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05-3135 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003135 Property Address: 56102 WINGED FOOT APN: 775-350-025- - - Application description: ELECTRICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50 Applicant: �, rchitect or Engineer: - f 4F Ljl� gtFJ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------{------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I IiCen under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin d Pro nals Code, and my License is in full force and effect. Licensee class: B License No.: 763187 ate: %' � 2 ntractvr: ❑ NER-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 contractor(s) licensed pursuant to the Contractors' State License Law.). I _ 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: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/22/05 Owner: CRV LA QUINTA 70 LP C/O CAPSTONE ADVISORS 9255 TOWNE CENTER DR 520 SAN DIEGO, CA 92121 Contractor: INNOVATIVE RESORT COMMUNITIES 200 E. WASHINGTON AVE, STE4100 ESCONDIDO, CA 92025 (760)123-4567 Lic. No.: 763187 ------------------- 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 1 for.by Section 3700 of the Labor Code, for the performance of•the%work for which this permit is )kissued. 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 STATE FUND Policy Number 1,685263-2005 I certify that, in the performance ¢f the work for which is permit is issued, I shall not employ any person in any mane o as [ become subject o t workers' compensation laws of California, and agree that, if Is ouEd h ome subject to a or rs' compensation provisions of Section !zoo of the Labor C e, hall forthwith c wi "ions. Date: _ p. r pllCarrt 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. 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 i above info Lion is correct. I agree to comply with all city and county ordinances and state laws relating tldij!B co nand hereby authorize representatives of this county to enter upon above -mentioned r r,14 rpr f a u oses. ate: � /, 3 Signature (Applicant or Agen LQPERMIT Application Number . . . . . 05-00003135 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee 33.50 Plan Check Fee Issue Date Valuation Expiration Date 1/18/06 Qty Unit Charge Per BASE FEE 1.00 18.5000 EA ELEC SVC <=600V/<=200A Special Notes and Comments METER PEDESTAL FOR LANDSCAPE LIGHTS Fee summary Charged Paid Credited Permit Fee Total 33.50 .00 .00 Plan Check Total .00 .00 .00 Grand Total 33.50 .00 .00 Extension 15.00 18.50 Due 33.50 .00 33.50 LQPERMTT Total Permit Fces Bin aI C►ty of La Quint'J'-. Permit #G Building U Safety Division J P.O. Box 1504, 78-49S Calle Tampico �1� La Quinta, CA 922S3 - (760) 777-7012 Project Building Permit APPlication and Tracking Sheet Address: c^ . �O Bas J . A. P. Number: mss—/ w/0 Z Owners Name: 1Jk V47*(V&, GOHf,J v irze'S . — Address: ' Legal Description: I - -. . )4S1JWZi#1AJI/'/.� . Contractor: Cit), ST, zip: SGBND/ O . cA r dess: Telephone: ZGQ 3 9 f� 3 City, ST, Zip: Project Description: Telephone: �ii gTQf c... State Lic. # : .� ,q h�D s GA L City Lic. #: - Arch., Enge., Designer.. Address: City, ST, Zip: Telephone: ::..::...:::: :.:::.:.:..:.::::..: �Bls �� %.%`%t pt9f�. t7AVAr 11-A( 01) .. Cec. Co structi 0 nT� Type: 4ccu Pa n c v: Name of Contact Person: Project type (circle one):. New Add'n Alter Repair Dcmo Telephone # of Contact Person: Sq. Ft.: #Stories: Units;. Estimated Value of Project: a APPLICANT: DO NOT WRITt BELOW THIS LINE ' # Submittal. Req'd Rec'd Plan Sets TRACKING PERMIT FEf,S Plan Check submitted ' Structural Calcs. Reviewed, ready for Item Amount Truss'Calcs. corrections Ptah Check Deposit -Called Contact Person Title 24 Cala. Plan Cheri: Balance Plans picked 'up Flood plain -plan Construct -.on Plans resubmitted Grading plan htechanic.d Subcontactor List 2"' Review, ready for correctionstissue Electrical Called Contact Person Grant Deed Plumbing Plans picked up ILO.A. A pproval Plans. resubmitted IN HOUSE:- Grading PlanningApproval Review eady for corrections/is e DeveloperlmpAcl Fee Called Contact Person Pub. ANVks. Appr A•I.P.P. :D -_(c of pr:r�mitissue School Fees Total Permit Fces h :s _ �-oau--- E4" Ing c) Jt o � m q aS i'n!!!�'T'T'T�.•• 0 I ' \i I 6$c� � ♦r\ \\� ♦rte �I 0 ay ?vl elN iZ 4 I I tM1-NI8'10'76•V 1768.98') TRACT ND. 28060 M8.1270/87-03 �•/ 0 (A rn rn = Qc i y G m Q C cn * C N 91 1 _ E4 w 8'IV76•V) m l�578m1 b , . •.., . u - +.^ — (PRIVATE "-' STREET) - ve. -•-- -V 7. P^ OT G M014oPto+ SPACE — ? LAT A. � •v TRACT NO. 2E43 /77087 MB. 373/37-60 — — — — — — — — — — — — — — — — — — — — �1 — �! — — — — — — — — — — — — — — — — — — 8 — — —w 97d76•v�ssn — — — � MADISON STREET ---------------- ------------------ q LAT M - TRACT NO. 28838-1 - MB. 273/tf-83 LOT B - TRACT NO. 2'1643 - MB. 203/37-60 4 s 1 IRLWCi'F10_28038__Tv1.6.27 /fFeS-------------- — — — — — — MUIRFIELD VILLAGE �— —� LAT D - TRACT ND_28838-1 _MB. 273/"3 J 19682 ,�'w1 g�� 839Wf1N `JNIMV80 `- B3BWf1N ON M UO 1 z;O PZ D 3 a W See Phase 4 Front Yard Plans r7r See Central Interior Open Space Plans POC '1C„ � See Phase 2 Front Yard Plans tfiris`8heet Interior Perimeter Common Area e Water Meter Cable - -- Maxicom Communication —Mainline TRACT MAP N.T.S. Cao 1 I I . V _ - - - - - Common Area INDEX MAP