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BLCK (07-3055)50940 Mandarina 07-3055 r, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: . Application valuation: Applicant: C,le 6-07'-00003055 ' 50940'MANDARINA 776-210-008- - WALL/FENCE LOW DENSITY RESIDENTIAL 3250 Tiht 46 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: P (r' l 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 - License No.: 846283 /ate: J 6-v7 yantractor- OWNER -BUILDER D LARATION I hereby affirm under penalty of perjury that I am exempt from the ontract&'s State License Law for the following reason (Sec. 7031.5, Business and Professions Code: A city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to s 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 91commencing 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 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.). 1 _ 1 I am exempt under, Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY r Ihereby 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: LQPERAIIT Owner: MANDARINA ESTATES LP 5305 E. SECOND STREET 4204 LONG BEACH, CA 90803 Contractor: TP BUILDERS, INC. ' 5305 E SECOND ST, STE 204 LONG BEACH, CA 90803 (562)433-1286 Lic. No.: 846283 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/29/07 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 EXEMPT Policy Number EXEMPT 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 '% 3'7700 of the Labor C de I shall forthwith comply with those provisions. AiMTe:1V 4r0/ pplicant: WARNING: FAILURE TO SECUR ORKERS' COMPENSATION CO RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). 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 property for inspection purposes. P Ce:J S' ture (Applicant or Agentl:,{ / / '. LQPERAtIT .Application Number . . . . 07-00003055 Permit . . . WALL/FENCE PERMIT' Additional desc . Permit Fee 63.00 Plan Check Fee Issue Date . . Valuation . . . .00 . 3250 Expiration Date 5/27/08 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. COMBO WALL 113"-3' RETAINING & 6' GARDEN,.ORCO SYSTEM, PER PLANNING & P/W APPROVAL Fee summary Charged Paid ------------------------------------- Credited Due Permit Fee Total 63.00 ---------- .0.0 ---------- .00 63.00 Plan Check Total .00 .00 .00 .00 Grand'Total 63.00 .00 ..00 63.00 LQPERAtIT .1 .04 FlfVWr_ -WAF ! :& r UAIM Bin lP .•- ....- City of La Quinta Bui1dn iii Safety Dftion MAMAY P.O. Dox'1504, 78-495.Ca& Tampico La'Quhu, CA 92253 •- (760) 777-7012 Building .Permit ,application and Tracidng Sheet Permit# Oh') jCct Adanss: -q N O A P,q f Oaaer's Name •P. A- P. Pl=6u: Plc>jo : naarmst 530 r,ega DcxriPtion: l 0°nenctor. T• P. B\,lders c ty, sr, zip: L.On U geach CA q290'b T'ciev 5b2- 3 -12-9& 52io.5 E -Se nd 5' 4-•- MDwM*doa_ city, sr, zip: Lon 6 Beach ' CA 9Z 8o 3 p , r. TelcpbvnE: t 13b " slate U;-- # : 4 6283 ' cly ric. it IOZl3Z . ..., Ad&=: city, ST. zip: Tdq*aw: - Slate Iit NMW of Coum P consttuai Ptojoct OIIG): tfiv 'n MW Rapeit Demo 5! - .314 = 93 8 S. Ft.. ua;ts: q APPLICANT: vo NOT WRF1'e W THIS LINE M SadadNal 'd Re4ld 'ARACKIMI . lUAM ISS MM Sex Plata C kk aabm td faeei • Mout Strweeitai Cala. Reviewed, ready for earreedoaa Ptaa Cbedt Depodt 'yraiir Cales. Called CextaO Papaw nu Galt Hakm BaarW Calac. Pbua lld ed ■p . Cou&oetloi Florid pWa.plu . now rraabmiuod Maet+arle.l Gradi4 Pte' S"' Rerlaw, ready for gwyagwoM Ekwied. subeoaxeior Use Called C=Ud Parsm • RtaaaltaUP Great Deed nw Pic" ev ML SA.A. Appronl near resabuitbed Gtadiq JN iffous . '"'Renew, ready for earreetloWL ise Affeloper Impact Fee R Appy Called coataet Perms t'or. Wks. Appr ' Def of permit isms School Fees A , .. A , 7o0i lamp IF.., IdA' CITY OF LA QUINTA -PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 11/17/2006 Green Sheet approvals are forwarded to the Building. & Safety Department direct) b .Public Works. .Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until. ALL requirements listed below are- complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: �� /2`1 [ a .Developer: '1A N- 1 1"7 '� Tract No.: Z v —( Tract. Name. &Mt j .A PEA`S Address(s).:• Lot No. (s): The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW ❖ . TRACT HOMES:. PROVIDE ITEMS #1 #2 #3. #4 AS APPLICABLE AND #6 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS .#1 #2 #3 AND #5 BELOW ALLS: PROVIDE ITEMS #7 BELO 'Z r.,D S /`+ Y _'PoSti o C z 3 5 - SIGNS:. SIGNS:.PROVIDE ITEMS #8 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of.+/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading. plan compliance. 3. Attach recorded final map.showing proposed building locations are legal lots. 4. Attach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form, PM 10 plan & agreement or provide alternative & valid City approved PM 10 plan set reference number or hard Copy plan. PM 10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. 5. .Attach an approved precise. grading plan for the building location(s). AO flood zone developments will require an approved flood plain development plan. 6. Attach an approved rough grading plan for the building location(s). 7. Attach wall plan & related approved grading.plan. 8. Attach sign layout/plan & related precise grading/landscape plan. I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction. of the propo lot(s). Pursuant to my findingss buildings/structures/walls/signs on the subject , the above project released for building permit issuance. Recommended by: Dated: Public Works Distribution: (_ reen Sheet to Building & Safety counter ` (_) Green Sheet to Community Development Declined for approval for reason(s) as follow(s), please correct and resubmit: PERIMETER GARDEN WALL SEPARATE PLAN AND PERMIT EXISTING PAD TR 24890-1 SEE 3 _........__-•-..... _.. _... _._._........_._...._ .._ - _ ._.. __. _ .. •`"^ _-- -- r•' t ' . _t f i t ` / r / J 11 //r' f ' ' ✓/ ! t /'' _ . __-`r i •_/ r r SECTION A A - -, .. _ w_ _ __. _._ _. r..._: - w_ __ - u- ..i. t /- ___ R NOT TO SCALE __..___......__ _.., , -_...._._-_....._-•--_...--.._-._.._.. - -._._ ,. f ' ! / {.!_*'_11..'_'_ 1 •:. , 11 j / ! 1 / _.._ . ._ _ ,. , . a - i , a r • ' i . ^ { I :. r r• _ -,•_ / i _ r '-....- -_ jt tt • . _e . i .r" r .}- MI`'` !bf r .1f/ le / V - _ _ _. _ _ . ._ _ _ _•,_ _ _-_ _ ' %Q _ ... _ -- - y , i . . _. _. _ __..._.. _ t , 4. ` -, _ - / '^ • _ / _ - I Z101 __.-..___..__'- . 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