BLCK (06-2843)52293 Avenida Madero
06-2843
P.O. BOX 1504 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: 7/28/06
Application Number: / 06=00002843 — - Owner:
Property Address: l_ 522.93-AVENIDA" MADERO MARTIN RAYMOND W D 4
APN: 773-241-020-11 -000000- C/O THERESA MARTIN
Application description: WALL/FENCE UNKNOWN, CA 99999 ,
Property Zoning: COVE RESIDENTIAL-------------------------= ------ U 3 9 n®6
Application valuation: 1718 u
CITY OF
Contractor: F Aivc 0 U1 TA
ep
Applicant: Architect or Engineer: Owner T
} ---------------------------------------•------------------------------------------------------=•---
LICENSED CONTRACTOR'S. DECLARATION --. WORKER'S COMPENSATION DECLARATION
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: - License No.: 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. My workerscompensation '
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 Policy Number - -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I 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 as to be ome subject to the workers' compensation 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 tha , if I s oul c e s ct to the workers' compensation 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 od I fgrth rt comply with those provisions.
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).: -Da te: Q Applican
(_) 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 Coded 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
1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct 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 does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) 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,
(_) I am exempt under Sec. , B.&P.C, for this reason A the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
r of La Quints, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
-Date: _ ,l" 'Owner: 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
/teC,,sv
TR TION LE ING AGENCY : permit to cancellation.
hereby affirm under penalty of perjury thatstruction'lending agency for the performance of the (certify that I have read this application and state that the above inform on is orrect. I agree to comply with all
work for which this permit is issued (Sec. 3 C.). ' city and county ordinances and state laws relating to bu tr on, a hereby authorize representatives
of this couKto ter upon the above-mentioned grope f on poses.
Lender's Name: _-
Date: l% Signature (Applicant or Agentl'
Lender's Address: - - - - ----
LQPERMIT
Application Number 06-00002843
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 41.00
Plan Check
Fee
.00
Issue Date
Valuation
1718
Expiration Date 1/24/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
13.00 2.0000 HND BLDG 501=2,000
26.00-
--------------
Special Notes and Comments
-
.54 LF 6' BLOCK WALL @ REAR P/L AND 17
LF5' BLOCK WALL FOR POOL EQUIPMENT
-
ENCLOSURE(EQUIPMENT & POOL ARE
EXISTING). CITY STANDARD..
Fee summary Charged Paid
Credited
Due
re------------------------_-------------
----------
----------
Permit Fee Total 41.00
.00
00
41.00
Plan Check Total_ .00
.00
.00
00
Grand Total 41.00
.00
.00
41.00
LQPERMIT
Bin#
V
City --of U.-Quinb
Building& Safety Division
P.O. Box 1504, 78-495 Calle Tampico -
Permit #
).Y3
La Quints, CA 92253- (760) 777-7012
Building Perkt
i
Application' and Tracking Sheet
Project Address: 713 7kvc- M/M6
Owner's Naine: IRA\/ MATUR
A. P'Number:
'Address.'r Ameff 0
Legal Description:
City, ST, Zip: tA Q)
Contractor:
'Telephone:
Address:
'Project Description:
C -;ST Zlp:'_: ,
ity, 2k
Telephone:- ling
-TY twE4
State Lic. #
City Lic.
Arch.,.Ifngr., Designer:
a
,Address Ir.
Xe
City, ST, Zip:
felepho;,6:4 w.Construction
Type: fkAV,1!C ALOccupancy:
State Lic. #/
Project type (circle one): (!Te Add'n Alter Repair Demo
-Name of Contact Person:. -9A1
I . . .
Sq. F't.:
# Stories:
I # Units:
---TEstima'ted
# of Contact'Persori:
Value of Project:Telephone
-4 APPLICANT: DO NOT WRITE BELOW THIS LINE
N
',Submittal
'9d
Recd
TRACKING
PERMIT FEES
Plan ,e,
Plan Ch'e'ck submitted
t
Item
Amount
Structural Cal
' s
Reviewed, ready for corrections
Plan Check Deposit
'Truss Cal -,4
Cs.
i
V, S
Called Cd'niact Persod m
Plan Check Balance
71
Plans Picked
up,,
Construction
10
,Ylood plain plan"Plans
resubmitted 1 J
............................................ Kq P
Mechanic al
y'adifig plan, A
2"'Review,rea y, orcor
're&ionsfissue
Electrical
Subc"tacto FList
Called Contact ersoni, 1 J?
P
P,rr
lumbin
g
4'Grant
Deed
Plans picked up i.
'S.M.I.
li.O.A!Ap'p roval
Plans resubmitted'.
41;
Grading
IN HOUSE: -
1,d R6view, ready for corrections/iss6c
Developer Impact Fee
Planning g Approval
Calledd-Contaci PersonAt.I.P.P..
Pub. Wks. Aper.
Date of permit issue
'N
School Fees
A
Total Permit Fees
- w of".` ... •• ` •' w-. x , •'r . f. j ,,.,. e r , . _ r'e ' : rf t _, s .. - j r ; 'r } ti i' ' .. F ' .
rr-e)f7 LIN
EX' BLOCK WALL }
L «
i COURTYARD
P '#..r t n p, .r .t .d• - .E: ..,.b r r, .,_ 1+. si , _ r - _ ,%„ '.
,
1 NEW TANNING SHELF~
JW 1
.. 4 +t • • ,•,r- p _ :a _. i .*roe + a - s•• ,.Y_ .. ♦ - _ + ''
- ,+„ - • I L,, «+A,:• 1 -t. • r • • rt' ' % et +•" v. mow.- ..
REMOVE WOOD FENCE
' REPLACE W 6' ITH HT. N 3 jr
• mac_. r, r• i a} - .' }.r, a.; ., { P `r .t is I
NEW 'BLOCK WALL '> a'
Ilk
, ." - , ,•_ a' ;_' • •— ` .. +.` , - to ra - - ,,: "" > _• ,
- VT wry-tr l 1.aT. 0 , t " - = 5 , " x - I I t rR E-5 _ I D E N. G" E .. ,
LILAC L.M l
tr
FA
IT
7r4 POOL EOUIPk _{ +
_. _ — — ' - ,. _ _ :`• — —i . — — • , EX. WOOD FENCE
EX. BLOCK WALL G .
OEN CE
A RE -INSPECTION -FEE OF $30 CITY OF LA QUINTA : «
WILL BE CHARGED IFTHE APPROVED
PLANS AND JOB CARD ARE NOT ON .
THE 'SITE FOR, A .SCHEDUL=ED ,-'
INSPECTION:'
NO EXCEPTIONS!,
BUILDING&SAFE TYDEPT. - 52-2015 \/EN0 S 1 DERO
APPROVED jr
FOR CONSTRUCTION LA OU I N TA (f, AL I F . • 2 2 55 .