BLCK (07-2786)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:
CV
07-00002786 .
51685 AVENIDA NAVARRO
773-144-022-10 -0.00000-
WALL/FENCE
COVE RESIDENTIAL
4640 .
^' VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT .
Date: 10/22/07
Owner:
GARCIA MICHAEL
7138 FOXCROFT STREET G
RIVERSIDE, CA 92506 D (ll
OCT 23 .07 U,
Contractor: C17Y OF
Architect or Engineer: RIVERSIDE DEVELOPMENT ROUP QIJJJdTq
7138 FOXCROFT ST FINANC>: DEpT
RIVERSIDE, CA 92506
(951)334-9657
Lic. No.: 830748
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjur th I am licensed under. provisions of Ch er 9 (commencing with
Section 7000) of Division 3 of the Busi ess nd Pr fessiona o , and my ense is in full force and effect. '
License Class: B icense No.: 83 74
Date: JoAContractor:—
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 (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.).
(_) 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
------------------
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 MPT
I certify that, in the performance of the work for wh h thi permit is issued, I shall not employ any
person in anyanner so as to
bec subject t the rkers' compensation laws of California,
and agree that, � should ecom subject to the or rs' compensation provisions of Section
3700 of the Lab r ode, shall f thwith comply ' h those provisions.
Date: atil-2 _017Applicant.
WARNING: FAILURETOSECURE WORKERS' COMPENSATION 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 menced
within 180 days from date of issuance of such permit, or cessation of work for 1 days ill subject
permit to cancellation. '
I certify that I have read this application and statthathe ab a information ' correct.I agre to co Iy with all
city and county ordinances and state laws relatinding onstruction, d hereby authoriz repr entatives
of this county to'enter upon the above-mentionedy fo inspection pu poses.
Date: DT Signature (Applicant.. or Age
Nl
"Application Number 07-00002786
Permit : . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check
Fee
.00 "
Issue Date . ". .
Valuation
. . .
. 4640•
Expiration Date 4/19/08
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
160LN FT X 61BLOCK GARDEN WALL 40LN FT
X 41GARDEN BLOCK WALL WITH 6FT HT
FOOTINGS PER CITY STANDARDS AND
APPROVED PLANS
Fee summary Charged Paid
Credited
Due
Permit Fee Total .72.00
.00
.00"
72.00
Plan Check Total .00
.00
00
.00
Grand Total 72.00
.00
.00
72.00
N
LQPERMIT
Bin #
City of La Quints
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:.5-1 �o s �;
Owner's Name:
A. P. Number: L( �Z 2
Address: —7136
Legal Description: "T Xp (3x k% NQ —7—)3.City,
ST, Zip: et.r C el ?-%d—
Contractor:
Telephone: 4R S I
Project Description:
Address: S av'� S"C :
City, ST, Zip:
Telephone: pt -SA.
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address: Qp'3 2 C�icJaEp 5..� "C3
City, ST, Zip: �t.� . C/� X1250 `7
Telephone: y.5 g �. 205 0
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:'
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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
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
K
iiMPL Y WITH THE 2001 CALIFORNIABU/LD/NG, F ';' * > > _ ' ELECT r AL
ECTR/CAL, AND 2005 ENERGY - CODESr AND ' ` �, J -SOX
?RD/NANCES..
ylk' ropeR POLE
/S MUST, B£ SUBM/TTED 70, AND APPROVED
?.TO INSTALLATION OF THE ITEMj? OPr=RTY LINE
f
4/ OWNER /S RESPONS/BLE FOR THE
LOCA' T/ON (OR EDGE OF STREET PAV/NG /F
EXISTING OD'-
Y L/NE(S) WMH THE PUBLIC WORKS. PENCE EN IRE
\ \ z
- �LEN6TH OP AR r • � y ` C
S A SEPARATE PERMIT AND /N5 CT/ONS , t. • ' 0 , ; '
OR/(S DEPARTMENT.
'OCCUPANCY SEPARARON (WALL OR CE/L/NG% „ :, , N
64 SHALL BE 26 GAUGE MINIMUM -
HALL - I }�}�O Og�f7 ° PATI •
r
GO G. SLAB:
SHALL HAVE A FLAME -SPREAD RAT/NG 'OF
1fE-DEVELOPED RAT/NG OF NOT MORE
L NOT BE PLACED LESS THAN 6" FROM" THE
;:
i `
r '
OPEN TO THE EXTERIOR OF THE BU/LD/NG
OILY D/ST/NGUSHABLE- FROM -SURROND/NG OR '
0 I '' i PROPOSrs7 HOUSEci
O ;
Ir
'
r- — - "' v i...w-cam'✓-'r'ti•''•" • .....� S. 4+' � .'r ? 1 3 =,T' i is f ,; /` t r}/
_ f / PROPOSM7 ,
tu
GONG:
(W iNL YVALK I DC
I -I/2" CALIPER. I °. •. ;
• •' TREES (TYP. OP 5) ..
0
: .. � • fl • �I .•'' "� PROPOSED '� �v ��.�,',%. �' ,
APPROVED BY PLANNING DEPARTM$NftER METER.N DRIYEIN�Y
BY � c— DATE /0 -LO -0-7
t.. ` r4 S •• `.-.T` i�r ;j, i' a ,R
EXHIBIT
CASE NO: �, . f.,
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PROPERTY :LINE 50.00
_ t
0 (�) CURE.
: O OU.
• i , ; ,amu .I . ,
CITY OF LA QUINTA SUB -CONTRACTOR LIST
-BUILDER e664;0c, _3����
JOB ADDRESS PERMIT NUMBER c:.(. - sam 0 W N E R :nx
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list `or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply. will result in a stoppage of work and/or the voidance.
of building permit. For each, applicable trade, all intormation requested below must be compietea by applicant. L)n t-iie is not an accepiaDle response.
Trade Cass c tcWt.:St
f
ate Contractor s c.en
... . ..... . ....
enssti
..... ........... . ........
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%..:...,...:.:.:.:.:.:..."..:.:.:.: ...................................
... ......................................... %............_...
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Company Name
Classification
License Number
Exp. Date
Carrier Na' me,
Policy Number
4
Exp. Date
License Number
Exp. Date
...........................................................
...............................................
. .................... .............. %-.-.-.-.-.-.-.-.-.-..:.:.:.::.:.::.:::
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(e.g. A, 13, C-8)
.(Xxxxxx)
(xx/xx/xx)
.(e.g. State Fund CalComp)
Format
(For at Varies).61
(xx/xx/xx)
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