09-0201 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000201
Property Address: 45280 SEELEY DR
APN: 604-040-094- -
Application description: STRUCTURES OTHER THAN
Property Zoning: TOURIST COMMERCIAL
Application valuation: 75000
Applicant:
T-it!t
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
EISENHOWER MEDICAL CENTER
39000 BOB HOPE DR
BUILDINGS RANCHO MIRAGE, CA 92270
Architect or Engineer:
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.
Li nsae CIa 7411N37
Date: ontractor:
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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.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:
LQPERMIT
Contractor:
WDL CONSTRUCTION
74075 EL PASEO, SUITE B3
PALM DESERT, CA 92260
(760)674-9553
Lic. No.: 741137
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
rI
Date: 4/10/09
------'tea---
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 1424883-2008
_ 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
700 of Labor Code, I shall forthwith comply ith those provisions.
ate: %��Y Applicant:
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 co struction, and hereby authorize representatives
o/f/this cc ty t enter upo the above -mentioned proper 71 or pact sea.
'Date:f� ignature (Applicant or Agent):''® ��
Application Number . . . . 09-00000201
Permit . . BUILDING PERMIT
Additional desc . . 39 QTY 25 FT HGT LIGHT STDS
Permit Fee . . . . 527.00 Plan Check Fee 342.55
Issue Date . . . . Valuation . . . . 75000
Expiration Date . . 10/07/09
Qty Unit Charge Per Extension
BASE FEE 414.50
25.00 4.5000 THOU BLDG 50,001-100,000 112.50
----------------------------------------------------------------------------
Permit . . .
Additional desc . .
Permit Fee . . .
Issue Date . .
Expiration Date . .
ELEC-MISCELLANEOUS
67.35 Plan Check Fee . . 16.84
Valuation . . . . 0
10/07/09
Qty Unit
Charge Per
Extension
BASE FEE
15.00
20.00
.7500 PER
ELEC DEVICE/FIXTURE 1ST 20
15.00
39.00
.7500 EA
ELEC POLE LIGHT
29.25
18.00
----------------------------------------------------------------------------
.4500 EA
ELEC DEVICE/FIXTURE >20
8.10
Special Notes
and Comments
SITE LIGHTING-39
QTY X 25
FT HGT LIGHT
STANDARDS PER
APPROVED ENGINEERING.
38
QTY CARPORT LIGHTS.
2007 CODES.
----------------------------------------------------------------------------
Other Fees .
. . . . . .
. . BLDG STDS ADMIN (SB1473)
3.00
ENERGY REVIEW FEE
34.26
STRONG MOTION (SMI) - COM
15.75
Fee summary Charged
Permit Fee Total 594.35
Plan Check Total 359.39
Other Fee Total 53.01
Grand Total 1006.75
Paid Credited Due
.00 .00 594.35
.00 .00 359.39
.00 .00 53.01
.00 .00 1006.75
LQPERMIT
313
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
®
Project Address: `T _ g 0
Owner's Name: ''
S t7✓ /hew e12 i e-arw mk
Address:
3
A. P. Number:
Legal Description:
City, ST, Zip:ey
I
Contractor: L ,, , s �� Tjot�
Telephone: -7 0 2 3V g `L 16
Address: '7 If _ 6? S LZ VA
Project Description:
City, ST, Zip: PA -LP, lJe_S t7
S t `t< LL 6 sE i !Na P1+C, e-R6�
Telephone: 7 6
State Lie. # : ,Ci t City Lie. #:
Arch., Engr., Designer: 2 C
Address: l 2-4 - --A S '
City, ST, Zip: �Okl C
Telephone: Construction Type: Occupancy:
State Lie. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: C'94,f.4 ,e&tS Sq. Ft.: F�es: # Units:
Telephone # of Contact Person: �, g' 9 Z 9 /, Estimated Value of Project: "r --
APPLICANT: DO NOT
#
Submittal
Req'd
114wd
ti
FERMTf FEES
Plan Sets
Plan Check submitted I
-AR Q nnq
tem Amount
r
Structural Calls.
Reviewed, ready for c( rrections `
Flan Check Deposit
Truss Calls.
Called Contact Perso By Ian Check Balance
Energy Calls.
Plans picked up 3 Construction
Flood plain plan
Plans resubmitted 1 Mechanical
Grading plan
2"' Review, ready for correction sue Electrical
Subcontactor List
Called Contact Person / Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
s`' Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
r �
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Letter of Transmittal
To: City of La Quinta Today's Date: 4-6-09
78-495 Calle Tampico City Due Date : 4-6-09
La Quinta, Ca 92253 Project Address: 45-280 Seeley Drive
Attn: Michele / Phillip Plan Check #: 09-201
Submittal: ❑ 1st ❑ 4th
® 2nd ❑ 5th
❑ 3`d ❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes:
# Of
Copies:
El
®
1
11
®
1
®
1
El
Descriptions:
Structural Plans
Structural Calcs
Truss Calculations
Soils Report
Structural Comment List -
Responses
Redlined Structural Plans
Redlined Structural Calcs
Redlined Truss Calcs
Redlined Soils Reports
Comments: Structural content is approvable.
This Material Sent for:
❑
Your Files
❑
Your Review
❑
Checking
Other:
❑
By: JOHN THOMPSON
Palm Desert Office: ® # (760) 360-5770 (ext 102)
Other: ❑
Includes: # Of
Descriptions:
Copies:
® 1
Revised Structural Plans
❑
Revised Structural Calcs
❑
Revised Truss Calcs
❑
Revised Soils Report
❑
Approved Structural Plans
❑
Approved Structural Calcs
❑
Approved Truss Calcs
❑
Approved Soils Report
®
Other:
® Per Your Request
❑ Approval
❑ At the request of:
RI
P.O. Box 1504 G & SAFETIVO�dY DEPARTMENT
78-495 CALLS TAMPICo recem (760) 777-7012
LA QUINTA, CALIFORNIA 92253 MAR 0 6 2009 FAX (760) 777-701 1
City of La Quinto
Planning Department
To: Greg Butler, Building & Safety Manager To CDD:
From: Les Johnson, Director -Planning Due Date:
Permit #: 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: ave, 64�"
Address or. General Location: 45 - 1=�-X® -
Applicant Contact: ,�� - 8 (�
The Planning Department finds that:
\t3
❑ ...these Building Plans do not require Planning Department approval.
...these BuildingPlans area roved b the Planning Department.
pp Y g p
❑ ...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.
Z �6G k , �AM 3
Les Johnson, Director -Planning Date