BLCK (08-0152)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000152
Property Address:
52995 AVENIDA NAVARRO
APN: 1
773-334-026-13 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3949
Applicant: Architect or Engineer:
V
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: License No.:
i
Date: � -11-ops Contractor:
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.). '
( ) 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:
LQPERIN[T
Owner:
RICHARD BLACKBURN
52995 AVENIDA NAVARRO
LA QUINTA, CA 92253
(76'0)485-8886
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/17/08
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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 -- -- ------------------- Policy Number
_ 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: 1�� 7' Applicant:
WARNING:' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 county to enter upon the above-mentioned properI for iLns�pection9prposes.
Date:1 ��% � Signature (Applicant or Agentl: �y�+—�
P.
LQPERAIIT
Application Number . . . . . 08-00000152
Permit . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 63.00
Plan Check
Fee
.00
Issue Date • .
Valuation
3949
Expiration Date 7/15/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9'.0000 THOU BLDG 2,001-25,000
18.00
-----------------------------------------------------------------------------
Special Notes and Comments
90 LN FT X 5 FT HT GARDEN WALL / 80 LN
FT X 6 FT HT GARDEN WALL PER CITY
STANDARDS AND APPROVED PLANS
Fee summary Charged Paid
----------------- --------- ----------
-- Credited
---------- ----------
Due
Permit Fee Total 63.00
.00
.00
63.00
Plan Check Total .00
.00
.00
.00
Grand -Total 63.00
.00
.00
63.00
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 #
,(� v
roject_ Address:
Y 2 !'l GI �e /�/4 tr
Qwnec's Name: t
A. P. Number:
gAddress:-�mV
Legal Description:
rLCity; ST;"Zip Z A
TContractor: I
Telephone: 7yds gg !�
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Address:
Project= Description: f3
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City, ST, Zip:
Telephone:
State Lic. # :
City Lic: #:
C 5 Pg 0
Arch.; Engr., Designer:
.Address:
City, ST, Zip:
Telephone:
State Lic. #:
<Nmafoe`�Contact Person:.##
Construction Type: Occupancy:
P cy:
Project.type (circle one): New . Add'n Alter Repair Demo
t;:Ci I `7�--
# Stories:
# Units:
.Telephone-#: of Contact Person:
Estimated Value of Project:
APPLICANT:. DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd m
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted .
Item'
Amount
Structural Calcs.
Reviewed, ready for corrections .
Plan Check Deposit
Truss Calcs.
Called Contact Person
flan Cheek Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
214 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:-
3rd 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
(4tCH wfi11.5 8 o '0'
P6P— Cclry 5P&c—S
PL- P, crr� sP&cs 1, FoobW
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TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license, number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection.
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
.subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance; disability -insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 777-7011
OWNER'S SIGNATURE/DATE
152 -13' �t�,J e
PROPERTY ADDRESS �
D9 /s—
PERMIT NUMBER(S)
T-ihf 4 4 a"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
July 30, 2008
Mr. Richard Blackburn
52995 Avenida Navarro
La Quinta, CA 92253
BUILDING & SAFETY DEPARTMENT
RE: Building Permit Extension Request — 52995 Avenida Navarro.
Dear Mr. Blackburn:
(760)777-7012
FAX (760) 777-7011
I have reviewed your letter dated July 15, 2008, requesting a time extension for
the masonry wall permit for your residence at the above address under Building
Permit #08-0152. Our records indicate the following status on this project.
Inspection status:
Permit issued: 01/17/08
Last successful inspection: None
180 -day expiration date: 07/15/08
180 -day extension date: 01/12/09
Under the provisions of 2007 California Building Code, Appendix Chapter 1,
Section 105.5, your request is hereby granted.
Please be advised that unless the project passes its next required inspection on
or before Monday, January 12, 2009, your building permit will expire
automatically.
Yours truly,
A�m
Greg Butler
Building & Safety Manager
Attention : Greg Butler
To whom it may concern,
I'm writing to ask for an extension. I had plans on building my own brick wall
around my home and the last six months have not gone as planned. I now have my
father in law who is a contractor helping me. I should be able to lay the foundation for
the wall in the next week and the rest of the wall should follow in the next month. This is
why I need an extension on my permit.
My permit number is 08-152
My address is 52995 Avenida Navarro, La Quinta , CA 92253
Thank you,
Richard Blackburn
I
R ESTABLISHED IN 1918 AS A PUBLIC AGENCY
G�
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 - COACHELLA, CALIFORNIA 92236 - TELEPHONE (760) 398-2651 - FAX (760) 398-3711
DIRECTORS: OFFICERS:
JOHN W. MCFADOEN, PRESIDENT STEVEN B. ROBBINS,
PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS MARK BEUHLER,
RUSSELL KITAHARA ASST. GENERAL MANAGER
PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY
DAN PARKS, ASST. TO GENERAL MANAGER
February 12, 2004 REDWINE AND SHERRILL, ATTORNEYS
Susie Moore
Village Realty
74-939 Highway 111
Indian Wells, California 92210
Dear Ms. Moore:
Subject: 52-995 Avenida Navarro
Account No. 606121,906.0.7
File: 1112.
In researching our records, we found that the above -referenced property has not met the sewer
requiremerits 'of thc: district.
The district hasno record of receiving a signed petition for annexation or the payment of sewer
fees, which would authorize connection to the sewer system.
If you have any questions please contact Rosie Anacleto, Customer Service Representative,
extension 2420.
Yours very truly,
Richard Shonerd
Customer Service Supervisor
RIA:ra
bc: City bf U. Quinta 1 ^< .. _ ,_, �• , �� F�.
Post Office Box 1504
La Quinta,;° California• 92253
TRUE CONSERVATION
USE WATER WISELY