BLCK (07-2590)N.O. BOX 1504
78-495 CALLE TAMPICO
LA QVINTA, CALIFORNIA 92253
Application Number:
- _07-00002590. .
Property Address:
57349 MERION
APN:
762-0317019- -
Application description:
WALL/FENCE
'Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2467
Applicant: 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 bivision 3 of the Business and Professionals Code;.andmy License is in full force and effect.
Licensee', ss: B nseNo.: 684857
ate: "'� �-��VContractor:
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).:
(_) 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 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 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: .
GERRY & MARGE
57349 MERION
LA QUINTA, CA
BURNSTTE
92253
Contractor:
EDWARDS CONSTRUCTION IN
51455 DESERT CLUB DRIVE
LA QUINTA, CA 92253
.(760)777-8202
Lic. No.: 684857_
VOICE (760) 7.77-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/07
SEP 2 4 2007
OF LA QUINTA
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 GRANITE STATE Policy Number 3368904
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.
yatE: l ' ant:
WARNING: FAILU E TO SECURE Rs. CMPENSTION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 information is correct. I agree to comply with all
city and county ordinances and state laws relati o w construction, and hereby authorize representatives
of this
�county to enter upon the above-mentioned grope r spection pur oses.
nature (Applicant or Agent):
Application Number . . . . 07700002590
Permit WALL/FENCE PERMIT
-,
Additional desc f '
Permit Fee . . . . 54.00' Plan Check Fee
.00
`T
Issue Date Valuation
2467.
Expiration Date 3/22/08
r
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
76 L.F.-6' BLOCK WALL, 6 L.F. 41-BLOCK
WALL & 120 *L.F. 20" RETAINING WALL ON
SOUTH SIDE:. 15 L.F. 6' WALL, 6 L.F. 4'.'
WALL & 70 LF. 2b'- RETAINING WALL ON
NORTH SIDE ALL CITY STANDARD
Fee summary Charged Paid Credited`
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Due
- -
,-
- - - - - - - - - - - -
•
Permit Fee Total 54.00 .00' .00
54.00..•
Plan Check Total :00 .00 .00
00
Grand Total 54.00 € .00 .00
54.00
r
LQPERA4IT
- •,
- _ ,
I
SEP -Z4 -2M (b10N) 11A
P. 001/001
U'_'1, o L� %'i'dr✓ -i- /�i: iu u� Lel , j�c��,.,o % �zH.`TS
e .jcT :Y
Bin #
City of La Quinta
Building Br Safety DlvWon
Perrrlic #
P.O. Box 1504, 76-495 Calle Tampico
Li Qulnta, C4 92,253 - (7'60) 777-7012
d'
.
Building Permit Application and Tracking Sheet
Project Address: - j '%31/9
%�
Owncr's Name: P�e A i}12�jE -�
r_,Z2
A P. Mumber.
Address: - % 9 [I r—A r D1)
Legal Description:
: City. ST, tip: /-A Ul ^iT7} C,r1
�
�r_.s3
n
Contractor. I
�[}r� t�r�S7_
Telephone;
project Description:
Address -
City. ST, zip:
u '-A/%W+ ,19 %
71 -r 6 hnGacfi .�
Telephone: 7
State Lic. # : % 8 `l 8.S'
CIry Lic
Arch.. Engr., Designer:
C i•
Addrrss:
c� ter- ' , C
,
NSR:
City, Sr. Zip:
Lf� t%
Telephone:
Consltuctiona O
'lyra Occupancy-
^
/ t
State Lia #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 5C4
A/ 4 Ll
Sq. FL.- # Stories: # Units.
Telephone # of Contact Person:
FAirnatcd Value of ProjecC
APPLICANT: DO NOT WR
TE BELOW THIS LINE
11
Submittal
Rcq'd
Recd
TRACKING
PERMIT Ff�E3
Plan Sets
Plan Cheek sabmltted
Item
Amount
Structural Calls.
Reviewed, ready for correction
Plan Cbeek Deposit
Tin" Coles.
Called Contact Person
Plan Cbeck Balance
Title 24 Calcs,
Plana picked up
Construction
i
Flood plain plan
Plans resubmitted
Mechanical.
Grading plan
2! Review, ready for correcuonvissue
Electrical
Subeontactor Lint
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S ALL
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
sW° Revle►v, ready ibr eorrecdonarssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP P,
Pub. Wks.APpr
Date of permit issue
School Fees
Total Permit Fees
m
PA
PA
3P A
PATIO
TER��'
SEERLL
BMs Y
LOW WALLO
TREE
PATIO
4
ENTRY
DRIVEWAYA \ \ /
PA
PROPERTY LI PATIU . . . . . . . . . . . . . . .
NE
Limit of Work
I G
PA PA
LOW. . ... . .
0
Z/ /
PA/
BLOCK WALL
LOW WALL
20 It HIGH
West NOTE
P C'7�. �A � )l
ON TO OUSIDE LIGHTING SHALL BE ADDED
1. ANY ADDITION LIGHTING To CONFORM
ELECTRIC METER.
To HOMEOWNER'S
TO APPROVED LIGHTING GUIDELINES.
EN!j,�,
IH
UIR T SID
-.jL3 JUNN61N
SE -TGA WESUS COm
NICTIX
N —0T —E'. APE CONTRACTOR SHALL VERIFY ALL CONDITIONS
LANDSCY JOB SITE AND NOTIF'ME LAND—
AND DIMENSIONS AT THE ANY LIGHTING PLAN
SCAPE ARCHITECT OR HIS REPRESENTATIVE OF NCIES
DIMENSIONAL ERRORS, OMISSIONS, OR DISCREPA
BEFORE BEGINNING OR FABRICATING ANY WORK, REFER istruction
TO C1141L DRAWINGS FOR HORIZONTAL AND VERTICAL ilbility for - -----------------