10-0674 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
~^ Application Number: 10-00000674
Property Address: 52295 MERIWETHER WY
'APN: 767-690-009' -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant: Architect or Engineer:
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 a rofe 'onals Code, and my License is in full force and effect.
icense Class: B nse No.: 915336
Date `� f Contractor:
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I a xempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Pdofessions 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 contractorls) 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:
LQPERDIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/10/10
Owner:
LOUIS & MICHU WELCH FAM. TRUST
7 EMERALD BAY
LAGUNA,BEACH, CA 92651
ae
Contractor:
DBCA INC y IC �1 Zt►i� I ��
P.O. BOX 1482 ,: 7 '� { t
LA QUINTA, CA 92247
(760) 393-5271 GdTY`O LA -*(jIWA
Lic. No.. 915336
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 TRAVELERS PROP Policy Number YEUB282D779708
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 a to ecome subject to the workers' compensation laws of California,
and agree that, if I should eciepobjel to the workers' compensation provisions of Section
3700 o the Labor Code, I h I fo with c ply with those provisions.
/te:C.��l V • plic
WARNING: FAILURE TO SECURE WORKERS OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN kk IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO TH j OST 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 isperformed 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 'nf matio 's correct. I agree to comply with all
city and county ordinances and state laws relating to building co tr tion, and eby authorize representatives
oJAhis county to enter pon the above-mentioned property for ins e o oses.
Date t 1 D Y Signature (Applicant or Age
LQPERMIIT
Application Number . . .' . . 10-00000674
Permit . . . WALL/FENCE PERMIT
_
Additiona-1 desc ENGINEERED RET. WALL Q NW CRNR
Permit Fee 72.00 Plan Check Fee..
.00
Issue Date . . . . Valuation . . .
. 5000
Expiration Date 2/06/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
----------------------------------------------------------------------------
Special. Notes and Comments
33 L.F. 6' RETAINING AT NW CORNER OF
PROPERTY, PER ENGINEERED,PLANS.,2007
CODES.
------------------- - ---------------------
Other Fees . . . . . . . BLDG SIDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 72.00 .00 .00
72.00
Plan Check Total .00 .'00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 73.00 .00 .00'
73.00
I
'-Bin #
v
. City of La Quinta
Building &• Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:U.,dt'e-r-
Owner's Name:
Address:�=j Z -zTS 1,4�rl
City, ST, Zip: (y Q44
uto..
A. P. Number:
Legal Description:
Contractor:^ G • C ' 1�:?
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-Telephone: >"s?`a> "
Address:
Project Description:
City, ST, Zip: f rc- QlihvJ+c _A
Telephone:,-`'' ; •"' .w>3
All
COX-^&.C- -C
, 33 � le_v,,
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State Lic. #.:-1�?j?j6 City Lic. C_.
Arch., Engr., Designer:
Address: Y08
City., ST, Zip:. .. CA. l >-to I
Telephone: g$�-7�
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Construction type: v- Occupancy: -�-1
State Lic. #: L3 dS ��
.: •. ' v` ,, w.' ; . ^
. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �-d"
Sq. FG:
# Stories: N
# Units:
Telephone # of Contact Person: Estimated Value of Project:.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted------,,? 1,
PERMTT FEES
Item Amount
Structural Cales.
Reviewed, readyo correction
Z
Plan Check Deposit
Truss Cates.
Called Contact Person
2.
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted,2,
Mechanical
Grading plan2°d
Review, ready for correction /issue
to
Electrical
Subcontactor List
Called Contact Person
h p,
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.Y.
Pub. Wks. App r
Date of permit issue
School Feesirk
i
O
Total Permit Fees.
/A--
8l4 go�.�
This Material Sent for: '
❑ Your Files ® Per Your Request
❑ Your Review f ❑ _ Approval _
❑ Checking ❑ At the request of: '
Other: ❑
By: John W. Thompson 't {
Rancho Mirage Office : ® (760) 834-8860
Other . ❑
' t` •• ' . as � - ' . .. , .. ,•'
YOUNG ENGINEERING SERVICES www valuengr com'
71-780 San.Jacinto Dr. Ste. E2. Rancho Mirage. .Ca. .92270 ph. (760) 834-8860 fax (760) 834-8861 '
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•
:Letter of Transmittal
K t
To:
City of La Quinta `Today's Date: 8-9-10
78-495 Calle Tampico City Due Date: 8-9-10
La Quinta, CA 92253 Project Address: 52-295 Meriwether Way
Attn:
Phillip Plan Check #: 10-674
Submittal: 1:115i ❑ 4w
..
® 2nd = ❑ 5th
v
- ❑ 3rd ❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies: Copies:
❑
Structural Plans ® 1
Revised Structural Plans
❑
Struct. Calcs ® 1
Revised Struct. Calcs
❑
Truss Calculations ❑
Revised Truss Calcs
®
1 Soils Report (excerpt) ❑
Revised Soils Report
®
1 Structural Comment List ❑
Approved Structural Plans
®
1 Redlined Structural Plans ❑'
Approved Structural Calcs
®
1 Redlined Structural Calcs ❑
Approved Truss Calcs
❑
Redlined Truss Calcs ❑
Approved Soils Report
❑
Redlined Soils Reports ❑
Other:
Comments: Structural content is approvable.
This Material Sent for: '
❑ Your Files ® Per Your Request
❑ Your Review f ❑ _ Approval _
❑ Checking ❑ At the request of: '
Other: ❑
By: John W. Thompson 't {
Rancho Mirage Office : ® (760) 834-8860
Other . ❑
' t` •• ' . as � - ' . .. , .. ,•'