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BLCK (10-0876)50610 Mandarina 10-0876 P.O. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: (: 10"-00000876 Property Address: 50610 MANDARINA APN: 776-2007003- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4848 Applic nt: b . . -&Q T4ht 4'X " 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 750957 Data:Contr— a — 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).: (_) 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 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. 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: LQPERMIT Owner: CITRUS 18 GROUP, 30875 DATE rPALM- CATHEDRAL (760) 969-1 ;1+, LLC RIVE, STE. C CA M 2 — Contractor: JU SEP 2 12010 GHA ENTER RI C. 3 0 8 7 5 DATIJ PALIoPff.qEjW_ ; CATHEDRAL (760)969-1400 Lic. No.: 750957_ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 7.77-7153. Date: 9/08/10 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ Ihave and will maintain acertificate 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 9 3700 of th Lor Co I It It forthwith comp ith those provisions. -Date:, • 1 r=Appli— 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 (5100,000). 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. 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 proper inspection:: pua Date:, f 2. I0r, nature-(Applica Agent) C Application Number . . . . . 10-00000876 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 72.00 Plan Check Fee 00 Issue Date . . . Valuation . . . . 4848 Expiration Date 3/07/11 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------------------------------------------------------------------- Special Notes and Comments 176 LN FT X 6FT HT GARDEN WALL & 28 LN FT X 4 FT GARDEN WALL PER CITY•STANDARDS & APPROVED PLANS. -------------------------------------------------------------7-------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee.Total 72.00 .00 .00 72.00 Plan Check Total :00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 73.00 .00 .00 73.00 LQPERMIT 1 APPROVED FOR PERMITTING: PLANNING AYD ZONING. 2)MPLANCE; CH (EDD AND RECOMMENDED .. FOR APPROVAL BY: - _ TOM INRIUNG DALE POUMWR. EVANS .. DA 6 SAT i D t€ - . . t BUILDING AND SAFETY DOtECTOR COMWNIIY OEYE1DPEI!k T DIRECTOR ' R.C.E.44180 DIP. AAE: 6/3D/07 x • - - CITY OF LA QUDRA CITY OF LA QUANTA SAXON ENGINEERING SERVICES _ 00 bs #, TRACT Pio.:32 $'t (IZJ71JAEi . r j; r • .DiAEf'BOFDINBY • ....-.,.,:.cam ',-_.. ..... _...:i: ,+'•.:. .......:......... '_ Y T IBM t ® _ 'lel S10 o5S 6w IFOX R _ I s - • \ _ 3271 I o,P .' R - - r .. I Y q . - _... C.' . 5' S - Qa ' .. Q' 9 S 5 C•mlwmv 5 O.Sf a ,R 4 P i 0 A, MOL '::.: _: ,=:,:.>- ::_ .. 9' .: 9 , : ::. „ - 3610IT 2 dT % T> _ `SP ., ..-. .Y ... .. ._... _ is - - '31.90 _ I FIJI,, itF- xeo •• , - ''L 31.1 • 1 0 m. .., _ . fl"""7.J.``;RYD'a 31,3 a 367' ` 33.9 I ,I.a j, - :2 -sr V: - r; - - - 1,A. • ,.. , >> 32521 5. --' @. . v,' _ : ` ._ .. ,.,j - . ._ .-.. 8 . ,. ar.,. y fir • j: a-..: '.'• — B . 1r I POOL . I POGI !I: , i f 1 - -, FOCI 1: POOL • Y ? J26B = PA 7@ 3798 3147 _ - Up •_. ^' 3337 • , .:... -..;.! I' ' w I 3298 GIA TN 18 3119 .. 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ANDARINA ,::• ' - - _.: ✓Ary , -. cq- to susURICAL 7HE M • THIS AlYIAR S IDENRGU. 70 INE 6MAR APPROVED BY THE BUILDING d SAFE"1Y p DEVELOPMENT DIaRECTOR. AND RREC70R ON"m lt VV GRAPHIC SCALE®• r4r' 10-26-06 .EXCEPT FOR THE m o n m a m _ • Q ®A;t6 ' g® REVISIONS NOTED HEREON. CASTRUCTION NOTES lithk6 °WAS° b ' ® - (OT PtD.7) ID COMMMICT CQICI M WMW APPROMA PER CRY OF U =9 570. DIIG N0. 711 R.C. 20596 MORSE ° _ TL SDP 2006-864 „. _ DATE UNDERGROUND UnUTIES PRIVATE ENGINEERING NOTE PREP LUNDER THE DIRECTION OF: -r o.sA - 7►9ooAr.,.a,ssme IN THE Cf1Y• LA W I/M A STA IEp/O F/ CALIFORNW_ All. UtOIfRCR01AlD Ur61fI5 OR STRUCTURES REPORTED By THE OWNER at OO/SIRIRTmfI wNTRAcroR AGREES THAT 9l AocoRn.NCE wm1 GENERALLY f I y - '— ' -- , o o s I c N bQ,dmq CA 92253 'TRACT ri0. 2`Wa1J-1 2 1121 - - 00,06 AND TImSE 9mwN ON THE REOOROS DAWNED ARE INDICATED WITH ACCEPTED ODISIR1ICITON PwcTlas. COtSSTRIICTWN CONTRACTOR WILL ITE. : C _ THEDi APPItOTOWIE LOCATION AND EXIETIT. 110 OWNLR. fl1' ACCEPRNO REWWED 70 ASSUME 9%E AND COYPIflE RESPON996AIY POR JOB SITE _ , R.C.E 2059MORSE 6 PRECISE (.. On ( t A EIQ: TH}5P. PLATS LA PROCFIDON WITH EXTENT THE O PURSUANT THERETO. AGREES REOUIR0lS NDIItl7 COURSE OR CONSIHUCIION Qi THE PROJECT. ' b 0 . _ vete 710.771.1071 . .- •. ... . - - ,++ r V h7 $M.— . 70 [IA@Q1rY Alm TO NIXD UNDERSIGNED I/ANIILSS FOR ANY QAlBDES DW110MC SAffIY OF -ALL PE%OIS AND PROPERTY: THAT THIS REIXDRORNT fes. Appppym B'T•; s c H o L T: FAX: 710.7714077 t RE510.N1C iR011 f7051010E OF UNDERGROUND UfAJi@S OR STRUCTURES NOT SMALL fiE MME 10 APPLY OdIIIIm USL FURTHER AGREES . , CIVIL` . J* DATE. PLANNERS `'• ! N O 1 H @ @ Q S SURVEYORS - '\ LOTS OF $HIS RIDORIED TO THE UNOER9WED, NOT DIDICATED OR SHORN ON THE RECORDS WORKM HOURS, AND _ . 0"DI D. THE CONTRACTOR 6 REOWRED TO TAKE DUE riikT PIONARY DOXIM DOODUFY AND NOIR OEM PROFESSo LL HARMLESS FROM - ,. 1• MEASURES TO PROTECT THE UnUM OR STRUCTURES SHOWN AND ANY OTHER ANY AND ALL' 11MD1IY. REAL OR ALLEGED, Dl CONNDCrWN WITH THE TEVISED RAN OES@kW M WIS 1-9 ;„ 'ry2•a qll`' - - - ..rcx rA.n TP,03-.ETD IQ I , r ob1A. fEltD • OM H UITIlllES oR 51R1ICIUPkS lTXuro AT THE SITE R SHALL BE C011TRACIORS PERFORMANCE OF MORN ON 7IR5 PROTECT. EXCEPTING lUB6lIY ARSDm SCALE. SEE ABOVE Op, NNC WIAA WL O9, ]JP XpN1 OF CL DO. OT PORTON . Rf L1IY lD N011% THE OWNERS OF THE UTILITIES OR, STR=IKES FROM THE SOLE NEGUGENCE OF DiSON:PROFESSO 1L, R. J N 1 7'A9QL7GN SDSLT t 59q gD1E.A 6T SOIRI 6 9597/0. W. b0I110 NE\1/4'SEC. 5. T. 8 S., R 7 E, S.B.M." CITY ENGINEER R.C.E. HTE: AUGUST. 2006 OpNryyp DOW 6 SFA LM P" QO fRT 10 AN NIMH! MDBOM FOR: .TAHRI PARTNER W.O. NO: COFICEm1E0 AFORE BUTTING WDRK DESIGNED Of. DRAWN BY: CMECIOD Bf: jx I" . 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 Application and Tracking Sheet Permit # \-dn � b Project Address: -5Cp#4W4 Dp 0 - 1Y) A M Owner's Name: G I-rq_0,S (2) C.,iLoog LLC A. P. Number: —7-76 -sc�o— coz Address: DA-71—. PqL,,--7 00-1 Va, Legal Description: Lc7T AY 37r-gq,�cj- 2_4590-1 'City, ST, Zip: CA77+61)M L c? Contractor: -1-44c_ Telephone: -760 o Address: 3,og-7,s' C),afm PAL4, ml, V6, "C", Project Description: :E)L-C)GK LA-)AL_" City, ST, Zip:1. < ::iiiiiiii` .......... ........ .... . , 11- .... . . .. Telephone: -7eo_ 9G9_14<>o i:: ......... .X. . ........ VF 14 CAavoj State Lic. # City Lic. Jo4:51G C�-r� V zT"I I L-- Arch., Engr., Designer: COIF vL�N Address: 751oo Aylgt4og- 4-1 City, ST, Zip: L.A0owng, CIOQ 22153 Telephone: 7(,C>,7 -7 t -A2V3 . . . ....... .... ..... ........... . ................. i Construction Type: Occup ancy: State Lic. Proie ct type (circle one): (12?F:> Add'n Alter Repair Demo Name of Contact Person: A-V Sq. Ft.: # Stories: Telephone # of Contact Person: 7GO 275-5-t501 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec1d 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:- 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