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05-1492 (GRES)14 T -df 4 4 4" BUILDI� VG & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Application Number Property Address . . . APN: Application description Property Zoning . . . . Application valuation . BUILDING PERMIT 0 50.0.0.0.1 4.9 2 Date . . . 52545 VIA CASTILE 772-410-998-25 -32453 - GARAGE - RESIDENTIAL . . . LOW DENSITY RESIDENT=AL . . . 12662 Owner --------------------------------- ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH 43215 Contractor 4/21/05 A & M CONSTRUCTION WCC: STATE FUND WC: 0460009232 01/01/06 CSLB: 746198 02/28/06 CCC: B C10 P.O. BOX 1504 • '�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: O' - )144 of Applicant: Applicant's Mailing Address: I hereby affirm under penalty of perjury that I am Code, and my Lice is in II force and effect. �Cicense Class .— VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: �— IQ . Ds_ Architect or Engineer: Architect or Engineer's Address: Lic. No.: t:511.11IL UINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION d under provisions of CCh/apter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals erase No. � l 4& t j 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).): U 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 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.). U 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. . BA 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. 1 havy. and will maintai workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is ue work om ensa on i ance carrier and pWsis! 'er r anter olicy Number c�f� I certify that, int ertormance ofthew forwhich this pered, I shall not employ any person in any manner so as to become subject to the workers' compensatio aws of California, an gree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi i. Date 1 —® WARNING: FAILURE TO SECURE WORKEPI(S' 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 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 n 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 tante tion. I certify that I have read this application and state that the above into ation 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 county to nter upon the above-mentioned property for inspection purposes. �-/ ` _`�Signature (Applicant or Agent): ---------------------------------------------------------------------------- . Appltication Number . . . . . 05-00001492 ---------------------------------------------------------------------------- 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 . . . . . . ELECTRICAL-CARPORT/GARAGE Additional desc . . Permit Fee . . . . 27.92 Plan Check Fee 1.75 Issue Date . . . Valuation . . . . 0 Expiration Date . . 10/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 646.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.92 ---------------------------------------------------------------------------- Permit . . . . . . Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . CARPORT/GARAGE 144.00 10/18/05 Plan Check Fee . . 23.40 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 Expiration Date . . 10/18/05 Qty Unit Charge Per Extension BASE ---------------------------------------------------------------------------- FEE 15.00 Special Notes and Comments 646 S.F. DETACHED GARAGE. Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 186.92 ---------- .00 ---------- .00 186.92 Plan Check Total 25.15 .00 .00 25.15 Grand Total 212.07 .00 .00 212.07 QUINTA By%DfAgj& I� TY DEPARTMENT 77- 012 C` TY 0V �1W QTION EQUEST LINE _..,,MME DEPT• 153 Owner "ND LA QUINTA PARTNERS, LLC Contractor A & M CONSTRUCTION Permit Number 05-1492 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-545 VIA CASTILE 646 S.F. DETACHED GARAGE TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS /,?. S U/G PLUMBING / WASTE - / U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL /57 CONCRETE SLAB // ` /�- . ;;- DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF / -/O - S OKAY TO WRAP FRAMING COMBINATION - - ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL iNSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH L -n , GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED i ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING