08-1088 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00001088
Property Address:
45280 SEELEY DR
APN:
604-040-999-6 -31116
Application description:
WALL/FENCE
Property Zoning:
TOURIST COMMERCIAL
Application valuation:
22500
T4:1y1,4'4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
EISENHOWER MEDICAL CENT
39000 BOB HOPE DRIVE
RANCHO MIRAGE, CA 9227(
Contractor:
Applicant: Architect or Engineer: WDL CONSTRUCTION
74075 EL PASEO,
PALM DESERT, CA
(760)674-9553
lP' Lic. No.: 741137
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No. 741137
te: �-9'OS% C ctor. Vim- Got�iY�cr�csl�
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).:
(_) 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.).
(_) 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 am exempt under Sec. , B.&P.C. for this reason
Date: -7 - 9 - C 9 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:
LQPERMIT
SUITE I
92260
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 STATE FUND Policy Number 1424883-2007
_ 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 become subject to the workers' compensation laws of California,
and 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_ \provisions.
Date: S' Applicant: W'6�t_ CWnY,t LTi 01,E
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 that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and h reby authorize representatives
of this county to enter upon the above-mentioned prP-4 pose
e: "I -0:r.Degnature (Applicant or Agent): ! Wai L-•
08
Application Number . . . . . 08-00001088
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . I. . . 234.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
. . .
. 22500
Expiration Date . . 1/05/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
21.00 9.0000 THOU BLDG 2,001-25,000
189.00
- ------------------------------------
Special Notes and Comments
2 RETAINING WALL SYSTEMS (450 L.F. EACH)
OF VARYING HEIGHTS UP TO 91, PER
APPROVED ENGINEERING
Fee summary Charged Paid
-------------------------------------
Credited
----------
Due
Permit Fee Total 234.00
----------
.00
.00
234.00
Plan Check Total .00
.00
.00
.00
Grand Total 234.00
.00
.00
234.00
LQPERMIT
Bin #6
City of La uinta
Building u Safety Division
Permi P.O. Box 1504, 78-495 Calle Tampico
r La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 45- 'red Y �
A. P. Number:
Contractor:
Address: % Zs�J�" �iyy-�/�;�•, 7Gr�/ �,�
City, ST, Zip: 11I-e�,7W J q�
Telephone: -7,60 j�V
xmfff
$fate Lic. # :6/Z% City Lic. #:
Arch., Engr., Designer: /
Address: % Z 1,7
City, ST, Zip: 6.,15 -6,4
Tele hone: 4V'7
State Lic. #: 6,g q
Name of Contact Person: N,47T%0'1-" Xv15 /?r
Telephone # of Contact Person: '7&,g 4//&3--16j�5' &,,
Owner's Name:%71./�/Z'Z� /L9Djly 40�.�r
`
Address: veyo 'GO8 %�wIV6-
City, ST, Zip: d�'lf. l -I-ZZ-7e2
Telephone: 7�f> 7��� 1�7`j
Project Description:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
�'� Estimated Value of ProJect• /0Soa2!:) -:"
i
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans bicked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for corrections/issu
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Uf�
Total Permit Fees
Letter of Transmittal
To: City of La Quinta
Today's Date:
78-495 Calle Tampico
City Due Date
La Quinta, Ca 92253
Project Address:
Attn:
We are forwarding:
Includes:
Comments:
# Of
Copies:
Submittal:
Plan Check #:
1St
❑ 2nd
❑ 3rd
J, By Messenger ❑
Descriptions:
Structural Plans
Structural Caics
Truss Calcs
Soils Report
Correction List
Redlined Structural Plans
Redlined Structural Caics
Redlined Truss Calcs
Redlined Soils Reports
This Material Sent for:
it t
0M
c
❑ e
❑ e
❑ Other:
By Mail (Fed Fac or UPS)
Includes: # Of
Copies:
Thank you!
❑■
Descriptions:
Your Pickup
Revised Structural Plans
Revised Structural Calcs
Revised Truss Caics
Revised Soils Report
Approved Structural Plans
Approved Structural Caics
Approved Truss Caics
Approved Soils Report
Other:
❑ Your Files Per -Your Request
❑ Your Review ❑ Approval
❑ Checking ❑ At the request of:
Other: ❑
By: K\. MCEA 'ir/
Palm Desert Office: ❑ # (760) 360-5770
Washington Office: ❑ # (760) 404-9556
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #: 08-1088
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: June 25, 2008
Due Date: July 03, 2008
Status: 1St Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: Eisenhower Medical Center (Retaining Wall)
Address or General Location: 45-280 Seeley Dr.
Applicant Contact: Matthew Merritt (760)410-1665 Ext 106
The Planning Department finds that:
❑ these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Les Johnson, Director -Planning
i ii
Date