06-1247 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001247
Property Address:
4'8905 EISENHOWER DR
APN:
658-130-011-B -3137.9 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
125000
T -,&t444"
Applicant: Architect or Engineer:
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 Ciass: A -B License No.: 825943
/Date: • �•� _ontractoe:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty ofperjury that Lam exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county thatrequires.a..permit to
construct, alter, improve, demolish, orrepair.any structure,_prior to its issuance,alsorrequires'the applicant for the
permit to file a signed statement that he or she iszlicensed 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 applicantto,a civil penalty of not more than,five hundred dollars (9500).:
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 herselfthrough'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 constructthe project (Sec.
7044, Business+and' Professions Cade: 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 Ucense.Law.).
(_) I am exempt under Sec. , B.&P.C. for this;reason
Date:_
Owner:
CONSTRUCTION: LENDING AGENCY
11hereby affirm under penalty of perjury that there is a construction lending agency for the performance'ofthe
work for which this permit.is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:_
LQPERMIT
Owner:
CENTEX HOMES
2275 CORPORATE CIR #230
HENDERSON, NV 89074
Contractor:
CENTEX HOMES
41865 BOARDWALK, STE 101
PALM DESERT, CA 92211
(720)862-10.30
Lic. No.: 825943
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/28/06
-------------------
WORKER'S COMPENSATION, DECLARATION
I hereby affirm underpenalty of perjury one of thefollowing• 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 insuranoe,.as required by'Section ,37.00 of the Labor
Code, for the perforniance,of the work for which this: permit is issued. My workers_' compensation
insurance carrier and policy number are:
Carrier LOCKTON, CO Policy'Number WC832209709
_ I certify that, in the performance of the work for Which 'this permit is issued, I shall not employ any
person in,any manner sous to become"sublecttothe workers 'compensation laws of California,
and agree that, if I. should become subject to the workers' compensation provisions of Section
3700 of t¢e Labor. Code, I shall forthwith comply with.those provisions.
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 (9100,000). IN ADDITION TO THE COST OF'COMPENSATION,.DAMAGES AS PROVIDED FOR IN
SECTION 3708 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 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 Le 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 thata have read thisapplication;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
ofthiscounty to enter upon the above-mentioned property'for' spection purposes..
f'a`te: *1 ignature:(Applicant or Agent �V7
Application Number . . . . . 06-0.0001247
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . .
. 727.00
Plan Check Fee
00
Issue Date . . .
.
Valuation . . .
. 125000
Expiration Date .
. 9/24/06
Qty Unit Charge Per
Extension
BASE
FEE
639.50
25.00 3.50.00 THOU BLDG
100,001-500,000
87.50
----------------
Special Notes and
--------------
Comments
-------
5000 L.F. 6' HIGH
BLOCK WALL FOR
REMAINDER OF PROJECT. PERMIT INCLUDES 7
TRASH ENCLOSURES
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
72.7.00
.00 .00
727.00
Plan Check Total
.00
.00 .00
.00
Grand Total
727.00
.00 .00
727.00
LQPERM T
v eek
Bin #
City of La Quinta
Building, U Safety iDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92.253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:' - "C),
Owner's Name��� (
A. P. Number:
Address: left -%Z
Legai Description:
City, ST, Zip:
Contractor:
Address:
Telephone: `&0 . ? $1• /7 3 3
Project Description:
City, ST, Zip:
t
Telephone:
State Lic. # : City Lic..#: L,i=.
Arch., Engr.,. Designer:
Address:
City, ST, Zip:
Telephone: Type: Occupancy:.
State Lic. #: (circle.one): New Add'n Alter Repair Demo
Name of Contad Person: 6 (p
E-�Estimated
# Stories:
# Units:
Telephone # of Contact Person: %alue of Project: ��+�►
API CAIW! DO NOT WRITE BELOW THIS UNE
is
Submittal
Req'd
Recd
TRACMG
PERIVIIT FEES
Plan Sets
Plan Checksubmitted
Item
Amount
Structural Calcs.
'Reviewed, ready for corrections
Plan cheek Deposit
Truss Cates.
Called Contact Person
Pian Check Balance
Energy Calcs.
Plans Picked up
Construction.
Flood plain plan
Plans resubmitted
Mechanical
Grgding. plan
V Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans, picked up
S.M:L
H.O.A. Approval
Plans'resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionsJuisue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks..Appr
Datrof permit issue
School Fees
Total Permit Fees
r;FR
F LA QUINTA
IN AFETY DEPARTMENT
0 ')BN 777-7012
C17 c_l-A`
Owner_
Contractor
T N REQUEST LINE
77-7153
DESTINATION PROP
CENTEX HOMES
Permit Number 06-1247
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
48-905 EISENHOWER
JOB ADDRESS
5000 L.F. W HIGH BLOCK WALL, FOR
REMAINDER OF PROJECT. PERMIT
INCLUDES 7 TRASH ENCLOSURES
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING /WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP I I
r'• uvu kuylyICHIVHIIU
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM O ,
P OL / SPA-/ WATER FEATURE rNSPECTION
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS)
FINAL INSPECTIONS
TEMP USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
IANICAL
A�IC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING