07-2343 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/21/07
Application Number: 07-00002343
Property Address: 52939 VIA DONA r<'j
APN: 772-410-999-52 -298944—
A pplication'i
298944 Application' lescription: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant:
Architect or Engineer:
1 K
------------------
LICENSED CONTRACTOR'S DECLARATION
Owner:
NRI CCP I
® C/O NRI CCPI
81100 AVENUE 53
LA QUINTA, CA 92253
AUG 91 Od
�I�ptl+ Contractor:
Zo 7. P.O.
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
I hereby affirm under penalty of perjury that I' m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus' ess nd Professionals Code, and my License is in full force and effect.
License lass: C8 C27 C29 License No.: 656128
Date: Z 0 Contractor:
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).:
1— 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
Convactors' 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 contractor(s) 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
Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work forwhichthis permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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.
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 SEABRIGHT Policy Number BB1070510
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 b ome subject to the workers' compensation laws of California,
and agree that, if I should beco subject to the workers' compensation provisions of Section
�
'U//33700 of the Labor e, comply with those provisions.
Data: (9--�-r—�APPlicanC
WARNING: FAILURE TO SECURE W RS' PENSATION 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 retjuest 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 inf mation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi constr ction, and hereby authorize representatives
of thisAconty ttoenter upon the above-mentioned grope r m urposes.
Date�Signature (Applicant or Agent)•
Application.Number 07-00002343
Permit BUILDING PERMIT
Additional desc .
Permit -Fee 15.00Plan Check Fee
9.75
•. `. Issue Date Valuation . .
. 500
Expiration Date 2/17/08
Qty, Unit Charge Per
Extension
BASE FEE
-------------------------------------------------------------------------------
15.00
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 17.25 Plan Check Fee
4-.31
Issue Date Valuation . . .
. 0
Expiration Date 2/17/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
2.25
---------•-------------------------------------------------------
Special Notes and Comments
--------
BBQ PER APPROVED PLAN ONLY
Other Fees .. . . ENERGY REVIEW FEE
--- --
.98
Fee summary Charged Paid Credited
Due
Permit Fee Total 32.25 ,00 .00
32.25
Plan Check Total 14.06 .00 .00
14.06
Other Fee Total .98 .00 .00
.98
Grand Total. 47.29 .00 00
47.29
LQPERMIT _
.
Bin #
City of La Quinta.
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Permit.#
I�
Project Address:' 3
A. P. Number:
Owner's Name:
Address:
Legal Description:
City, ST, Zip:
.
Telephone:
Project Description:
Contractor:
Address:
12-36
City, ST, Zip: CWCbelfcuCAm. 3
Telephone:ClZ Z Z
State Lic. # : S Z City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: - 1
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one) New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Z,, -+.s7— lb 7
Estimated Value of Project:. 50
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets '
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading,plan
2nd Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
JIBS
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review, ready for corrections/issue Develo__per Impact Fee
Planning Approval
Called Contact son
Pub. Wks. Appr
School Fees
Date of permit i sue ING & SAFETY EPT.
APPRWEV
FOR CONST - -
Total Pe it Fees
ne
s
STAINLESS
LIGHT
SINK STEEL
"' PROVIDE VENT, WASTE, AND
TONE OR PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
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PRE -HUNG a'
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ENGTH VARIES �B
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GRILL F. I >
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SI
1FREE-STANDING OUTDOOR KITCHEN -PLAN ADAPT DIMENSIONS
• I/2"=1'-0° � TO FIT APPLIANCES •
6x8XI6 CMU- QROUT CELLS WITH STEEL
— — — — — —#4 BARS VERT. AT 24° O.C_(TYP.)
;o — — — —
I BBQ LAYOUTS MAY VARY.
FOOTING SIZE & REINF. ARE TYPICAL. I
Ic
LENGTH VARIES
�ZFREE-STANDING OUTDOOR KITCHEN FOUNDATION PLAN
N STONE CAP, TILE
OR POURED CONC. I
#4 BAR HORIZ. AT
3. 32' O.C. (TYP.) i
6X8XI6 CMU
M GROUT CELLS WITH STEEL
•#4 BAR
F.S. VERT. AT
24' O.C. (TYP.)•
N �T 244 BARS HORIZ. CONT.
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