BLCK (12-1160)50880 Mandarina
12-1160
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r— i2-0_00 0. 1160
Property Address: 50880 MANDARINA
APN: 776 -210 -006 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3250
T4`yl 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CITRUS 29 GROUP
30875 DATE PALM DRIVE
CATHEDRAL CITY, CA 92234
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/02/12
--- ,
' Contractor: I
Applicant: Architect or Engineer: GHA ENTERPRISE, INC.
30875 DATE PALM DRIVE, SUITE C, q 1)i!
CATHEDRAL CITY, CA 92234 U%J! 2012
(760) 969 - 14 00
` Lic. No.: 750957 CITY OF LAQUINA
pip,
FINANCE DF`"-
----------------------------------------------- -------------- --- ---- -------------- -------
LICENSED
``"•-------------------------------------------------------------------------
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 n Professionals Code, and my License is in full force and effect.
License Class: B //,,,ense No.: 750957
DateY ® ntractor: —
OWNER -BUILD 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, 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: a
Lender's Address: P I
LQPERMIT
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 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 ecome subject to the workers' compensation laws of California,
and agree that, if I should 1com sh
bject to th w rkers' compensation provisions of Section
3700 of the Labor Cod I shall ortwit ly ith those provisions. '
,jG-2 ,,_41pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL INES 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 state that the above i tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building structi n, and hereb a bonze representatives
of this county to enter upon the above-mentioned property r in pec ' n pur as. ;'
te Y 2 ignature (Applicant or Agar tl:
Z
Application Number . . . . . 12-00001160
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 63.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 3250
Expiration Date .
3/31/13
Qty Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.0000 THOU BLDG
2,001-25,000
18.00
-----------
Special Notes and
Comments
" 130 L.F. 6' GARDEN WALL @ SIDE
P/L,
CITY STANDARD.
---------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00.
Fee summary
Charged
-----
Paid Credited
Due
-----------------
Permit Fee Total
----------
63.00
.00
.00
63.00
Plan Check Total
.00
.00 -.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
64.00
.00
.00
64.00
LQPERMIT
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TR 32751
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NOT TO ScQz
LAPP 0 1 FOR'P.EIMIMNG: PLANNINGAP 20NING,C0MPUANCE. KED AND RECOMMENDED
gON K
SULDNG ANDSAFEW19RECTOR MUNrf:DEVELOPD&WT'DRECTOR !RF
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THIRD SUBSTITUTE MYLAR
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THIS AOLAR IS IDENTICAL TO THE
IN APPROVED BY THE BUILDING 't 5=
2,%590-1 DIRECTOR. AND THE COMMUP.,
o6f— DEVELOPMENT DIRECTOR ON
11-30-07
p 00. -_EXCEPT FOR THE
REVISIOI S NOTED HEREON. ESS,
GRAIPMC SCALE locl 01" is -5-90
CONSTRUCTION NOTE 6 c
NNS No. 20596
Qt
ommu =am mmoAmmm Fat aiy OF tA =a srD. NO 221 STANLEY C RSE E* 3-JO-IS
SDP 2006-864 R.C.E. 2;;!6 clvil.
o INA (L . 20 I DATE: /4t a CL,i
UlIlloommam UILMES PRWATE ENGINEERING NOTE OF. IN THE CITY OF LA OUINTk STATE OF CALIFCjqNLA
a0mmolffilu a awkow w pe OWWA OR COWRUCTION WNTRACT AGREES THAT IN ACCORDANCE WH GENERALLY ESSt TRACT NO. 24890-1 3
2 . e
Z
PRACT=S. CONSTRLcnom CONTRACTOR NTLL K -'i SHT.—
REOLOW I ASSUIM IS= AND COMPLETE RE910NSMM FOR JOG SITE WATIL&T `. 5 t mm 9/ /lj SCHULTZ
Wft WAV11*09AMM "WRAW THIOR00. AORW OR CONSTRUCTION OF THE PROJECT. FtEV. LOT 10-14 FF ELEV. R.C.F_ 20596 PRECISE GRADING PLANS
wmw . w "a. A=PW COMRLICT I c
Na 20596 ^
IKINILM FOR ANY CAN THIS REQUIREMENT
IL9b. mw B =WS.=NGDFT".n=S AND PROPERTY; THAT
r4 ow mmum ff - I APPROVED BY: ... FASHTS
=K RRW MASONRY WALL ELEWIONS LOIS tO tt I
'x" oftalso ILa" Tom VVILL 89 MAGE TO APPLY CONTUTUOUSLY AND NOT BE USDTED TO NORNAL 0
2611M = slac IIDINS AND CONSTRUCTION CONTRACTOR FURTHER AGREES TO ADDED SEMION A -A. 3 PLANNERS ENGINEERS LOTS 10-15
I. . xzz.-, m-rekv. PROFESSIONAL HARMLCSS FROM VIL
ANY AND ALL LABUIN. REAL OR ALLEGED. IN CONNECTION WITH THE REVISED PLAN DES10911ON wm 10-15 DATE
AY
we: sw_ 0 ISM K PIOUORSWAZ Of "M ON TOS PROTECT, EXCEPTING liasm HGS`Twcl III DF PORTION NE 1/4 SEC. 5, T. 6 S., R. 7 E. S.B.M.
GST
&r RV.S*.S
FOR: GHA COMPANIES, W.O. NO: cx
otrow doom " INC ~" am 0011joAns FROM 99 SOLE NEGL""CE OF DESIGN PROMSIONALY R S. 2012 GATE 12 3T 2 sasHoCTow 1,m S *r SOL- IT, T,,I z,D. DUN. SHO."O
RIM wow I I OESKW_O fff. OR"TH CHECKED By'. MottenTimis . . k\6.7000\PC\PG-O3 4-5-12
Bin #
Crty Of La QuIn' td
BuIWg 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Permit # (
1
Project Address: 50,620/60050 So9,b0
Owner'sName:.CAiI-rA,IA=I -2- CA Cis FOP'
A P. Number.
Address: ?,orb -1 S ptT ( wrYrn c 2_
Legal Description:
City. ST, Zip: CU-,Kb QO<L- Gi k C aL CMZ 2 ti
Contractor. E„ t pt iQ -
Telephone: 6n 46r+ -Maw
Address: '30e) -JS Tt✓ d- _
Project Description:
City, ST, Zip: Cp, . C,lA-Cat,ell? Z3` I Lc7T' 10 So 620 - P.PPQ-o>e
Telephone: -766 - Ci (-c{ - l "oo l -o r 11 SO 850 _ Prppt2 K. X30 - rJ
state Lic. #: -750 a1S-7 70
Arch., PAW-, Designer. H O'Sr-
Address:
City, ST, Zip:
Telephone:
State Lic #:
Name of Contact Person: A % C,- r` z -S
Construction Type:. f4CA,.) Occupancy:
Project type (circle one): I& Add'n Alva Repair Dano
.4 Ft.: # Stories J # Unity
Tdophone# ofContactPason: '1(ed -ASO
FstimatzdVatucofProject: (t-{ , •. UO
APPLICANT: DO NOT WFIITE BELOW THIS UNE
d
Subm[ttal
Req'd
Reed TRACING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amoaat
Structural Coles.
Reskw4 ready for cwTeetioas
Plan Check Deposit. .
Truss Coks
Called Comet Persoa
Plan Check Balaaee
Tide 24 ales.
Plans picked up
Construction
Flood Plain Pw
Pta+s resubmltted..
Meehari[nl
Grading plan
2' Review, ready for eorrectioueum
Electrical
Subeontactor List
Called Contact Person
Ptnmblug
Grant Decd
Plans picked up
B.O.A- Approval
Phos resubutitted
Gracing
IN HOUSE:r
Review, ready for ew recdOnsi%sue
Developer Impact Fee
Planning Approval
Called Contact Person
A IpY.
Pub. Wks. Appr
Date of permit Lune
Sehow Fees
Total Permit Fees