SOTB (08-1617)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00001617
Property Address: 81205 MUIRFIELD VILLAGE
APN: 762-410-008- - -
Application description: STRUCTURES OTHER THAN BUILDINGr;AN
Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000
2 9 2000Applicant: Architect or Engineer:LAgUINTA
CE DEPT.
n�
1�
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 Profes ionals Cc and ky License is in full force and effect.
Licens Cla^fss: �B.-�CC53 Licen a o.: 96214
Date:: r`FJ(_ Contractor: r—l—L J
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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).:
(_ 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.).
(_ I 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.).
I—) I am exempt under Sec. , BAP.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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/29/08
Owner:
CHESWORTH RESIDENCE
81205 MUIRFIELD VILLAGE
LA QUINTA, CA 92253
Contractor:
COLESCO BUILDERS INC
30520 RANCHO CAL RD STE170-220
TEMECULA, CA 92591
(951)972-0631
Lic. No.: 896214
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 ACE INS Policy Number DlDKRM2200361
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 come subject to the workers' compensation provisions of Section
3700 of the Labor Code, I •hall
forthwit comply th t se provisions.
Date: q/L9/�Applicant:
WARNING: FAILURE TO SECURE WORKER MPENSATION 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 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.
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 co struction, and her by autho ' re esentatives
of thiscountyto enter upon the above-mentioned property for i pectior purpose
Date: " r2p" O Signature (Applicant or Agentl:
Application Number . . . . . 08-00001617
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 45.00
Plan Check
.Fee
29.25
Issue Date . . . .
Valuation
. . .
. 2000
Expiration Date . . 3/24/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
15.00 2.0000 HIND BLDG
501-2,000
30.00
----------------------------------------------------------------------------
Special Notes and Comments
WATERFEATURE REPAIR PER APPROVED
PLAN.
Fee summary Charged
---------------------------
Paid
Credited
Due
----------
Permit Fee Total 45.00
----------
.00
----------
.00
45.00
Plan Check Total 29.25
.00
.00
29.25
Grand Total 74.25
.00
.00
74.25
LQPERMIT
o
�o
o
0
r�
i Legend
vol
• `o r Hardscape
1. Tuned Pavers
Orco Country Cobble
Color:
• I
0 s 2.36" H Raised Planters
i
Keystone Country Manor
Color:
(D 3. 18" H planter Wall/Pilaster j
j Keystone Country Manor
Color:
4. Quartz stone veneer
. Color: 1
_1 5. Waterfall and Boulders
1 Color:
6. Decomposed Granite
Color:
ITE R EWED
su ject to d. P I Plan notes. 7. Small Pebble
Color:
amn J. wen R.C.E. 8
P nginee C. 8. Mow Curb
Color:
4
Lan scaca e
TA /�
OF �, 00 J)Sp-c. 9. Fruitless Olive (2)
C
_ SAF
� � Olea Europea
�11LpIN � � Qis
10. Pygmy Date Palm
Phoenis roebelinni
vA
11 -Elijah Blue Fescue
Festuca glauca (F. Ovina var. glauca)
_J 12. Tri-color Society Garlic
Tulbaghia violecea `Tricolor'
13. Variegated Natal. Plum
Carissa macrocarpa `Variegata'
14.Dwarf Maiden Grass
Miscnthus sinensis `Yakushima'
15. Lily of the Nile
Efisk,ry Agapanthus africanus
I
16.Starburst Susie Evergreen Daylily
j Hemerocallis x `Movie'
i
17. Bermuda grass
Match existing
18. Landscape spotlights (12)
19. Step Lights (3)
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building P
Buildin Permit Application and Tracking Sheet
Permit # r
' I`
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Project Address: C& IZ�� v�r V I cly-
.Owner's Name: iZZ-,,-' c� G►xe._s
A. P. Number:
Address: yvv,,l rr CJ4J IJR ic-5c
Legal Description:
City, ST, Zip: J� 9 LV3
Contractor: �
Telephone: —9b J 0 2— Zssy�
,: ..
Address: 3C�?isb f2ev�el� �� UJHu
Project Description:
City, ST, Zip: G:.. cA
Telephone: q,--> 1 9 1 (p3)
�M1
State Lic. # : F54 b Z q
City Lic. #:
Arch., Engr., Designer:
Address: 30 Z Sb
City, ST, Zip: e vlecv�m- 92691 I ��'Z2
Telephone: 961 U b - �`'b S -'
State Lic. #: (,
Construction T I ,,, oei-1
Type: �uo Ra. Occupancy:
Project type (circle one): New Add'n Alte Repair Demo
Name of Contact. Person: C f G
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: q Sl -2-1'to S `01,5 Estimated Value of Project J JJ , pJ
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Ree'd
TRACKING
Plan Check submitted
PERMrr FEES
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
P2"Revie:w�,ready:fo:r correctionsfissue
Electrical
Subcontactor List
ontact 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
� e�- 111�7