMBING FOR SINK SF-PARATE CONSTRUCT ION DOCUMENT. 0 (D 0 0 REF. L_U PRE -HUNG —740 0 C STUCCO OR 01- 1 STONE:. DOORS -.R VENEE D LENGTH VARIES TANDING OUTDOOR KITCHEN - FRONT, ELEVAT ION =1 -0 LIGHT GRILL REF. 'T I_ __ ___ ____n --j— —, �__ , !-_-_REE-STANDING OUTDOO KITCHEN -- PLAN GFI OUTLET a LIGHT SWITCH (WATERPROOF) BBQ: i.C.13.0. ANSI C) o BTU U.L. APPROVED. 7�1 GFI ADAP-I" DIMENSIONS To FIT APPLIANCES 6X8XI6 cmu; GROUT'CELLS WITH. STEEL #4 BARS VERT. AT 2411 O.C. (TYPO co ui 7S MAY VARY. 9 Fy 7E REINF. ARE TYPICAL. I FREE-STANDING OUTDOOR KITCHEN -- FOUNDATION PLAN 0- _—STONE CAP, TILE OR POURED CONC. _#4 BAR HORIZ. AT 32" O.C. (TYP.) -6x8xl(5 CMU GROUT CELLS WITH STEEL. #4 BAR VERT., AT F. S. 24" O.C. (TYP.) 2-#4 BARS HORIZ. CONT. I WAPIF(:� I (y] I r– BBQ iSLAND SIDE ELEV. FREE-STANDING 13130 WALL SECT -ION 112" 1'-0" /_�T= —r_ 0 N fag � w0f, �' Hil