BLCK (10-0756)P.O. BOX 1504 ^'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C-101_00000756
Property Address: 51760 AVENIDA NAVARRO
-APN: 773-184-001-24 000000 -
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 460
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 and Professionals Code, and my License is in full force and effect.
License Class: 137C27 icense No.: 492424
COntfactor:
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).:
(_ 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.). - -
(_ 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: I 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:
TYNDAC JASON JDK INV.
51760 AVENIDA NAVARRO.,
LA QUINTA, CA 92253
Contractor:
CENTER LUMBER AND HARWARE CO
72627 LA CANADA WAY, #A
THOUSAND PALMS, CA 92276
(760)343-2260
Lic. No.: 492424
VOICE (760) 777-7012
FAX (760) 777-7011
%'IiIONS_(160) 777-7153
p yy Date-`{
2"�
1llqq�
rY
. 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 STATE FUND Policy Number 7130023620
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
700 of the Labor Code, al orthwith com with those provisions.
Date:-" 1 �U`-Applicant:.
WARN( G: FAILURE TO SECURE WORK ERS',COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (s 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 relating to building construction, and hereby authorize representatives
of this count to a ter upon the above-mentioned property for ' spection urp ses.
__Date:
l Signature.lApplicant-or Agent):
LQPERMIT
Application Number . . . . . 10-00000756
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check Fee
00
Issue Date . . . .
Valuation . . .
. 460
Expiration Date 2/08/11
Qty Unit Charge Per
Extension.
BASE FEE
15.00
----------------------------------=---------------
Special Notes and Comments
--------------------------
60 LN FT X 32" HT METAL FENCE PER
APPROVED PLANS, -PLANNING & B.H.
Other Fees . . . _ . . . . . BLDG STDS ADMIN (SB1473),
1.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 15.00
.00 .00
15.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 1.00
.00 .00
1.00
Grand Total 16.00
.00 .00
16.00
LQPERMIT
do V
I
NO
T4bf 4�4�rw
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT j6
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To PD: 08-12-2010
From: Les Johnson, Director -PDD Due Date: 08-12-2010
Permit #: Status: 1sT
Building Plans Approval
(This is an approval to issue a,Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: METAL FENCING 32" X 60'
Address or General Location: 51760 AVENIDA NAVARRO
Applicant Contact: JASON TYNDAC
The. Planning Development Department finds that:
❑ ..these Building Plans do not require Planning Department approval.
these Building Plans are approved by the Planning Department.
❑ ....these Building Plans require corrections. Please forward'a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review. 4
o i
es Johnson, Director -PD
Date
d
Bin #
Qty of La Qurnta
j
Building 8r Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # _P.O.
r
1 1
Project Address: -'�;Y-76V AU(z A j A(1 20 Owner's Name: -!E-,Os;
A. P. Number: Address: t. N V O,Oen^t C
Legal Description: City, ST, Zip:
Contractor: L 044 /aa f—w Qe ne' ., F' ,��,A�
Address: ? /L ` �� A Project Description: 4-C— a t) l`l 1) X
City, ST, Zip: ID 602 AL 1-,V7 fJ G O i
Telephone --766 3 Lt 3 Z ti (o O
'. p
State Lic. #
Lie. #; 3 2
Arch., Engr., Designer: l (r L
Address:
City., ST, Zip:
Telephone: Construction Type: ki Occupancy 3
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: R.O �) Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: q-5--1 3 ! 5—cb 7 2Z J
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT' FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.,
Called Contact Person
Plan Check Balance
Title 24 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:-
3" Review, ready for correciion&4wue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees