07-0911 (BLCK)78080 Calle Amigo
07-0911
I II II IIID III IIID (III 71 4
cP.O. BOX 1504 _ _ IE
f !' Giti6v
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
Application Number:
07-00000911
PropertyAddress:
7'8080 CALLE AMIGO
APN:
770=182-008- -
Application description:
WALL/FENCE
Property Zoning:
VILLAGE COMMERCIAL
Application valuation:
975
Applicant:
o'p&(Vu
V -
I hereby affirm under penalty of
Section 7000) of Division. 3 of t
License Class:/ C8 C27 C2
BUILDING PERMIT
Architect or Engineer:
WA,
------------------------- -----
NSED CONTRACTOR'S DECLARATION
rm licensed under provisions of Chapter 9 (commencing with
rafessionals Code, and my License is in full force and effect.
J\ License No.: 656128
I--- \_i 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 an Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repai any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or s e is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 Icommencing with S ction 7000) of Division 3 of the Business and Professions Code) or
that,lie or she is exempt therefrom and the b is for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applica t to a civil penalty of not more than five hundred dollars ($500).:
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
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.).
(_ 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
bate: 3/27/07
Owner:
SUN VISTA
7P[MAR
78-080 CALLE AMIGO
r
LA QUINTA, CA 92253
8 2001
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm .under penalty of perjury one of the following declarations:
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 performanc of the work for which this permit is issued. My workers' compensation
insurance carrier and poli y number are:
Carrier SEABRIGHT Policy Number BB1070510
I certify that,re
m ce of the ork for which this permit is issued, I shall not employ any
person in o to become bject to the workers' compensation laws of California,
and agreet come subje to the workers' compensation provisions of Section
3700 of I hall forthwit comply with those provisions.
WARNING: FAILURE TO ECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER AL ENALTIES 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, I EREST, AND ATTORNEY'S FEES.
PPUCANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this apple on.
1. Each person upon whose behalf this pplication is made, each
whose benefit work is performed under or pursuant to any pee
the owner, and the applicant, each agrees to, and shall defend
of La Quinta, its officers, agents and employees for any act or
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null
within 180 days from date of issuance of such permit, or
permit to cancellation.
I certify that I have read this application and state that the abov mformat
city and county ordin ces and state laws relating to the nstructio
of this co4nty to ant upoo Mellabove-mentioned property _f inspection
on at whose request and for
issued as a result of this application,
emnify and hold harmless the City
ssion related to the work being
void if work is not commenced
Mrof., vork for 180 days will subject
is correct.gree to comply with all
td hereby aut orize representatives
Application Number. . . . . . 07-00000911
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 25.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
975
Expiration Date 9/23/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
.5.00 2.0000 HND BLDG 501-2,000
=
10.00
------------------------------------------
Special Notes and Comments
------------
------
---------------
BLOCK WALL FOR TRASH ENCLOSURE PER
APPROVED'PRECISE GRADING PLAN. 36 L.F
X
6' CITY STANDARD.
Fee summary Charged Paid
---------------------------
Credited
Due
----------
Permit Fee Total 25.00
----------
.00
----------
.00
25:00
Plan Check Total .00
.00
.00
.00
Grand Total 25.b0
.00
.00
25.00
LQPERMIT
Bin #
City of. La Quinta
Building &r Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
n (I
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and TrackingSheet
Project Address: �� Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
y .
Telephone: -_
Address:
L 2
Project Description:
City, ST, Zip: ��C qua
Telephone:
ZZ Z
1
. �,.. �t° � a�l%/lJV'� �►" t���
State Lic. # : cO c� i0 .�..
�
City Ltc. #: t L T- �
C l
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
P Y
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: C--� Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person: �o _ ,2 Estimated Value of Project:
d
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets
Plan.Check submitted Item
Structural Calcs.
Amount
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apr
Date of permit issue
School Fees
a
Total Permit Fees