06-3111 (BLCK)58122 Aracena
. -,: IIIIIIIIIIIIIIIIVIIIIIII 16
P.O. BOX 1504 - -- -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00003111 Owner:
Property Address: 58122 ARACENA CORAL OPTION I
APN: 764-200-999-16 -316812- 79295 RANCHO LA QUINTA DR
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4250
Contractor: D
Applicant: Architect or Engineer: TD DESERT DEVELOPMENT P
P O BOX 1716
TSA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
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 Busine ofessionals Co my License is in full force and effect.
.License Cla;s: B , 1' nse No.: 1762987
' 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).:
(_ 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 of 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 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:
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.I.
Lender's Name:
Lender's Address: N 1 P
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/28/06
°D
SEP 25 2006
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.
4_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 COMPWEST Policy Number CA065001482002
_ 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 a ree that, if I should bec ub. ct to the workers' compensation provisions of Section
37 of th bor Cod all forthwi comply wi se provisions.
,pdreApplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE GE 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 th formation is correct. I agree to comply with all
city and county ordinances and to laws relating wilding cons ruction, and hereby authorize representatives
of this coun o e r upon a above-m;ontio property for ins ection purposes.gnature (Applicanr Agent):
Application Number . . . . . 06-00003111
Permit .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 72.00
Plan Check
Fee
00
Issue Date
Valuation
. .
4250
.Expiration Date.
2/24/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
THOU BLDG
2,001-25,000
27.00
----------------------------------------------------------------------------
Special Notes and.Comments
170 L.F. 6' GARDEN
WALL, PROTO SYSTEM
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
72.?0'
.00
.00
72.00
Plan Check Total
..00
.00
.00
.00
Grand Total
72.00
.00
.00
72.00
I
LQPERMIT
IIIIIIIIIIIIIIIIIIIIIIIII 17 JCM InspectionsAm
RAIE 39725 Garand Lane Suite F
Palm Desert, CA 92211
N11, ` J F c : I o.0; O
- WELDING INSPECTION REPORT
Project Name: Project No: Date:
Andalusia @ Coral Mountain - Phase 2 06-311 3v�
Project Address: City:
Ave 58 between Madison .& Monroe Lot La Quinta, CA
AWS Q IBC ❑ Title 24 Shop
;�rD 1.1 Q Field
❑ D 1.3
❑ D 1.4 ❑ Other
Client: Sub -Contractor:
Coral Option One, LLC Palm Springs Welding
General Contractor: Architect: Structural Engineer:
Sparks Construction Pekarek Crandell, Inc. R.F. Structural Consultants
Description of Work Inspected:
Weather:
�' = �-r �C' o F Z &se r�
Unresolved Items:
❑ None
❑ See Below
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-AtG C_ Y' I L_ C-
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Process
Welder
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Type
Size
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I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the'approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspector:
Y/✓L S �Z�l c: l..�a�
'Contractor's Representative:
Copy'1 JCM Inspections .. Copy 2 Project Superintendent Copy 3 Governing Agency Page of-