05-0022 (GRES)D
M 4 14 2005
CITY OF LA QUINTA
T44f 4 4 a"
BUILDING & SAFETY DEPARTMENT
P.O. Box 150.4 (760),777-7012
-495 CALLE TAMPICO FAX (760)777-7011
QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
!r
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
BUILDING PERMIT
. 05=00000022 Date 1/11/05
. . . 52285 VIA CASTILE
772-410-998-12 -32453 -
. . . GARAGE —RESIDENTIAL
. . . LOW DENSITY RESIDENTIIAL
. . . 12662
Owner
---------------------------------
ND LA QUINTA PARTNERS
375 N FRONT ST STE 200
COLUMBUS, OH 43215
Contractor
A & M CONSTRUCTION
P.O. BOX 366
LA. QUINTA, CA 92253
(760)564-4832
WCC: STATE FUND
WC: 0009232-2005 01/01/06
CSLB: 746198 02/28/06
CCC: B -C10
f
O
P.O. BOX 1504 ��ciw
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 TodfINSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: QS 02 d
Applicant:
Applicant's Mailing Address:
Date: 3 • l l'�
Architect or Engineer: , CG��
Architect or Engineer's Addr ss:
Lic. No.: 3'I �(O --�8 ^o 4P
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licen ed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professionals
Code, and my License is i full force and effect.
/License Class --tcense No.
/Date 2
�I _V%' or
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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, 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 or 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , B.& P.C. for this reason
Date Owner
WORKERS' 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.
V__I have and will maintain workers' com�pensa'nsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
i ued. jAy wors' compensatiocarier and policy umrare:
Carrier Ct�Q Nn^�ber lJtSiS%Zj�— '7i�df
_ 1 certify that, in th erforrhanca of the rk 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, an agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisiW.
WARNING: FAILURE TO SECURE WORKERS' 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.
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 IA
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, indemnity and hold harmless the City of La Ouinta, 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 ca"
Ila 'on.
I certify that I have read this application and state that the above info is oorect I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to upon the above-mentioned property for inspection purposes.
D/ate I D
/ � —' � 4�Signature (Applicant or Agent):
----------------------------------------------------------------------------
A liication Number . . . 05-00000022
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Structure Information
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . GAR, CARPORT, SHED, AG
Flood Zone . . . . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
FLOOD ZONE NO
GARAGE SQ FTG 646.00
----------------------------------------------------------------=-----------
Permit . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
ELECTRICAL-CARPORT/GARAGE
27.92 Plan Check lee . . 1.75
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
646.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.92
----------------------------------------------------------------------------
Permit . . . . . CARPORT/GARAGE
Additional desc . .
Permit Fee . . . . 144.00 Plan Check Fee 23.40
Issue Date . . . . Valuation . . . . 12662
Qty Unit Charge Per Extension
BASE FEE 45.00
11.00 9.0000 THOU BLDG 2,001-25,000 99.00
----------------------------------------------------------------------------
Permit . . . . . . GRADING PERMIT
Additional desc
Permit Fee . . . . 15.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Special Notes and Comments
646 S.F. DETACHED GARAGE. 75%
REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE.
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid
186.92 .00
25.15 .00
212.07 .00
CrediteL Due
.CO 186.92
C0 25.15
C0 212.07
fes'
• �'f�j�ti a: .
QUINTA `
MAR BUILDING TY DEPARTMENT
cf'
1420 7012
Ciry0j, INSPECT REQUEST LINE
Ff ;vc QJlOyTA 77 -7153
Owner ND L P TNERS, LLC
Contractor A & M CONSTRUCTION
Permit Number 05-0022
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 52-285 VIA CASTILE
646 S.F. DETACHED GARAGE
TYPE OF INSPECTION
DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
- S'
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
,C)—/H• �C
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL) // ---
EXTERIOR LATH
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
GAS
TEMP. USE OF PERMANENT POWER I
COMMUNITY DEVELOPMENT DEPT. I
FINAL / JOB COMPLETED I
ABOVE APPROVALS DOf�Q 1NCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING