BLCK (10-0879)50550 Mandarina
10-0879
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C10 -00000879 -
Property Address:
50550 MANDARINA
APN:
776-200-001-` -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5423
wiht 4- (P Q"
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: Bense No.: 750957
Date:._1 16 Contractor: ft.= —
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).:
(_ 1 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.).
( 1 I am exempt under Sec. , BAP.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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/08/10
Owner:
.CITRUS 18 GROUP, LLC
30875 DATE PALM DRIVE, STE. C
CATHEDRAL CITY, CA 92234
(760)969-1400
. Ind, r n
Contractor:
i
GHA ENTERPRI INCS ) ! j:
30875 DATE AL DRIVE;
CATHEDRAL C TY, 34 r
(760) 969-14 0 iY t44FiJllil7
Lic. No.: 75095
------------------
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 719000223 .
_ 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
3700 of the Labor Code, 1 I forthwith comply with those provisions.
Date: 7 Z O Applicant —
T
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 actor 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
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property ion purpose
Date:- ! l6- Signature (Applicant or-Ag(nfl: /'
Application Number
10-00000879
Permit
WALL/FENCE PERMIT
Additional desc .
.
Permit Fee . . .
. 81.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
5423
Expiration Date
3/07/11
Qty Unit Charge
Per
Extension
BASE FEE
45.00
4.00 9.0000
THOU BLDG 2,001-25,000
36.00
----------------------------------------------------------------------------
Special Notes and
Comments
199 LN FT X 6 FT HT
GARDEN 28 LN FT X
4
FT HT GARDEN WALL
CITY STANDARDS &
APPROVED PLANS.
------------------
Other Fees
. . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
81.00
.00
.00
81.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
82.00
.00
.00
82.00
LQPERMIT
• . APPROVED FOR PERMITTING: PIANNWC D ZONING. J)MPUANCE CHECKED AND RECOMMENDED
. FOR APPROVAL 6T:
/•L /C7 iG ' . L.
_ TOM H4mNG DATE Off R EVANS OA KU9r W A%
BUDOING.AND SAFETY DIRECTOR + ICOMWNITY DEVE7.DPE9NT DIRECTOR R.C.E. 44180 EXP. TE 8/30/07
CITY OF IA OUWU CITY OF IA OUINTA SAXON ENGINEERING SERVICES
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SUBSTITUTE' HYLAR • pC '
DIRECTO!✓; AND THE COMMUNfrY
® , • • ;N DE121OPMOVT DIREC7OR ON
\ 10 -2s -OB .EXCEPT MR THE
GRAPHIC SCALE _ T (A "o- ® R RENSIONS NOTED HEREON. F
uy/ N
ESS
CONSTRUCTION NOTES - ,' o .
1 I -h - PD R SDP 2006- 864 • STANLEY MORSE i$ i7o-17 .,
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07 PST) Q C016TRIICT OONC3TE 0014:AY APPRpIOI PEA OIY OF U O301G 57D. 030 ICI. 22i A ^ Na asm L
RC.E 20596 .
UNDERGROUND UTIUTIES PRIVATE 04GMEMNG NOTE P PREP UNDER THE DIRECTION OP ro... rs aooaw,.a,t me IN THE CITY' U+ OUINi0. STATE OF CAIJFURNIA
ALL IRmElilXtOORND UN3TOS OR STRUCTURES REPORTED BY THE OWNER OR CONSTRUCTION OONTRACIDR AGREES THAT d ACCORDANCE WITH GENERALLY .. •{.- /0a,. RATE- / /i - to Qxim4G9f131
THEIR APPROXIMATE AND TE CATI
ON THE RECORDS OWNER. Y INDICATED WITH ACCEPTED TO
ON PRACTICES, WNSIRIDCIION caNTY FOR COOL M.
X19 Y .t x TRACT NO. 24890-1 2
7/OR L.OGTWN AND EYTQNr. THE OWNER. BY ACCEPTING COHIME.D ro RING T SOME MID CR PLETECONS P6TION OF TH FOR JOB SIZE ,n R.C.E. 20598 PRECM GRADING PLANS
I A\1Q
Vok 7W"14013
DOSE PLANS oR PROCEED00 wTd I1 QYflHNIS PURSUNIr THERETO, AGREES DCLUD040 LXRAXS THE COURSE S AND
PRO CONSTRUCTION OF THE P110JECr, - in 6 S C w w : T: TWO 760.m4077 F -S -ANS $Hi.
ro A pE[ ROM EI AND ro HOED 1R GROUNE, U UTIES O5 FGR ANY DAMAGES SHALL BO SAFETY of ALL PERSONS AND PROPERTY: TENT THIS M NORMAL Ems. 9-10-07 APPROVED 9Y: -
IOSULTpG ETiOY ETOSIFTWE of !JIfDEACRWEJD UTDITQS OR $fWICR1RE5 Mar sW11 BE LIME ro AERr C>rIIDAIgl1AY A10 NOT
BE IDeIED To NotEYI1 .. * '.
? hhl 1* DATE, PLANNERS ', EN 0I NP QQS SURVQYONS ; .LOTS 1-9 ` OF SHIS
• RE90RIfD ro THE tINmEA9CNED. Mar dD!GTED OR $MOWN ON THE RECORDS wOR10NC HOWS, AND arm+sTRucTIOM OOI/TRMTOR FORMER AGREES ro .
E)AAdFD.
THE CONTRACTOR S REWWED ro TAKE DUE HOWNA AND
ANY ANY AN INDEMNIFY AND MOLD RESIGN PROFESSIONALINCONNECTION
TION WITH FROM ' - - - - ^ SCALE. SEE ABOVE -
YEASINSS ro PROTECT THE UTILITIES OR STRUCTURES
SHOWN AND ANI. OWER ANY AND ALL LIABILITY. REAL DES" ALLEGED, d CONNECTION CORM THE REV6FD PIAN OE9CI81110tS 1015 1-9 - 2'REVAIONS O:. 1Ev- - SSwcx rASo fPtW-YA ED f I f ODv. ql[D Q C/wG x `
JTIMOTHY R. 1 tTA9Q6T01 SOW A 3 Lr W R s u sown CF a ' . SHIM NE t/4 -SEC. 5, T. 6 S., R 7 E, SAM.
UWDIFS OEt S1R1#.7LdE5 FOLIND AT THE SNE IT SMALL BE CONTRACTOR'S - PE7ODWWlCE OF WOW( ON THIS PROTECT. E CCEPTWG IIABIIlTY AWSdG O 1 •N A -. / W'/ P19DD. CU. 01DI10
RESPORSSIUTT' ro NDRFY THE owns OF THE umnlEs oR STRUCTURES FROM THE SONE NEOi1COKE aF DESIGII: PROFESSWNN. CITY ENGINEER R..E - DATE AUGUST. 2006 NO IM MUM 6 SFA LOn FLUS aro RFT W Am N7A K NAM FOR: TAH(IT PARTNERS W.G. NO. '.
' BEFORE STARONO WORK DESIGNED BY: ,. DRAWN BY: 171ECNEp BY:
Bin #
Qty of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Vo
Project Address:
MA WA oj2_,
Owner's Name:
L L C
Contractor:
Telephone: -760 - d?CcJ—
Address: 30B—),5' QATV-
VALM 09-kl/6, "C,"
Project Description: E) L— 0 C, K- LILA L
Telephone: -7e,0- grog -14<>0
Arch., Engr., Designer:
Address: 7actoo Aygoo6-
4-1
City, ST, Zip: LA Ooitrrxi,
Telephone: 7(,C) -7 -7 t Aot 3
Construction Type: Occupancy:
State Lic. #:T
Project type (circle one): (1!2Y:) Add'n Alter Repair Demo
Name of Contact Person: IPAI:v SC44 Ltc,14T
Sq. Ft.: .j
Stories: A/A-
#Units: /6—
Telephone # of Contact Person: 7GO 5-bC)-1
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Reqld
Rec!d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance.
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". 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 resubmitted
Grading
IN HOUSE:-
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
"