BLCK (10-0880)50580 Mandarina
10-0880
- i
P.O. BOX 1504
78-495 CaLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: (-10-00000880
Property Address: 50580 MANDARINA
APN: 776 -200 -002 -
Application description: WALL/FENCE
Property Zoning: LOW-DENSITY RESIDENTIAL
Application valuation: 5573
c&ht 4 4 Q"
Applicant: Architect or Engineer:
C 6" AAA-,f
V
__ ------------
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.: 750957
<-, Date: q%(O CContractor:
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, alier, 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 (5500).:
(_ 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 1, 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: ; 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
-----------------------------------------------
WORKER'S
------------------------------------------- --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 1 should become subject to the workers' compensation provisions of Section
q 3700 of the Labor Cod all forthwith comply with those provisions.
Date: !- 1i t e Applicant:
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 1$ 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 Ouinta, 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 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 prope`rt inspection purposes.
Date: 1 iii Signature (Applicant or Agentl: y
Date: 9/08/10
Owner:
CITRUS 18 GROUP,
LLC
30875 DATE PALM
DRIVE, STE. C
CATHEDRAL CITY,
(760)969-1400
CA 9f
-
Contractor:r
0 1 2
JP
GRA ENTERPRISE,
INC.
to
30875 DATE PALM
DRIV
,
tMOFiI
CATHEDRAL CITY,
CA 9
234
.
FiliP s _Ei PT.
f
(760) 969-1400
Lic. No.: 750957
-----------------------------------------------
WORKER'S
------------------------------------------- --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 1 should become subject to the workers' compensation provisions of Section
q 3700 of the Labor Cod all forthwith comply with those provisions.
Date: !- 1i t e Applicant:
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 1$ 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 Ouinta, 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 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 prope`rt inspection purposes.
Date: 1 iii Signature (Applicant or Agentl: y
Application Number . . . . . 10-00000880•
Permit' . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee l 81.00
Plan Check
Fee
.00
Issue Date
Valuation
. .
5573
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
205 LN FT X 6 FT HTGARDEN WALL ; 28 LN
FT X 4 FT HT GARDEN WALL PER.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
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-%'
OMECTOR AND THE COAiAfUNlrY
DEVEZ.OPA(DvT OtREMR OA,
•
GRAPHIC SCAU oo. REVISIONS
.EFOR FpR THE
0 cl *X? 90
90 HEREON. EST
COMIRMIM SI%Iisb
I IN I=) OWW MOM WMW AIVIVICH PER CITY QF LA GURITA SM 11% ND. 221
STANLEY cf wKIRsE cq Q' -m -w
I t -h - 20 & SDP 2006-864 R.C.E. 20.596
•DATE: -4&k.
UNDERGROUND UTIUTIES PRIVATE ENGINEERING NOTE ESS PNEP UNDER THE DIRECTION OF: 784*)A—a, 200 IN THE CITY -W LA OUINTA. STATE OF CALIFORNIA
ALL UNDURMM UTUTIES OR SrRUMRfS ROOM BY THE OWNER OR OONsnwm= OONIIRAZTOR AGREM THAT IN ADOORDANCE WITH GENERALLY
OD05 AND DIM SHOWN ON THE RECORDS EXAMIM ARE D(MrATED WITH ACCOM CONSTRUCTION PRWnCES, CONSTRUCTION CONTRACTOR WLL E. CT No. 24890-1
THEIR APPROXIMATE LOCATWN AND EXTENT.THE OWNEIR, Or AccEPTw REMIRED TO ASSUME SOLE AND WMEIE RESPONS331UTY FOR ON SITE 2-
A&" 00 TRX
THESE PLANS OR PROCMINO WITH MIPRMSOM PURSUANT THOM, AGREES ODIWITIONS DURING THE MOM OR OONST OF THE PROJECT. 5 IWIGIRSE -EXP. DATE q/3VO7- V" 7WTTI 4033 SHT.-
NLEY Ci)6
%ASW LATIMITY AND TO HOLD UNDERSK;NM HARMLESS FOR ANY OAMIAGES INCLUDING SAFETY OF ALL PERSONS AND PROPERTY: THAT THIS REOUWSIENTR.C.E. 205 FAY: 766-m4m I NG PLANS
FROM DaSIUMM OF UNDERGROUND UTILITIES OR STIUMM NOT SMALL BE MADE cow" CY AND NOT BE UM=D TO NORMAL APPROVED W.
RUOTM TO THE UNDERSIGNED. NOT lKWATED OR SHOWN ON THE RECORDS WORKING HOURS. ANO I E* 9-
EXAMUMM ONTIWFOR FURTHER AGRETS TO ' !- LOTS 1- 9 01 A-S'mTs
jr= IS RDNJIRED TO TAKE DUE PRECAUTIONARY DEFEND, INDEMNIFY AND MUD DESIGN PROFESSONAL HARMLESS FROM PLANNERS ENGINEERS SURVEYORS
DATE,.
THE COMIF ANY AM ALL: UABIUTY, REAL OR ALUM, IN OONKWFION WITH THE REVfn PLAN DENGWITONS OFT 4
MEASURES TO PROTECT THE UTIUFES OR STRUcnmm SHOWN AND ANY OTHER
UTMM WORK
a, SCAM SEE AIM ..... . A..., J M M I 114r OAW. FLO W/ OML N e
OR STRUCRM FOUND AT THE SITE IT SMALL BE CONTRACTORS PEFIFORMANCE OF ON THIS PROJECT EXCEPTING LIABILITY ARISING OD. 00Mt CMIAR DR. W. 33OF NORTH OF C.L ort. OF PORTION Nl I/4 SEC. 5. 6 s.. R.7 E.,'S.B.M.'
:g QOTHCTI= OWNERS OF THE UTILITIES OR, STRUCTURES FROM THE SOLE NEGUG04M OF DESIGN'PROFTSM(AL T;W ERS W.O. NO,
ST
WORK. DESIGNED BY: DRAWN OY. DATE: AUGUST. 2006 'M iM Z=10tIlo TAHITI PAM
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APPROVED FOR PERWTMNG:
I ZONING, gNPUANCE:
CHECKED AND RECOMMENDED
FOR APPROVAL BY.
WPLMAKNM
TOM HARTUNG DATE
BUILDWAND SAFETY DIRECTOR
R. E as . O.A
HTa TE
=NiTY Dwqm,
K(W SN I
R.C.E. 441;. E.P. SA. 0/07
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CITY OF LA OUINTA
CITY OF LA
SAXON ENGINEERING SERVICES
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APPROKI) GY THE BUILDING & S4FrrY
-%'
OMECTOR AND THE COAiAfUNlrY
DEVEZ.OPA(DvT OtREMR OA,
•
GRAPHIC SCAU oo. REVISIONS
.EFOR FpR THE
0 cl *X? 90
90 HEREON. EST
COMIRMIM SI%Iisb
I IN I=) OWW MOM WMW AIVIVICH PER CITY QF LA GURITA SM 11% ND. 221
STANLEY cf wKIRsE cq Q' -m -w
I t -h - 20 & SDP 2006-864 R.C.E. 20.596
•DATE: -4&k.
UNDERGROUND UTIUTIES PRIVATE ENGINEERING NOTE ESS PNEP UNDER THE DIRECTION OF: 784*)A—a, 200 IN THE CITY -W LA OUINTA. STATE OF CALIFORNIA
ALL UNDURMM UTUTIES OR SrRUMRfS ROOM BY THE OWNER OR OONsnwm= OONIIRAZTOR AGREM THAT IN ADOORDANCE WITH GENERALLY
OD05 AND DIM SHOWN ON THE RECORDS EXAMIM ARE D(MrATED WITH ACCOM CONSTRUCTION PRWnCES, CONSTRUCTION CONTRACTOR WLL E. CT No. 24890-1
THEIR APPROXIMATE LOCATWN AND EXTENT.THE OWNEIR, Or AccEPTw REMIRED TO ASSUME SOLE AND WMEIE RESPONS331UTY FOR ON SITE 2-
A&" 00 TRX
THESE PLANS OR PROCMINO WITH MIPRMSOM PURSUANT THOM, AGREES ODIWITIONS DURING THE MOM OR OONST OF THE PROJECT. 5 IWIGIRSE -EXP. DATE q/3VO7- V" 7WTTI 4033 SHT.-
NLEY Ci)6
%ASW LATIMITY AND TO HOLD UNDERSK;NM HARMLESS FOR ANY OAMIAGES INCLUDING SAFETY OF ALL PERSONS AND PROPERTY: THAT THIS REOUWSIENTR.C.E. 205 FAY: 766-m4m I NG PLANS
FROM DaSIUMM OF UNDERGROUND UTILITIES OR STIUMM NOT SMALL BE MADE cow" CY AND NOT BE UM=D TO NORMAL APPROVED W.
RUOTM TO THE UNDERSIGNED. NOT lKWATED OR SHOWN ON THE RECORDS WORKING HOURS. ANO I E* 9-
EXAMUMM ONTIWFOR FURTHER AGRETS TO ' !- LOTS 1- 9 01 A-S'mTs
jr= IS RDNJIRED TO TAKE DUE PRECAUTIONARY DEFEND, INDEMNIFY AND MUD DESIGN PROFESSONAL HARMLESS FROM PLANNERS ENGINEERS SURVEYORS
DATE,.
THE COMIF ANY AM ALL: UABIUTY, REAL OR ALUM, IN OONKWFION WITH THE REVfn PLAN DENGWITONS OFT 4
MEASURES TO PROTECT THE UTIUFES OR STRUcnmm SHOWN AND ANY OTHER
UTMM WORK
a, SCAM SEE AIM ..... . A..., J M M I 114r OAW. FLO W/ OML N e
OR STRUCRM FOUND AT THE SITE IT SMALL BE CONTRACTORS PEFIFORMANCE OF ON THIS PROJECT EXCEPTING LIABILITY ARISING OD. 00Mt CMIAR DR. W. 33OF NORTH OF C.L ort. OF PORTION Nl I/4 SEC. 5. 6 s.. R.7 E.,'S.B.M.'
:g QOTHCTI= OWNERS OF THE UTILITIES OR, STRUCTURES FROM THE SOLE NEGUG04M OF DESIGN'PROFTSM(AL T;W ERS W.O. NO,
ST
WORK. DESIGNED BY: DRAWN OY. DATE: AUGUST. 2006 'M iM Z=10tIlo TAHITI PAM
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THIS MnAR IS IDENTICAL TO THE MYLAR
APPROKI) GY THE BUILDING & S4FrrY
-%'
OMECTOR AND THE COAiAfUNlrY
DEVEZ.OPA(DvT OtREMR OA,
•
GRAPHIC SCAU oo. REVISIONS
.EFOR FpR THE
0 cl *X? 90
90 HEREON. EST
COMIRMIM SI%Iisb
I IN I=) OWW MOM WMW AIVIVICH PER CITY QF LA GURITA SM 11% ND. 221
STANLEY cf wKIRsE cq Q' -m -w
I t -h - 20 & SDP 2006-864 R.C.E. 20.596
•DATE: -4&k.
UNDERGROUND UTIUTIES PRIVATE ENGINEERING NOTE ESS PNEP UNDER THE DIRECTION OF: 784*)A—a, 200 IN THE CITY -W LA OUINTA. STATE OF CALIFORNIA
ALL UNDURMM UTUTIES OR SrRUMRfS ROOM BY THE OWNER OR OONsnwm= OONIIRAZTOR AGREM THAT IN ADOORDANCE WITH GENERALLY
OD05 AND DIM SHOWN ON THE RECORDS EXAMIM ARE D(MrATED WITH ACCOM CONSTRUCTION PRWnCES, CONSTRUCTION CONTRACTOR WLL E. CT No. 24890-1
THEIR APPROXIMATE LOCATWN AND EXTENT.THE OWNEIR, Or AccEPTw REMIRED TO ASSUME SOLE AND WMEIE RESPONS331UTY FOR ON SITE 2-
A&" 00 TRX
THESE PLANS OR PROCMINO WITH MIPRMSOM PURSUANT THOM, AGREES ODIWITIONS DURING THE MOM OR OONST OF THE PROJECT. 5 IWIGIRSE -EXP. DATE q/3VO7- V" 7WTTI 4033 SHT.-
NLEY Ci)6
%ASW LATIMITY AND TO HOLD UNDERSK;NM HARMLESS FOR ANY OAMIAGES INCLUDING SAFETY OF ALL PERSONS AND PROPERTY: THAT THIS REOUWSIENTR.C.E. 205 FAY: 766-m4m I NG PLANS
FROM DaSIUMM OF UNDERGROUND UTILITIES OR STIUMM NOT SMALL BE MADE cow" CY AND NOT BE UM=D TO NORMAL APPROVED W.
RUOTM TO THE UNDERSIGNED. NOT lKWATED OR SHOWN ON THE RECORDS WORKING HOURS. ANO I E* 9-
EXAMUMM ONTIWFOR FURTHER AGRETS TO ' !- LOTS 1- 9 01 A-S'mTs
jr= IS RDNJIRED TO TAKE DUE PRECAUTIONARY DEFEND, INDEMNIFY AND MUD DESIGN PROFESSONAL HARMLESS FROM PLANNERS ENGINEERS SURVEYORS
DATE,.
THE COMIF ANY AM ALL: UABIUTY, REAL OR ALUM, IN OONKWFION WITH THE REVfn PLAN DENGWITONS OFT 4
MEASURES TO PROTECT THE UTIUFES OR STRUcnmm SHOWN AND ANY OTHER
UTMM WORK
a, SCAM SEE AIM ..... . A..., J M M I 114r OAW. FLO W/ OML N e
OR STRUCRM FOUND AT THE SITE IT SMALL BE CONTRACTORS PEFIFORMANCE OF ON THIS PROJECT EXCEPTING LIABILITY ARISING OD. 00Mt CMIAR DR. W. 33OF NORTH OF C.L ort. OF PORTION Nl I/4 SEC. 5. 6 s.. R.7 E.,'S.B.M.'
:g QOTHCTI= OWNERS OF THE UTILITIES OR, STRUCTURES FROM THE SOLE NEGUG04M OF DESIGN'PROFTSM(AL T;W ERS W.O. NO,
ST
WORK. DESIGNED BY: DRAWN OY. DATE: AUGUST. 2006 'M iM Z=10tIlo TAHITI PAM
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Bin #
Qty of La Quinta
Building Br Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Applicatibn and Tracking Sheet
Permit #
Project Address: -6-0-.TSO MAI`-JWA DJ2-,
Owner's Name: G C LLC,
A. P. Number: -776 oc>-z-
Address:' 302)-767-
Legal Description: Lr 45cJ0-I
Contractor: sE
—4
City, ST, Zip: CIQ r7h5 L C— -t-Y (Q. cM$
Telephone: -760 - 41C. I - 147c c)
Address: 3c; 13-7'5' Qq-M P^L4-" Mk
Project Description: a) t-C) C-K-LA-ALL,
City, ST, Zip: ( : jLAL_9ZZ3*
1-05" r=
... ....... . " ....
. .........
Telephone:-760- qG9-J4<>O .............
I'His74 <:;Aa*cm c-w4-cay
State Lic.#: -7,509SO City Lic. #.. 104 571 (a
QST AJOoqf--V FDGTi-AJdj P--TP'qiL-
Arch., Engr., Designer:
Address: 789oo AV;;5ooE A-1
City,, ST, Zip: L-A0oiw,--;q,GA ZZSJ
Telephone: 7(,0, -7 -7 t -,*Cota
............
............
State Lie. #: q"
Construction T pe: Occupancy:
y
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
Stories:
I #Units:
Telephone # of Contact Person: 700 - 14'7-5-- 6-bc)-1
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Req'd
Rec!d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
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:-
J,d 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