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
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ANDARINA ,::•
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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