06-0229 (SOTB)• ` P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
'91-335
c,06-00-00022
8_5 LEGENDS WY
762 -420 -036 -
STRUCTURES OTHER THAN BUILD
LOW DENSITY RESIDENTIAL
2500
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professinnals Code. and my License is in full force and effect.
License Class: B C53 /, License No.: 5752140
!Date: —17-0& Contractor (�i I T W
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).:
(_) 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 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:
LYNCH
81-355 LEGENDS WAY
LA QUINTA, CA 92253
Contractor:
BRYAN INVESTMENTS GROUP, INC.
39301 BADGER STREET, #200
PALM DESERT, CA 92211
(760)345-8483
Lic. No.: 552140
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/13/06
-----------------------------------------------
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.
1 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 GRANITE STATE Policy Number 1518726
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 become subject to the workers' compensation provisions of Section
3700 oft
he Labor Cod shalll f rthhtw,titth co y with hose provisions.
APPIiGariat: `..""'
WARNING: FAILURE TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI 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 buildin •construction, and hereby authorize representatives
of thi ounty to enter upon the above-mentioned prope or inspection purposes.
a ,/01bSignature (Applicant or Agent . _a
Application Number . . . . . 06-00000229
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
54.00. Plan Check Fee
35.10
Issue Date . . . .
Valuation
2500
Expiration Date
7/12/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 9.0000
THOU BLDG 2,001-25,000
9:00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
-1.7.25 Plan Check Fee
4.31
Issue Date
Valuation
_
0
Expiration Date
7/12/06
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
3.00 .7500
-----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
24.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/12/06
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.
-------------------------------------------------------------
"Other Fees . . . .
. . . . ENERGY REVIEW FEE
3.51
Fee summary Charged Paid Credited
-----------------
Due
----------
Permit Fee Total
------------------------------
95.25 .00 .00
95.25
Plan Check Total
44.66 .00 .00
44.66
Other Fee Total
3.51 .00 .00
3.51
Grand Total
143.42 .00 .00
143.42
LQPERMIT
a�
City of La Quinta
Buildinp, 8• Safery Dhfisiol,
P.O. Boy 1501
W
78-,995 Calle Tampico
La Quinia, CA 92253
of,
Building Permit Applicafion and Tracking Sheet
F'mjecl Address: 3 5 5 '9�
0%hMeT"s Name: Mr- -7— /14?7 CA
A. P. )dumber:
Address: eO5
Legal Descripiiow
CiTY'ST. Zip: zi-
Gontraaor: Tyr
Address: 39-301 Badger Street, W200
Projea Desciiptioll:
Cin-.ST. Zip: Balm Desert92211
,
ZC) 00 0
Telephone: ,7 ro 0-345-84-83
..
State Lic.-r': 552140
City Lic. 4: 06219
,Arch.. En2r.. Designer: F I q l n 10 CA
Address:
City- ST. Zip:
Telephone:
Construcuon Type. Ocrupancy.
.. .
Siam Uc. %'K ..
Project type (circle one): New Add-n Alicr Repair Dano
or Conwci Person: G- Bentley 'Bryan
Sq. F-L:
1 0 Units:
Telephone -`ofContact Person: 760-345-8483
Esti-alf-A Value of Project: aorbe'noo 2-1w
M
..... ......
FIRM Stu:
.........
. . . . . . . . . . . . . . . .
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♦
,C.
March 7., 2008
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please be advised of an address correction for the following pool and .BBQ
permits. Both the pool and.BBQ were incorrectly issued to 81-355 Legends Way,
-permit # 06-184 (pool), and 06-229 (BBQ). The correct address is: 81-335
Legends Way, APN 762-420-034.
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely, .
Kay Hensel
Counter Technician.'
P.O. BOX 1 504
BUILDING & SAFETY DEPARTMENT
`
78-495 CALLE TAMPICO
(760) 7 77-70 12
OF TI
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
March 7., 2008
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please be advised of an address correction for the following pool and .BBQ
permits. Both the pool and.BBQ were incorrectly issued to 81-355 Legends Way,
-permit # 06-184 (pool), and 06-229 (BBQ). The correct address is: 81-335
Legends Way, APN 762-420-034.
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely, .
Kay Hensel
Counter Technician.'