06-3933 (BLCK)IIIIIIIIIIIDIIIVIIIIIII75
P.O. BOX 1504 IE
T�Lj
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00003933
Property Address:
81345 AVENUE 54
APN:
767-320-013- -
Application description:
WALL/FENCE
Property Zoning:
VERY LOW DENSITY RES
Application valuation:
55030
1430 30NVN1d
Applic nt: V1NinorigoAm
90OZ 6 0 AON
D D
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals de, and my License is in full force and effect.
License Clas : B No.: 701039
Date: / Contractor:
OW ER -BUILDER DECLARATION
I hereby affirm under penalty of p rjury th t I am exempt from the Contractor's State License Law for the
following reason (Sec. -d 31.5 Bu ' es nd 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.).
(_) 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—) 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:
LQPERMTf
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/09/06
Owner:
GRIFFIN MERV
C/O THE GRIFFIN GROUP
780 THIRD AVE 18TH FLOOR
NEW YORK, NY 10017
Contractor:
TRANS WEST HOUSING, INC.
9968 HIBERT STREET, STE #102
SAN DIEGO, CA 92131
(760)777-4307
Lic. No.: 701039
------------------
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.
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 STATE FUND Policy Number 1648813-2006
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 subj ct to the workers' compensation laws of California,
and agree that, if I should become subje , o the workers' compensation provisions of Section
3700 of the La Code, I shall forth ply with those provisions.
r
Date:�� /:FAILURE
� Applicant:
WAR N TO SE RE ORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN A DI ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LAB 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 he above information is coO
t. I agree to comply with all
city and county ordinances and state laws relating to b Ming construct' eby authorize representatives
of this cou y t enter upon the above-mentioned prop y f-1-1
or inspect n pu os s.
Date: 1I TAQG Signature (Applicant or Agent):
9
LQPERMIT
Application Number . . . . . 06-00003933
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 441.50
Plan Check
Fee..
00
Issue Date . . .
Valuation
. . .
. 55030
Expiration Date 5/08/07
Qty Unit Charge Per
Extension
BASE FEE
414.50
6.00 4.5000 THOU BLDG 50,001-100,000
S 27.00
----------------------------------------------------------------------------
Special Notes and Comments
1305 LF 4' RETAINING WALL & 1366.LF 7'
GARDEN WALL. ORCO DETAIL & APPROVED
PLAN.
Fee summary Charged Paid
-------------------------------------
Credited
----------
----------
Due
Permit Fee Total .441.50
.00
.00
441.50
Plan Check Total .00
.00
.00
.00
Grand Total 441.50
.00
.00
441.50
0
Nov. 6. 2006 4:24PM
No, 3771 P. 2
`7 77 7ell
Bin
City of La Quinta
,
Building a Safety Division
Permit #
P.O. Sox 1504, 78-495 Calle Tampico
u Quinta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking Sheet
Project Address:Owner's
Name:
A. P. Number: GL l/it��
Jv
Address: Y+�
Lcgal Description:
City, ST, Zip:
Contractor.
Telephone:
Address:
Project Description:
City, ST, Zip:
�s
Telephone:
State Lic. # :
City Lia #:
Atek, Eng., D6signer:
`a�i�!�%C.� /
Address:
1
City, ST ip: -
Telepho e;
Construction Type: f(ezw) Occupancy:
State Lic. #:
Projedlype (circle onc): New Add'n After Repair Dano
Name of Contac Person:
Sq_ FL:
# Stories:
# Units:
Telephone # of Contact Person:—
v�' 3
Estiinated Value of Project:
AFMCANiT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd,
Recd
TRACKING,
PERMYT FM
Plan Sets
Plan Check submitt.cd
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit "
Truss C:ICA,
Called Contact Person
Plan Check Balance
Energy Oaks.
Plans picked up
CoastrnCtion
Flood plain plan
Plans resubmitted
MechatuC#I
Gr2ding plan'
2" Review, ready for torrectioustwite '
Electrical
Subcoutaetor List
Caned Contact Person
Plumbing
Grant Deed
Plana picked up
.S.M.L
H.O.A. Approval
Plans resubmitted .
.
Grading
.
IN HOUSE.-
Review, ready for eorrectionstissue
Developer Impact Fet ;
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
x OW Permit
Nov. 6. 2006 4:23PM No. 3771 P. 1
47-120 Dune Palms Road, Suite C
La Quinta, CA 92253
(760).777-4307 - Office
(760) 77774308 - Fax
Fax
To: From:
Co: Pages:
Fax:Date: ZZ,%
Phone: Subject:
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