07-2948 (BLCK)P.O.-BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:0:7-00002948"`
Property Address: IQ78560-HIGHWAY-111
APN: 604-050-037-19 -000000-
Application description: WALL/FENCE
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 750
Applicant: Architect or Engineer:
rJ
LICENSED CON
I hereby affirm under penalty of perjury that I am licensed
Section 7000) of Division 3 of the Business :Velfessio
License cllas B �jCB
Date: �` /�f tractor:
r 9 (commencing with
is in full force and effect.
'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, atter, 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 _ 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, as owher 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 contractor(s) licensed
pursuant to the Contractors' State License Law.). -
1 _ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/07
Owner:
ONE ELEVEN LA QUINTA, LLC
71084 TAMARISK LANE
RANCHO MIRAGE, CA 92270
Contractor:
CONSOLIDATED RA �N�O�
46753 ADAMS S R T 1
LA QUINTA, C 9
(760) 771-334 FNOFLAQUINIA
Lic. No.: 824183 ANCEID PL
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.
XI 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 1770749-2007...
I certify that, in the performance of the work for which this permit is' sued, I shall not employ any
person in any manner so as to become subje he w r ' pensation laws of California,
and agree that, if I should be a subje e w o enation provisions of Section
�/ � 0 of the Labor Code I fort comp h provisions.
n e,...rG ...
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 ($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 com
within 180 days from date of issuance of such permit, or cessation of ork for 1 ys I
ubject
permit to cancellation.
I certify that I have read this application and state that the above information ' reci a to comith all
city and county ordinances and state laws relating to buiefoi
ctio her a rize repreives .
of this co to �+t.er upon the above-mentioned propeti urpo
ate:�l.i� ure (Applicant or Agent):
Application Number . . . . . 07-00002948
•.Permit . . . . . . .WALL/FENCE PERMIT
Additional desc .
Permit Fee , 21.00 Plan Check
Fee
00
Issue.Date Valuation
750
•Expiration Date 5/12/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 2..0000 HND BLDG 501-2,000
6•.00
----------------------------------------------------------------------
Special Notes and Comments
30 L.F. 6' BLOCK WALL. CITY STANDARD PER
DRAWING, TO CREATE TRASH ENCLOSURE.
ENCLOSURE TO BE. PAINTED CONSISTENT WITH
BUILDING. .DOORS TO BE SOLID
r Fee summary Charged Paid Credited
------------------------------
----------
Due
-----------------
Permit Fee Total 21.00 .00
.00
21.00
Plan Check Total 00 .00
.00•
.00
Grand Total 21.00 .00
.00
21.00
LQPERMIT
3402732
WASTE MANAGEMEN I v1:30:zz a.m. v4-W-cvvo c �
Basic 2 -Bin Trash Enclosure (3 &.4cy) e�
Waste Management of the Desert
Jennifer Salciccioli — Construction Rep.
(760) 324-6918
lU,
6' THICK CONCRETE APRON
6"X6' STEEL POST
W/ TO X S-6'
DEEP CONC. FTG..
(TYP.)
6'-0'X5•-6• TRASH/
RECYCLE BIN (TVP.)
CONC. PANEL /
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340 2732 WASTE MANAGEMENT
6NX60 STEEL POST
W1 ZO X 3'-6*
DEEP CONC. FTC.
(TYP-)
CONC. PANEL
07:35:22 a.m. 04-03-2006 2/3
Basic 2 -Bin Trash Enclosure (3 & 4cy)
Waste Management of the Desert
I
Jennifer Salciccioli — Construction Rep.
(760) 324-691.8
j
6' THICK CONCRETE APRON
6'-0-X5!-6- TRASH/
RECYCLE BIN (TYP.)
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