07-1605 (BLCK)57
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P.O. BOX 1504 _-
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00001605
Property Address:
80175 AVENUE 52
APN:
772-410-018- - -
Application description:
WALL/FENCE
Property Zoning:
HIGH DENSITY RESIDENTIAL
Application valuation:
144
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 License No.: 774293
1 15ate:�� r-1 IC.ntactor: /
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 basls 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 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:
LQPERAIIT
Owner:
GREYSTONE CLUBHOUSE ASSOC LLC
341 BAYSIDE DR STE 7
NEWPORT BEACH, CA 92660
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/30/07
Contractor: ikCITY
GREYSTONE MULTI -FAM BL'C
341 BAYSIDE DRIVE, #7MAy 30^007NEWPORT BEACH, CA 926H(949)566-9230 p
Lica No.: 774293 AFi QUINT -A
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
1 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 ZENITH INS CO Policy Number Z066293904
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
,S 21 X�3700 f
the Labor Code, I shall f hwith comply with those provisions.
/Date [� ^P" pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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.
1 certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
ofts county to enter upo the above-mentioned prXr inspection purposes.
/Date: � ignature (Applicant or Agent):
Application Number
. . . . . 07-0.0001605
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 15.00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
144
Expiration Date
11/26/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------- ------------------------------------------------------------
Special Notes and
Comments
9 L.F. BLOCK WALL
FOR MONUMENT -SIGN PER
APPROVED PLAN
Fee summary
-----------------
Charged Paid Credited
--------------------
Due
Permit Fee Total
----------
15.00 .00
----------
00
15.00
Plan Check Total
.00 .00
.00
.00 '
Grand Total
15.00 .00
.00
15.00
LQPERMIT
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CI'i Y Ji- LA UUIN7A
COMMUNITY DEVELOPMEN
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DEPARTMENT
12023 silverwood bend lane
cypress I texas 1 77433
P: 261.373.0770
281.373.0771
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BUILDING & SAFETY DEPT.
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FOR CONSTRUCTION
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--SIGNED:
DATi= S -%-`-O2 BY—Z7—
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DATE:
The ClubhouseStucco
Match Trim SW 6613
NOTE: Revisions made
N
�+%:"thick
RESORT V1 LLA 'RENTALS
PVC lettering
after approval shall
be subject to change
painted SW61Is
order fees.
i
80-115 5
80' 1
co /
/z'thick PVC lettering
faced with black reileetive vinyl
Stucco
-
5 N
Match Merlex / Caramelo
Painted Concrete Base
Match SW 621 S
Grade
V
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0'-6"
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a
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Footing
Q. C
2. °„
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Main ID
Substrate:
Hardware:
Colors:
Reference: La Quinta Municipal Code
- Concrete/Stucco Sign Wali - provided by other
SW 6113 Interactive Cream
w N
Riverside Cbunty Addressing Policy
�_ . 1 SW 6215 Rocky River i
0 N
Cut-out, painted and pin mounted lettering
Black Reflective
2 - SF Units (max face sq'@ = 24; max height = 6')
Medex Stucco/Caramelo
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(Match SW 6108 Latte) .
PVC Lettering
Mounted with
3/16" treaded rod
Main Ib
Reference: La Quinta Municipal Code
Riverside County Addressing Policy
2 - SF Units (mak face sq ft = 24; max height = 6)
2'-0..
Substrate:
- ConcretOStucco Sign Wall - provided by others
- landscape boulders provided by others
- Cut-out, painted and pin mounted lettering
;tdcco
ncrete Block
05 Dowels Vertical @ 16" o.c.; @ alternate courses.
=ill all reinforced cells w/ 3000 PSI flowable grout.
#S Dowels or!Go &WI, Ila LA Axl ���
2500 PSI Co reZfjlLDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
Hardware: I Colors:
WW
advertising
12023;sliverwood bend lane
cypress I texas 1 77433
P: 281.373.0770
1 : 281.373.0771
0 APPROVED
0 APPROVED AS
NOTED
SIGNED:
DATE:
NOTE: Revisions made
after approval shall
be subject to change
order fees,
-APPROM 6V DEVELOPMENT DEPARTMENT
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Bin #
City Of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address.` So j %s SZ
Owner's Name: (CC.5Z7 AAC C{ Lt f*
A. P. Number:
Address: 3S i D4 u t .�
Legal Description:
Contractor: K 5 ��� (ijUli%/—��j/Le P(, y
City, ST, Zip:
Telephone:
Address: 9Pt - fes- C
Project Description:
City, ST, Zip:
'•
Gvllt,(S!G/J
Telephone:
1,j M( _
f
State Lie. # : City Lic. #-
Arch., Eng., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: 2
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 2
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG .
PERMIT FEES
Plan Sets
Plan Check submitted
fi7
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan,
2" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Per4on
Plumbing
Grant Deed
Plans picked up
S.M.I.
ILO.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' 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
- - - - - - - - - - - - - - - - - - - \-Ji
------ ----------------------- 77�
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RETENTION BASIN it
SEE CIVIL DRAWINGS
LEG DESCRIPTION AN ASSESSOR'S PARCEL NUMBER
MAILBOX KIOSK IZ
PARKING
A-4hl SPACES COVERED B-f'PREFABRICATED CARPORT STRUCTURE
..... ....... ........ .......
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TRANSFORMER PER CIVIL UTILITY DRAkqlN(55
BUILDING 5EGUENCE NUMBER
D r
jcp BUILDING TYPE NUMBER
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------ DATEZ4. - = " FULL NFPA 13 SPRINKLER SYSTEM
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PATH OF TRAVEL
GENERAL NOTES
I. REFER TO SHEET T-1 FOR OWNER'S NAME AND CONTACT INFO.
:2. REFER TO CIVIL DRAPqIN(55 FOR HORIZONTAL CONTROL INFORMATION.
.3. REFER TO CIVIL DRAWINGS FOR ALL UTILITY SIZES AND LOCATIONS.
4. REFER To CIVIL DRAWINGS FOR, FINISH PAD AND FLOOR (LEVEL 1) ELEVATIONS.
5. 1 REFER To CIVIL DRANIN65 FOR ALL STORM DRAINAGE INFORMATION-
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