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BLCK (12-0810)50730 Mandarina 12-0810 P`.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000810 Property Address: 50730 MANDARINA APN: 776 -210 -001 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6725 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: , SIA . -------------------------------------------------- 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 Busines d Professionals Code, and my License is in full force and effect. /Date: nse Class: s!B L' a se No.: 750957 'n2 ] ontractor: , OWNER -BUILDER DECLARATION 1 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, 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, 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: Q Lender's Address: LQPERMIT Owner: CITRUS 18 GROUP 30875 DATE PALM CATHEDRAL CITY, Contractor: GHA ENTERPRISE, 30875 DATE PALM CATHEDRAL CITY, (760)969-1400 LiC. No.: 750957 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/20/12 , LLC DRIVE CA 92234 FW%T 1M DRIVE'US CA 9234 ------------------ WORKER'S COMPENSATIOWDECLARATION 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 71922311 1 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 orkers' compensation laws of California, and agree that, if I should b m subject to the o ers' compensation provisions of Section 3700 of the Labor Code, hall rthwith p ith those provisions. Zale- pplicanC 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 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 statethat the above' or ation is correct. I, gree to comply with all city and county ordinances and state laws relating to building nstru ion, a d hereby orize representatives oft county to enter upo the above-mentioned propert r ins io p as. ate: Si ature (Applicant or Agent): Application Number . . . . . 12-00000810 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 90.00 Plan Check Fee ., .00 - Issue Date Valuation 6725 Expiration Date 1/16/13 Qty Unit Charge Per Extension BASE FEE 45.00 ` 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 ----------------------- ' Special Notes and Comments ' 269 L.F. 6' GARDEN WALL, CITY STANDARD. 2010 CODES. «.. Other Fees• . . . BLDG STDS ADMIN (SB1473) 1.00 ' Fee summary Charged Paid Credited Due ' Permit Fee Total. 90.00 .00 '.00 90.00 Plan Check Total .00 .00 .00 •.00 • Other Fee Total 1.00 .00 .00 1.00 Grand Total 91.00 .00 .00 91.00 r LQPERMIT. .. Bin .# City 'f. La Qur[tia Buiidmg 8r Safety Dh&on P.O Box 1504,78-495 Cage Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit -Application' and Tracking Sheet Permit # Project Address: 15n 3o 50 -7 fa0 5'p-7 y O Owner's Name:. Ci 'hL vS 1$ 6 r-vP , . !, t -G A. P. Number. Address: 30$75 PM -L- PdJ rn At, Legal Description: Contractor. 6 " 6VrE1ZPQ j5 E S TINX, City, ST, Zip: CcTff et b cx -y Cq g2Z-34 Telephone: I EO - 9 69 - 1400 ProjectDescription: Address: 3os' ; P#VM WrA A- City, ST, Zip:GpTftpeA1- cry Ca 92.234 9073o Zb9 L;u F41 Zk- W0111 MT4446' . -969- 1 Gi7 Telephone: -74j> ? r_ Q i n G i r1V >! 19 i. i4Q Z S d State Lie. #:-75095'7 City Lie. M. So -7&6 4'1 L»/F} '12, 10 CX Wq II K i h 6 -i q, yp • I2 • Oil Arch, Engr., Designer. MDS Co09u{.T►n1 t'7 Address: 5079 0 - 1 4'1 L. -44:7i, BI &UW101 C'9 1 -n 6. C iW Sid p • IZ. '( 56 iN1 f Construction Type: MASON2Y Occupancy: City., ST, Zip:LA W'6_9 Cp Telephone: M V.f9i[? State Lic. #: ..:~;yam Name of Contact Person: Project type (circle one): 6DAdd'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: QSO -- 9 B S4 Estimated Value of Project: SO -000-00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd ' Rec'd TRACE NG PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted.. Mecharilcal Grading plan 2'! Review, ready for correctionstiissue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up SANLL H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Reviews ready for correetionsiissae Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees t.. .. 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UNDERGROUND UTILITIES ALL UNDERGROUND UTILITIES OR STRUCTURES REPORTED BY THE OWNER OR OTHERS AND THOSE SHOWN ON THE RECORDS EXAMINED ARE INDICATED WITH THEIR APPROXIMATE LOCATION AND EXTENT. THE OWNER, BY ACCEPTING THESE PLANS OR PROCEEDINGWITH IMPR ENTS PURSUANT THERETO,. AGREES TO ASSUME LIABILITY AND TO HOLD LINO IGNED HARMLESS FOR ANY DAMAGES RESULTING FROM EXISTENCE OF UNDERGRO D UTILITIES OR STRUCTURES NOT REPORTED TO THE UNDERSIGNED, NOT INDI TED OR SHOWN ON THE RECORDS EXAMINED. THE CONTRACTOR IS REQUIRED TV TAKE DUE PRECAUTIONARY - MEASURES TO PROTECT THE UTILITIES OR STRUCTURES SHOWN AND ANY OTHER UTILITIES OR STRUCTURES FOUND AT THE SITE. IT SHALL BE CONTRACTOR'S RESPONSIBILITY TO NOTIFY THE OWNERS OF THE UTILITIES OR STRUCTURES CONCERNED BEFORE STARTING WORK. ' 1st SUBSTITUTE MYLAR THIS MYLAR IS IDENTICAL TO THE MYLAR APPROVED BY THE BUILDING & Sf4FE7Y 0 o1 DIRECTOR, AND THE COMMUN17Y N o O DEVELOPMENT DIRECTOR ON VL o ( p •,• 10-26-06 ,EXCEPT FOR THE ?0 +" • REVISIONS NOTED HEREON. © •Y ,Q pRVI ESS, CONSTRUCTION NOTES: D /6's.9o od . Nm _ 0 CONSTR = MOM DRNEWAY APPROACH PER CITY OF LA QUWA STD. OWG W. ,221 . ,. STANLEY . .MORSE SDP 2006-864 R.C.E. 20596 DATE:flArloc e PRIVATE .ENGINEERING NOTE PREP UNDER THE DIRECTION OF:. M O R S E 78-MAvenue47,Sub* 208 IN THE CITYV LA QUINTA, STATE OF CAUFORNIA CONSTRUCTION CONTRACTOR AGREES THAT IN ACCORDANCE WITH GENERALLY .4, ACCEPTED DATE: / ® La Quima, CA 92253 , Y C. "'C o o K, H TRACT N0. 24890-1 2 ACCEPTED CONSTRUCTION PRACTICES CONSTRUCTION CONTRACTOR WILL BE • . REQUIRED TO ASSUME SOLE AND COMPLETE RESPONSIBILITY FOR JOB SITE = y , ` S A C. M E XP. DATE 9/3070-7 { ', Vdar:760-771-4013 SHT."_. Q CONDITIONS DURING THE COURSE OR CONSTRUCTION OF THE PROJECT. No. 20596 '' A R.C.E. 20596 +' " S C w u L r z FAM 760-771-4M PRECISE GRADNG PLANS INCLUDING INCLUDING SAFETY OF ALL PERSONS AND PROPERTY; THAT THIS REQUIREMENT „ SHALL BE MADE TO APPLY CONTINUOUSLY AND NOT BE LIMITED TO NORMAL Exp. 9-30-07 APPROVED BY: OF SHTS. WORKING HOURS, AND CONSTRUCTION CONTRACTOR FURTHER AGREES TO PLANNERS ENGINEERS SURVEYORS • LOTS 1-9 W DEFEND, INDEMNIFY AND HOLD DESIGN PROFESSIONAL HARMLESS FROM ,9j IVI1. ' DATE: ANY AND ALL LIABILITY, REAL OR ALLEGED, IN CONNECTION WITH THE REVISED PLAN DESIGNATIONS LOTS 1-9 F q CpL\F SCALE: SEE ABOVE '11 N C H M A R w PD -103-3-70 FD. T 11f o.O.I.P. FUM w/ CONC. M 5 PERFORMANCE OF WORK ON THIS PROJECT, EXCEPTING LIABILITY ARISING MARK I REVISIONS AP DATEO.D. Mr. CMIAR DN. O.V. 330' NORTH OF C.L INT. OF PORTION W 1•/4 SEC. 5, T. 6 S., R. 7 E,, S.B.M. FROM THE SOLE NEGLIGENCE OF DESIGN PROFESSIONAL TIMOTHY R. JO SON EXP. DATE 12/31/06 wASHMON STREET A 52nd AVENUE A 6.2' SOUTH OF PP# 98927D. ELEV. 540.110 W DESIGNED BY: DRAWN BY: CHECKED BY: CITY ENGINEER R.C.E. 45843 DATE: AUGUST, 2006 CONTDUR OA UM 5 SEA LEVEL PLUS 500 FEEI• TO AVDID• NEGATNE NIAABERS. FOR: TAHITI PARTNERS W.O. No: I:\661 06\PG\PG-02 11-29-06