06-3183 (BLCK)58314 Aracena
"f IIIIIIIIIIIIII VIII 68
IE
P.O. BOX 1504 -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00003183
Property Address: 58314 ARACENA
APN: 764-200-999-39 -316812-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3300
Applicant:
Tuvl 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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/ r%, /'License Nn_ 762987
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 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—) 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.).
Lender's Name:
Lender's Address:
LQPERN1IT
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/06
Contractor: A
TD DESERT DEVELOPMENT
P O BOX 1716 SEP 2 5 2006
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987 CITY OF LA QUINTA
------------------
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.
_VI 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 CA005001482002
_ 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
—ant.
or Code, I ILfo ith comply with those provisions.
ate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 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
*Pfftate laws relating to building construction, and hereby authorize representatives
above-mentioned proper ection purposes.
Applicant or A t):
Application Number . . . 06-00003183
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 63.00
Plan Check
Fee
.00'
Issue Date . . . .
Valuation
3300
Expiration Date 2/27/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
:
18.00
---------------------------------------
Notes and Comments
132 L.F. 6' GARDEN WALL,.PROTO SYSTEM
Fee summary Charged Paid
-------------------------------------
Credited
----------
Due
Per.it Fee Total 63.00
----------
.00
.00
63.00
Plan Check Total .00
.00
.00
.00
Grand Total 63.00
.00
.00
63.00
LQPERMIT
OUR?
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SQI IICQS
Date of Deputy Inspection: _
IIIIIIIIIIIIIIIIIIIIIIIII
t
69 '
IE
Height:
PROTO IITM WALL' SYSTEMS
SPECIAL DEPUTY INSPECTION FORM
/-5--0-7
As an accredited and certified Special Deputy Inspector of Proto41TM Wall Systems, 1, Tim Youne, hereby witnessed and
certified the torquing of the post -tension 'rods to 6,000 lbs. by:
F] visual inspection.of the DTI verifying collapse of the tabs (no light leaks between DTI tabs and bottom of '/2" nut)
witnessing and certifying the torquing of the rods to 6,000 lbs. via a calibrated torque wrench set to 55 ft/lbs.
A. Installer.��j,,; J3C-CC,r �Mr_Suc� Builder/Owner:--
`zcoI
DvntS. CAS ct ZZU.2,
B. Project Name/Location:Arlr/r {vstc_ P_ P,( n' Lc- C�;,,,,-l- CA <:� Z-2-5-�
lunr J�J:(.rrcne
Lot(s) inspected: -3$, 3C1 Permit No. 06-318'2
Wall locations: 16/e�J- o_� cAk,r f f n PrC)f%
C. Block Sizing: (� ��D,r -*3
� Q
D. Visual inspection of mortar integrity. Acceptable Yes ❑ No G8-306
j f 1 M W n
E.
Height:
Z-4"
Length: Gj
LF Rods A. . C6 l
O.C.-'
Height
Length:
LF. Rods @
Height:
Length:
LF Rods @ y - Ff
O.C.
Height:
Length:
LF Rods @
O.C.
Is rod spacing and location per the PDS for this project?
WYes ❑ No
F. Are threads, plates lubricated and plates bearing on three block surfaces? \Yes _❑ No
Wall approved by Special Deputy. Inspector
Ti Y ung
527804 - 4
12155 Palm Dr. Suite B PMB.190 Desert Hot Springs, CA 92240 (760) 427-7796