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05-1494 (GRES)a 'a BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . C0=5:�0=0--0014.94 Date Property Address . . . . . . 52605 VIA CASTILE APN: 772-410-998-27 -32453 - Application description GARAGE - RESIDENTIAL Property Zoning . . ... . . LOW DENSITY RESIDENTIAL Application valuation . . . . 12662 Owner --------------------------------- ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH 43215 Contractor 4/21/05 A & M CONSTRUCTION P.O. BOX 366 LA QUINTA, CA .92253 (760) 564-4832 WCC: STATE FUND WC: 0460009232 01/01/06 CSLB.: 746198 .02/28/06 CCC: B C10 11 P.O. Boz 1504 • /; , w VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0.5- lqqq Date: g -OS Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am li nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and Lic is i full force and effect �. ense Classss cense No. s ate "40ontractor 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 fora 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 contractors) licensed pursuant to. the Contractors' State License Law.). U I am exempt under Sec. . BA P.C. for this reason 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 1 of the work for which this permit is issued. �g" - ha and will ma,Iain workers' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is u ers' comption insu ce carrier and pplj�y j�umr alga •Z3 Z arrier — icy Number (� "z i1 l/ I certify that, in tW performance of the Ark 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, d agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ipns. 2iim 61, WARNING: FAILURE TO SECURE WOX<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. 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 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 bec • mes 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 cancellation. I certify that I have read this application and state that the a 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 my to enter upon the above-mentioned property for inspection purposes. ate �� Signature (Applicant or Ag t): ---------------------------------------------------------------------------- Application._Number . . . . . 05-00001494 ---------------------------------------------------------------------------- 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-RES=ENTIAL 12.92 Permit . . . . . . CARPORT/GARAGE Additional desc . .' Permit Fee . . . . 144.00 Plan Check Fee 23.40 Issue Date . . . . Valuation . . . . 12662 Expiration Date 10/18/05 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). 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 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 \Cl QUINTA e ILDING & S DEPARTMENT AUG INSPE �C577 RE 1 UEST LINE I 1114Tt77-71 3 Cin OE DEPT. Owner D F A PARTNERS LLC Contractor A & M CONSTRUCTION Permit Number 05-1494 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-605 VIA CASTILE 646 S.F. DETACHED GARAGE TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL/ GROUNDING / 2 FOOTINGS / STEEL 4 CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OZ / OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHAN INSULATION L t 1 af> <-��i COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST �l 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 2 ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. --1-- O(, FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING