07-0870 (BLCK)54240 Alysheba Dr
- I IIIIIII VIII III VIII IIII 42
P.O. BOX 1504 - --
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA' 92253
:i
Application Number: 07=00000870
Property Address: 54240 ALYSHEBA DR
APN: 767-320-999-46 -32879 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5500
Applicant:
Tiht
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
a1.cir
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 Li ense No.: 701039
ate: WV&;4ontractor:
• o.;R-BUIL R 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 _ 1 1, 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 arr 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: r '
LQPERMIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
LA JOLLA, CA 92037
Contractor:
TRANS WEST HOUSING,
10721 TREENA STREET,
SAN DIEGO, CA 92131
(858)653-3003
Lic. No.: 701039
IN
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/23/07
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 I Policy Number 1648813-2006
_ 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, I hall fo with com ly with those provisions.
Oate: Jpplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N 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 hereby authorize representatives
of this my to enter upon the above-mentioned proper forp, ins ction rp ses.
c l
Kate: o31ign.ture (Applicant or Agent):
Application Number .. . . . . 07-00000870
' Permit WALL/FENCE PERMIT
Additional desc.. .
,i
Permit Fee . . . . 81.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
5500
Expiration Date 9/19/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
4.00 9.0000 THOU BLDG 2,001-25,000
36.00
--------------------------------------------------------------
Special Notes and Comments
---------------
220 L.F.6' SLUMP STONE GARDEN WALL,
ORCO SYSTEM
Fee summary Charged Paid
Credited
Due
Permit Fee Total 81.00
.00
.00
81.00
Plan Check Total .00
.00
.00
.00
Grand Total 81.00
.00
.00
81.00
LQPERMIT
17055 Via Del Campo
Suite 100
San Diego. CA 92127
Phone (858) 487-7600
Fax (858) 487-7604
CERTIFICATION OF VISUAL
STRUCTURAL INSPECTION
And
STRUCTURAL OBSERVATION
/11
Project: Estates at Sevilla / Griffin 'qJL
Lot No. 46
Phase No. Phase 1
Plan / Building Type Plan 1 BR
Inspection date 7/31/2007
Swanson & Associates are the Consulting Engineer of Record for the above referenced project.
• On the above date, our office completed inspection of the structural system. At that time, the
framing was ready for structural inspection with all structural components and framing
members installed. The framing and structural metal connectors, anchor bolts, holdowns, straps
and other metal and/or connectors were installed in accordance with structural plans and
specifications. Framing is in substantial conformance with the Structural Engineering Plans
created by our office.
The visual inspection is limited to the specified and designed framing elements normally installed
at the framing stage, including drag straps, plywood bracing panels and holdown anchors. This
inspection satisfies the code provision requiring structural observation of the wood framed
structural system.
This letter is provided at your request and is for informational purposes only. It is intended to
confirm and verify the installation of the framing elements shown on the approved drawings.
This letter does not provide a guarantee or warrantee against deficiencies, nor does it provide any
assurance of performance of the building. This inspection is independent of any building agency
inspections, approvals or third party special inspections.
����pNAL fH�i�F
By. Mark W. S ison, Engineer of Record C44594
• mo`''d �� �' �o
J
STATE OF CP
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