06-0558 (BLCK)1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000558
79275 HIGHWAY 111
649-030-999-10 -30420
WALL/FENCE
REGIONAL COMMERCIAL
600
Architect or
cG4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
M/M D.MANISTA/M/M T. OLSEN
1242 N KENNYMEAD
ORANGE, CA 92869
De Contractor:
FEBr: I
08 2006 MORRISSEY CONSTRUCTION CO INC
4083 OCEANSIDE BLVD, STE G
OCEANSIDE, CA 92056
CITY OF LA QUINTA (760)639-0498,
FINANCr:OEPf Lic. No.: 708936
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/08/06
-------------- W---------------------------------------------------------------------------------
I hereby affirm under penalty of pe y that am licensed and r provisions o hapter 9 (commencing with
Section 7000) of Division 3 of the 'ness a Professional ode, and my Li rise is in full force and effect.
License Class:
AJJJ-B-CS a se Ne.,,.Date Contractor:
OWNER -BUILDER DI hereby affirm under penalty of perjury that I am exempt from the CLicense Law for the
following reason (Sec. 7031.5, Business and Professions Code: Anyat requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to itquires 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 (commencirig 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
p-" 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 contractorls) 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:
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 anolicy number are:
Carrier STATE FUND Policy Number 467000\4
1 certify that, in a erfor ce of the work for hich this permit issued, I shall not employ any
person in any an r so to become subject o the workers' co ensation laws of California,
and agree that, i I s uld b me subject to workers' compen ion pr visions of Section
3700 of the Labo C e, orthwi h mpl with those provisi
I
iDate: l Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RA FUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE P O HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION TO THE COST OF, ATI , AMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND) "S FE
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 of commenced
within 180 days from date of iss nce of such permit, or cessation of work for 0 days will subject
permit to cancellation.
I certify that I have read this application and sta at the bove informakone. I agree comply with all
city and county ordinances and state laws relatin t buildin constructioauthorize r resentativesof thiiss'�co�unntty,ttoo(e�nter upon the above-mentioned erty fo inspect; n
Date` / . D �+`1 Signature (Applicant or Agent): \
Application Number . . 06-00000558
Permit . . . WALL/FENCE PERMIT
Additional desc .. .
Permit Fee . . . . 17.00 Plan Check
Fee
.00
?' Issue Date . . . . Valuation
. . .
. 600
Expiration Date 8/07/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 2.0000 HND BLDG 501-2,000
2.00
---------------------------------- -----------------------------------------
Special Notes and Comments
24 LF 6' BLOCK WALL TRASH ENCLOSURE PER
APPROVED PRECISE GRADING PLAN/CITY
STANDARD.
Fee summary Charged Paid Credited
----------------------------
Due
--------------------
Permit Fee Total 17.00 .00
----------
.00
17.00
Plan Check Total .00 .00
.00
.00
Grand Total 17.00 .00
.00
17.00
LQPERMIT -
..
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 #
Project Address: - 27
Owner's Name:
A. P. Number:
Address: eugg
Legal Description:
Contractor: Md/ O
Address: 0 D A5/0,e 134M, SytoG
City' P' ST, Zi (• Q
Off .
Telephone: Z `
Project Description:
�-
City, ST, Zip: QW4 lae G . Q ZOS6
Telephone: 760 43? o Y 4 v
' q-
Z 16. F X 6' W,4 5,4
X
State Lie. # : 7 Q 3 6 . CityLic. #: g
Arch., Engr., Designer:
SO
Address: 17 90
C
City, ST, Zip: tJ�IV� C/Q
Telephone: k `
-Z 0- / 1 , x
State Lic. #:go
Name of Contact Person:. Jd NA45
Construction Type: U N Occupancy: 6
Project type {circle one) New Add'n Alter Repair
Demo
Sq. Ft.: '' Z(fV
#Stories:
# Units:
/
Telephone # of Contact Person: Q
. 2 S - Y/
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 n 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