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BLCK (12-0899)50700 Mandarina 12-0899 P.O ! BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000899 Property Address: 50700 MANDARINA APN: 776-200-006- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000. Applicant: Tu!t 4 4Qgm& Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 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 a License No.: 750957 'Date: '\ 0 ' \2. Contracto • OWNER- ILDER DECLARATION I hereby affirm under penalty o pt 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 T(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 _ 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.). (_) 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 PALM CATHEDRAL CITY, (760) 969 - 1900 Contractor: GHA ENTERPRISE, 30875 DATE PALM CATHEDRAL CITY, (760)969-1400 Lic. No.: 750957 LLC DRIVE CA 92234 INC. DRIVE, CA 9223 VOICE (760) 777-7012 FAX .(760) 777-7011 INSPECTIONS (760) 777-1153 Date: 8/10/12 ----------------------------------------------— WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:. 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 71922311 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, I shall forthwith comply with those provisions. Date: O—\ Z Applicant: WARNING: FAILURE TO CURE WORKERS' COMPEN TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENA D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD HE 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 property for i spection purposes. Date: tl a . Signature (Applicantor Application Number . . . 12-00000899 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 "Plan Check Fee .00 Issue Date Valuation . . . . 3000 Expiration Date 2/06/13 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 - --------------------------------------------------------------------- Special Notes and Comments 120 IN FT X 6 FT HT GARDEN BLOCK WALL TO CITY STANDARDS PER APPROVED PLANS. - ---------------------------- Other Fees . . . . . . . . ." BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid. Credited Due Permit Fee Total 54.00 :00 .00 54:00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 55.00 .00 .00 55.00 APPROVED FOR PERMITTING: TOM HARTUNG BUILDING AND SAFETY DIRECTOR CITY OF LA QUINTA i„ - 0.5x 65.00' govt ®® a 0.5% 65,00' 11 pn AMC . . - MIN. . MIN. tiA ,o 33 FA fF 34.60 / '? = 33:91 p FF = 35.20 FL :PAD _34'J ,. j A -34.90 O ; ' • PAD = 34.7 j ' , 'RAID 34.4 FL *_., : "PLAN 2-B" z _ LEAN 1.. A # P ,LAN . 2- A z .47FIL 5' .:.. . •s 6 Fo 66+ FO- o OA 5 0 C! _. . rPA POOL POOL POOL PA PA 33.47 PA TW 38.77 33.77 TW 385, 33.5' FL -GB TF 32.77 FL -GB TF 32.57 g FL -G h`ti rod ,tea. ' m 38.62 PA O a,z - F - 34.70 - CASITA = 3 TF 32 62 . F = 34.40 , GF .10 CASITA . O , . FF=35.20 5• o -- FF=34.90 - 5' ' °c c, PAD=34.7 PAD=34.4 :: CART rt ' CART: GF=34.70 l N, roti GF 34.40 + 3435 FS G6 ' v0 N 3T05 ESS-JGB: ` : 6' 33,94E rse: f f • C7007 CSL C1 : S : „ o `' '.04' roo 4. :,. r; '•.33:30 7 8r od 34.1 33 42 d 32.77 FS 33.07 6\ N c r11 33.35 I FS o +6500' S FS " 1 65.00' : F FS "' 65.40' t '` cj EXIST. 6' C & G _.. ,. J_.._ _._ .•_._..._._.-_. __ _. -__.-_ ._ _.-._ .......___. ... . ' ....."....., EXIST. SEWER MAIN IST. ICURBED eM N MANDARINA # City of, La Quinta :Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application' and Tracking Sheet Permit # t Q V L Project Address: Nlahota )It. Owner's Name: G iAvu S C6 o • fr-l.L A. P. Number. Address: 30P '1S Oo ' o-\an dllL Legal Description: City, ST, Zip: ' C,-, -eA VCa Contractor. C- l lam► C=zMV4gzs P •S S t i L Telephone: -7 1i 6cj t 4 cm Address:--8 75 Project Description: r L w+ea tR- FT City, ST, Zip: C L c Cc, qZ? 4 Telephone: Z - 9 c9 6 — i oto %,t y`r State Lic. # : -75C7q S City Lir. #; Arch., Engr, Designer tLlps rSu Address: City, ST, Zip: L.Q, ©uonStiy CA Telephone: State Lic. #: N-.,..w % iu Name of Contact Person: Construction Type:. t kA J Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Req'd Recd TRACKING PERMIT FEES Ptan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss C21cs• Called Contact Person Plan Check Balance, Title 24 Calcs. Plans picked up Construction' Flood plain plan Plans resubmitted Mecharilcal Grading plan 2iQ Review, ready for correcfionsliissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''' Review; ready for corrections/issue Developer Impact Fee Planning Approval CalW Contact Person- A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees