07-1588 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001588
Property Address: 51560 AVENIDA RUBIO
APN: 773-122-001-12 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 2375
Applicant: Architect or Engineer:
SIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: License No.:
Date: 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 1$5001.:
(lf 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 icensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractor State License Law does not apply to an owner of
property who builds or improves thereon, and who c tracts for the projects with a contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this ason
Date:
Owner:
' CVSTRUCTION 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:
IV I ft -
LQPERMIT
VOICE (760) 77777012.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BEN GILMORE
54-995 AVENIDA ALVARADO
LA QUINTA, CA 92253
---------------------------------
Contractor:
Owner
11
Date: 5/30/07
MAY 3 2007
- -CITY - OF &A �
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 tuber
V I certify that, in the performance of the rk for which this permit is issued, I shall not employ any
- 1^ person in any manner so as to beco a subject to the workers' compensation laws of California,
and agree that, if I should becom subject to the workers' compensation provisions of Section
/ 700 of the Labor Co I shat orthwith comply with those provisions.
Date: �11b �� Ap nt: -
WARNING: FAILURE TO SECURE WO ERS'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 commenced
within 180 days from date of issuance of such permit, or ce ation of work for 180 days will subject
permit to cancellation.
1 certify that I have read this application and state that the above inform ion is correct. I agree to comply with all
city and county ordinances and state laws relating to building construc on, and hereby authorize representatives
offtthis c unty to enter upon the above-mentioned propert r nspec on purposes.
Date t. Sigre (Applicant or Agent):
Application Number . . . 07-00001588
Permit WALL/FENCE PERMIT
_
Additional desc
Permit Fee . . . . 54.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 2375
Expiration Date 11/26/07
Qty Unit Charge Per
Extension
BASE FEE
45.00.
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
95' @ 6' HIGH BLOCKWALL [CITY SPEC].
May 30, 2007 8:34:.40 AM AORTEGA
Fee summary Charged Paid
Credited
Due
Permit Fee Total 54.00
.00
.00
54.00
Plan Check Total .00
.00
.00
.00
Grand Total 54.00
.00
.00
54.00 .
LQPERD4IT
SITE PLAN NOTES:
WARNING: PLANT MATERIAL LISTED MAY OR MAY NOT HAVE BEEN APPROVED BY THE
AGRICULTURAL COMMISSIONER'S OFFICE.
LANDSCAPED AREAS INDICATED SHALL BE PROVIDED W/ FULL COVERAGE AUTOMATIC IRRIGATION
SYSTEM W/ AN APPROVED BACK FLOW DEVICE.
TEMPORARY TOILETS SHALL BE PROVIDED BY THE GENERAL CONTRACTOR FOR ALL TRADES UNTIL THE
COMPLETION OF THE WORK.
ALL TRADES SHALL AT ALL TIMES KEEP THE PREMISES FREE FROM ACCUMULATION OF WASTE
MATERIALS OR RUBBISH CAUSED BY THE WORK,
NO UTILITY TRENCHES PARALLEL TO A FOOTING AND DEEPER THAN 18" SHALL BE LOCATED WITHIN A
DISTANCE OF 4'-0" OF A BUILDING FOOTING.
UTILITY TRENCHES PERPENDICULAR TO A FOOTING SHALL BE A MINIMUM OF 4-0" DEEP AND THE
DISTURBED SOIL SHALL BE COMPACTED WITHIN A 4'-0" DISTANCE OF ANY FOOTING OR UNDER A
CONCRETE SLAB.
ALL PROPERTY LINES, EASEMENTS AND BUILDINGS BOTH EXISTING AND PROPOSED, ARE SHOWN ON
THIS SITE PLAN.
LANDSCAPE NOTES:
WARNING : PLANT MATERIAL LISTED MAY OR MAY NOT HAVE BEEN APPROVED BY THE
AGRICULTURAL COMMISSIONER'S OFFICE.
LANDSCAPED AREAS INDICATED SHALL BE PROVIDED W/ FULL COVERAGE AUTOMATIC IRRIGATION
SYSTEM W/ AN APPROVED BACK FLOW DEVICE.
TEMPORARY TOILETS SHALL BE PROVIDED BY THE GENERAL CONTRACTOR FOR ALL TRADES UNTIL THE
COMPLETION OF THE WORK.
ALL TRADES SHALL AT ALL TIMES KEEP THE PREMISES FREE FROM ACCUMULATION OF WASTE
MATERIALS OR RUBBISH CAUSED BY THE WORK.
NO UTILITY TRENCHES PARALLEL TO A FOOTING AND DEEPER THAN 18" SHALL BE LOCATED WITHIN A
DISTANCE OF 4-0" OF A BUILDING FOOTING.
UTILITY TRENCHES PERPENDICULAR TO A FOOTING SHALL BE A MINIMUM OF 4'-0" DEEP AND THE
DISTURBED SOIL SHALL BE COMPACTED WITHIN A 4'-0" DISTANCE OF ANY FOOTING OR UNDER A
CONCRETE SLAB.
ALL PROPERTY LINES, EASEMENTS AND BUILDINGS BOTH EXISTING AND PROPOSED, ARE SHOWN ON
THIS SITE PLAN.
GENERAL NOTES:
ALL WORK CALLED FOR IN THESE PLANS SHALL BE EXECUTED WITH EXTREME CONCERN FOR
CRAFTSMANSHIP AND SAFETY IN FULL ACCORDANCE WITH THE ADOPTED CODES AND
ORDINANCES OF THE JURISDICTION IN WHICH IT IS BEING CONSTRUCTED.
ALL WORK, WHETHER SPECIFICALLY CALLED FOR OR NOT, SHALL BE CONSTRUCTED UNDER THE
LATEST EDITION OF THE UNIFORM BUILDING CODE AS ADOPTED BY THE LOCAL GOVERNING
AGENCY.
ALL EXTERIOR FLATWORK SHALL HAVE A POSITIVE SLOPE AWAY FROM THE BUILDING (1% MIN.)
THE GENERAL CONTRACTOR SHALL THOROUGHLY FAMILIARIZE HIMSELF WITH THIS DOCUMENTS
PRIOR TO PROCEEDING WITH ANY CONSTRUCTION AND SHALL REPORT ANY DISCREPANCY TO THE
DESIGNER PRIOR TO COMMENCING ANY WORK. SHOULD ANY DEVIATION BE MADE FROM THESE
PLANS WITHOUT TIME WRITTEN CONSENT FROM THE DESIGNER, THE OWNER/CONTRACTOR ASSUME
ALL RESPONSIBILITY FOR SUCH DEVIATION.
THE GENERAL CONTRACTOR SHALL SUBMIT COPIES OF SHOP DRAWINGS OF ALL
MANUFACTURED ITEMS ( I.E. CABINETS, TRUSSES,ETC.) TO THE DESIGNER FOR REVIEW AND
APPROVAL PRIOR TO FABRICATION. THE GENERAL CONTRACTOR WILL BE RESPONSIBLE TO PROVIDE
ADEQUATE TIME FOR REVIEW (10 WORKING DAYS) OF SUBMITTED ITEMS SO WHEREAS SUCH REVIEW
SHALL NOT ADVERSELY IMPACT THE CONSTRUCTION SCHEDULE.
14'-10;
ExlsBng Setback to
Bin #
__ ... CI -0f .La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�ldd�S�b
Project Address:' —560
.6Ct . A'_�Fb . fv 6 �
Owner's Name: C
A. P. Number:
Address: S -q35 A L ✓ t>
Legal Description:
City, ST, Zip: LA v t,07A 2-Z- -'3
Contractor: 6-Lptj.,� v �}b�Y
Address: - -(�S 4-C.,a/sdL-A9v
Telephone: .
Project Description:
City, ST, Zip: L4k ' {OJ 1
*
t AC:A-, -
Telephone(_ -_2 (oa r s q - a (ARMI
State Lic. # : City Lic.. #:
Arch., Eng., Designer:
(�'
Address:
City, ST; Zip:
Telephone:
State Lic. #:
Name of Contact Person:. �/J (
Construction Type: Occupancy:
P cY:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :
# Stories:.
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#.
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
31)
em
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cake.
Plans picked up
Construction
Flood plain plan
Plans. resubmitted .
Mechanical
Grading.plan
2ad
.. Review, ready for ;correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing -
Grant Deed
Plans picked up
S.M.I.
I.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:=
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
3d A.I.P.P.
Pub. Wks. Appr
Date of permit issue
5 30
School Fees
1
Total Permit Fees