BLCK (07-2907)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002907
Property Address: 81038 MONARCHOS CIR
APN: 767-320-999-259 -32879 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1775
T44t 4 46 0"
BUILDING & SAFETY DEPARTMENT
. BUILDING PERMIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
LA JOLLA, CA 92037
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/06/07
Contractor:
Applicant: Architect or Engineer: TRANS WEST HOUSING, INC.
10721 TREENA STREET, #200 L d
SAN DIEGO, CA 92131 7!
(858)653-3003 t�
1 rA— LiC. No.: 701039 NOV os 2007FWA
————————————————————————————————————————————————=--�t�i s`IxF�u
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 an Professiopals Code, and my License is in full force and effect.
License Class: B License No.: 701039
Date: ltractor:
OWNER- ILDER 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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 contractors) 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: IJ VVK
LQPERA11T
———------—----—————---—---— _—_— ———
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.
Rt 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 US FIRE INS CO Policy Number 4086941904
I certify that, in the performance of the work for which this permit is issued, 1 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 shipuld be me subject to the workers' compensation provisions of Section
f
/y 3700 of the Labor C de, I sh II h ith comply with those provisions.
te: ZS pplicant:
WARNING: FAILURE TO SECURE J11E1S1FCOj4SATION 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 appligation 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 1 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 buil ng construction; and hereby authorize representatives
of thi tt ciounttyy to enter on the above-mentioned propert faLi. pec 'o purposes.
Y ` O Signature (Applicant or Agent):
Application Number . . . . 07-00002907
Permit . . . . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 41.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
1775
Expiration Date
5/04/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
13..00 2.0000 HND BLDG 501-2,000
=
26.00
---------------------------
Special Notes and
------------------------------------------------
Comments
71 L.F. 6- GARDEN
WALL, ORCO SYSTEM
Fee summary
-----------------
Charged Paid
--------------------
Credited
--------------------
Due
Permit Fee Total
41.00
.00
.00
41.00
Plan Check Total
.00
.00
.00
.00
Grand Total
41.00
.00_
.00
41.00
LQPERAIIT
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Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
[ L ' "
Project Address: G r i' T -Rr\ Ck CUrl
Owner's Name: LLC-
LCA.
A.P. Number:
Address; LA -1- Sao lens '?,z �1c. too
Legal Description: Tj- C 3 979
Contractor:S WL -5i �bU5injqj4C,
City, ST, Zip: La Q u•, CA 9Aa53
Telephone: -] 7 7- y 30 % ? + ` '�:a
. _SL.;
Address: 5,/,u as Q w "U r
Project Description:
City, ST, Zip..'I,
Telephone:
State Lic. # : 701635
City Lib. #:
-UJ75 ff _ 51 L R 4- Ili
Arch., Engr., Designer:
-03Ga Lof a5 7-1 C ft
Address:
City, ST, Zip:
Telephone:
State Lic. #: 5%Q9�
Construction Type: Oroo Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �� �.
Sq. Ft.:CMCJ
# Stories:
#Units:
Telephone It of Contact Person: o?7 —,3,2 S
Estimated Value of Project: `f -. # �j q2.o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
I Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gradiag plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing'
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" Review, ready for corrections/issue
Developer Impact Fee
-Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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