09-0363 (BLCK)11111111111 28
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
c 09-00000363 ;
Property Address:
81671 ANDALUSIA
APN:
764-200-999-60 -316813-
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application vdluation:
520
T4ht 4 4 Q"
Applicant: Architect or Engineer:
l
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under pr isions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business 7dPfessionals rand my License is in full force and effect.
License Class: C53 D35 n No.: 728796
�.Y—vt �-�� C ctor.
000
OWN�=DER DECLARATION
I hereby affirm under penalty of perjury that I am ex te Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Prof e: 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).:
1 _ 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_) 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
Date:
Owner:
SCHAFFNER D
81671 ANDALUSIA r
LA QUINTA, CA 9225 III
APR 2 31009
Contractor: CITY OF LA QUINTA
BUBBLE SPRINGS FINANCE DEPT
P.O. BOX 1046
RANCHO MIRAGE, CA 92270
(760)341-2336
Lic. No.: 728796
------------------
WORKER'S COMPENSATION DECLARATION
4/23/09
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 EVEREST NATL Policy Number 760001635091
_ 1 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 orkers' compensation provisions of Section
3700 of the Labor Code, a fo )with p1 with those provisions.
Date scant: -
WARNING: FAILURE TO SECUR 11 -KERS' COMP Al ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENA[ I ND 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 nd county ordinances and state laws relating to building construction, and here th ize representatives
his county to enter upon th above-mentioned property f Oct. purpose .
-Q7 Si ture (Applicant or Agent):
Datey�%
Application Number . . . . . 09-00000363
Permit . .
. WALL/FENCE PERMIT
Additional desc .
.
Permit Fee . . .
. 17.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 520
Expiration Date
10/20/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 2.0000 HND BLDG
501-2,000
2.00
----------------------------------------------------------------------------
Special Notes and
Comments
24 L.F. 416" EQUIPMENT ENCLOSURE,
CITY
STANDARD
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged
Paid Credited
----------
Due
Permit Fee Total
--------------------
17.00
----------
.00
.00
17.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
18.00
.00
.00
18.00
LQPERMIT
RGA LANDSCAPE ARCHFECTS, INC.
PROJECT RECORD
DATE: March 18; 2009
PROJECT: Andalusia
PROJECT NO.: R0641
SUBJECT: Andalusia Planting Reviews
FROM: Rob Parker
TO: Dennis ByerFy (dbyeriy@monarch
grp.com)
C. Ronald Gregory, RGA Landscape Architects, Inc.
Bill Kortsch, RGA Landscape Architects, Inc.
Dianne and Chuck Schaffner Residence - 81671 Andalusia Drive
Lan dscap`
Pool, spa, deck and BBQ plan approved as submitted with the following comments: oz
1. Tile sample for visible raised bond beam to be reviewed and approved by HOA; plans
submitted are black and white.
2. Entire raised bond beam to be tiled front and back and/or back to be bermed up 12" so it
is concealed from view.
r— _
3._Height of-new_courtyard-wali not to_ezce'ed th--e he ight_ofa_djace�f= ro e - line aw 11
-- - - - - _ P_ p rty-'
Drainage/Irrigation anti Lighting Plan
Plans approved with the following comments:
1. All damage to front yard planting/irrigation must be restored to the satisfaction of the
HOA following the drain line installation.
2. All lights must be aimed so as not to cause glare into adjacent homes and golf course.
3. A backflow device must be installed on the irrigation system per guidelines.
Plantina Plan•
Plans approved with the following comments:
1. If turf is on the adjacent golf course area behind the lot, a header must be installed to
separate the turf from the planter bed per the guidelines. Plans do not specify golf
course planting.
2. Board to review decomposed granite color selection as it is not specified to ensure
compatibility with surrounding homes. Per the guidelines, no decomposed granite may
be visible from the golf course.
RP/bc
74020 Alessandro, Suite E . Palm Desert, CA 92260.760-56&3624. FAX . 760-773-5615
964 Filth Avenue. Suite 509 . San Diego, CA 92101.619-699-5906. FAX • 619-699-5913
CA Lic. #1532 . AZ Lic. #13754 . NV Lic. #94
Side Yard Detai
U�71D
tstn
City, of La Quinta
Building 8£ Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
O /i 3
Project Address: P/017/
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: �
.��.�
Telephone:
.;>E»:�>3« :�z::<:<.;::s>:s:;::<::
,.... _>n?a:.>?<
Address: a , e x-( ' v
...
Project Description: '
City, ST, Zip:
Telephone:
::;<'':>�;�.%•.,;r:::s:::>••>:<:>:::�::>:
State Lie. # :
City Lie. #;
Arch., Engr., Designer::
Address:
City., ST, Zip:
Telephone:
> n n:::'• :y?:;:_''::i:: :i: is#'
x>::?::>:.::>.;•r<:;;::.;>:::;..::;;..>:•;:::.;>
:>:l::;::::>::>?:» r<>•::
Construction Type: Occupancy:
State Lie. #:+l>::y•':>;><'.<.:::
Project type (circle one): New' Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#. Stories:
#Units:
Telephone # of Contact Person: o,Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
. Plan Check submitted
PERMIT FEES
Item Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad 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:-
'"' 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