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07-2958 (BLCK) LIIIIIiIIIITIIIIIIIIIIII +58 P.O. BOX 1504 IE VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/14/07 Application Number: ci07='00002958 Owner: Property Address: 79300 AVENUE 48 SANTA ROSA DEVELOPMENT INC APN: 649-030-069- - 46753 ADAMS ST Application description:. WALL/FENCE LA QUINTA, CA 92253 Property Zoning: HIGH DENSITY RESIDENTIAL (760)771-334S Application valuation' 640 Contractor: D Applicant: Architect or Engineer: CONSOLIDATED CO CTI�N I�T(�. 46753 ADAMS. STRE 1 LA QUINTA, CA 92 3 QlIINTp► (760)771-3345 CI7V0�C DEPT ` Lic. No. : 824183 FIN19► - - - - - - - -- -- - - - -- - - -- - - - --- -- - - -- -- - -- - -- - -- -- - -- -- - - - - - - - --- - - -- -- - -- - - -- - - - - - - - ---- -- - -- - - - -- -- - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby.affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the Business and Professionals Code,and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided License Class: B C8 License No.: 824183 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Date: Contractor: _ 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. M rkers'compensation OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the _ Carrier TATE FUND Policy Number 1770 9-2 following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to certify that,in the performance of the work for which perm' ued shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject t e wor c p ation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should beco a subject t e wor - co ation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Code, orthw' comp) thos ovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by i} any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: te: ` /�(7.v icant: l_1 1,as owner of the property,or my employees with wages as their sole compensation,will do the work,and /01 the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who'builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT ( ) I,as owner of the property,am exclusively contracting with licensed contractors to co t the project(Sec.' IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,Business and Professions Code: The Contractors'State License Law s no pply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,and who contracts for the pr cts w' a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) 1 am exempt under Sec. ,B.&P.C.for thisre 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. - ate: (/ © ner: 2. Any permit issued as a result of this application becomes null and void if work is not com nced / .01, within 180 days from date of issuance of such permit,or cessation of k for da will s lect CONSTRUCTIO LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above informati is re . I agree ply with all work for which this permit is issued(Sec.3097,Civ.C.). - city and county ordinances and state laws relating to building c ruc' h by auth epresentatives . of th�onterupon theve-mentioned propertypurp s. Lender's Name: ature(Applicant or Agent): Lender's Address: LQPERD4IT ' Application Number 01-00002958 Permit. WALL/FENCE PERMIT Additional desc . Permit Fee 19.00 Plan Check Fee . .00 Issue Date . . . . Valuation 640 Expiration Date 5/12/08 Qty Unit Charge Per Extension BASE FEE 15 .00 2 .00 2 .0000 HND ' BLDG 501-2, 000 4 ..00 ---------------------------------------------------------------------------- Special Notes and Comments 40 L.F. 4 ' RETAINING WALL, CITY STANDARD @ CORNER OF COOL REFLECTION & .DANCING BUTTERFLY Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 19.00 .00 .00 19.00 Plan Check Total .00 ..00 .00 .00 Grand Total 19.00 .00 .00 i9.00 LQPERAIIT - r� La,�u�Q.c • P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 OF LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: From: Les Johnson, Director-Planning Due Date: Permit #: Status: Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: 4 Address or General Location: Applicant Contact: .5-78J_,V 3 � The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. these Building Pla are approved by the Planning Department. ❑ these Building PI ns require corrections. Please forward a copy of the attached correctioi s to the applicant. When the corrections are made plea a return them to the Planning Department for review. Les J nson, irect -Planning Date y 1,0 A'faC4L1045 'a Bin # City of La Qui-nita Building& Safety Division Permit# P.O: Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 6D 'AVUUL Y 0 Owner's Name: l ✓{C A.P.Number: pL/t�-D 3��D 9 Address: Legal Description: „,��,,,, City,ST,Zip: u j� pCpC S3 Contractor: C� Sa (,' Telephone: Address: �s3 �af �'f ji -t Project Description: City,ST,Ziip j 1-,a i nf& _! 53Li rvcw F- -+ ' Telephone: 77/ 33gs- - )/nQ,1/ State Lic.# :' 7& O,5-'76 City Lic.#: ` ”cin m Son _l'VI G 6f*ru i nC. u Address: Ll 017V.,�q ?a M City,ST,Zip: 11' 'onh V Telephone:-7&0.-3.2q 7&V � - 711 Construction Type: Occupancy: State Lic.#: d� Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: U a a L -Ft- y� #Stories: n #Units: Telephone#of Contact Person: -513- 5q 3`1 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE #. Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submittedItem Amount Structural Cales. Reviewed,ready for corrections Plan Check Deposit Truss Calcs. Called Contact,Person Plan Check Balance Energy Calcs. Plans picked up Construction. Flood plain plan. Plans resubmitted Mechanical Grading.plan 2n4 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 resubmittedGrading IN HOUSE:- ''"Review,ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees ® 77 MATCHLINE SEE SHEET 6 ael' _ 9 , io- � 1 I • IY 1� I 1 I , `E•1 a PAN I ,AAAA. k _ 1 s � = 0. k ! w- _ ---- - ---� ---� seas 5� avian. am, No. ..—----------- 1 "j- ?•;f. i I _ D.A.�I:�l.. TIER LY �... ....... } ..... ... .. .......' ......_...__. _. . ,,rs _ AAAA_ . _ ACCESS I I .. _ ---- -- - ----- - - xmadn r ra 1 J-P:1520 � ae^' .+: TO BE CONSTRUCTED" ' AFTEREMERGENCYCS COMPLETE -.'. PE/61a0 ACCESSW LV0 i fT=6i.60 16 4 n.r' Pf=16(M�- PLAN2 Pf=1.00. 1°}s'' H• -H• GATE Aa61.50 _. FF=61.50 PLAN 2 - PLAN 2 ea I I I Li W LLI 99 •1eW ...u^ 102PE- Z 61.75 P£=61.25 in• 105 - 1 k l 1 %n. J PLAN 1 PAN l5 PE=6I.0 u.. 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