07-2787 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002787.
Property Address: 52380 AVENIDA RUBIO
APN: 773-253-006-17 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 3750
BUILDING &.SAFETY DEPARTMENT.
BUILDING PERMIT
Owner:
GARCIA MICHAEL
7138 FOXCROFT
RIVERSIDE, CA)
Contractor.
Applicant: Architect or Engineer: RIVERSIDE DI—EL
7138 FOXCR FT . k' S1
RIVERSIDE, CA
p (951) 334-965.7
ht;b Lic. No. 830748
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
ENT foo,
Z/ OF 1A or... _
Date: 10/22/07
LICENSED CONTRACTOR'S D CLARATIONWORKER'S COMPENSATION DECLARATION
T hereby affirm under penalty of perjury that I am licensed;under provi(Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
,Section .7000) of Division 3 of the• inessCrofesfi-nals Code; d License is in full force and effect: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License N4.: 30748 for by Section 3700 of the Labor.Code,.for the performancerof tK6`work for which this permit is
Y.. issued _ c 4 _
_Contractor.., . • - _ f have and'willmaintain,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
OWNER -BUILDER DECLARATION insurance carrier and policynumber are: -
I hereby affirm under penalty of perjury that I.amexempt from the Contractors State License Law for they 1r• Carrier. EXEMPT, ' P61icy Number EXEMPT -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or'county that requires a permit to �G _ I certify that, in the rmance of the work f hich this per rt is iss[' d,-1 shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any ma er o as to become su lett to the work s' tom nsation laws of California,
permit to file a signed statement that he or she is licensed pursuant oto 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 ,foea permh subjectsthe 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 isnot-intendedor offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' StawLicense .Law does not apply to an owner of property who builds or improves. thereon,
and.who doesthe work.hirimself or herself through his, or her own employees, provided that the
improvements are no6mended 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 ttte'purpose of sale`.).. -
(_ 1 1, 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: -
LQPERMIT
and agree that; if'I ho td bet a ruble to the workers' ompe ation provisions of Section
3700 of the Labor o I sha forthwi om I with tho a _��(riisiions.
�. t c p Y. J"'" .
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS NLAWFUL, 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 AC K NO W LEDGEMENT
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 slate t t e abov mformati correct. 1 ag _ e to c ply with all
city and county ordinances and state laws relating t b' Iding cstructio ,and hereby ouch rize re esentatives
of this county to enter upon the above-mentioned pr e y for ifs
pectin purposes.
or
Application Number . . . . . 07-00002787
Permit . . . . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 63.00
Plan Check
Fee
.00
Issue Date . . . . -
Valuation
. . .
. 3750
Expiration Date 4/19/08
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
120LNFT X 81( 2FT RET WALL & 6 FT
GARDEN WALL)30LNFT X 7' (2FT RET WALL
&
6FT GARDEN WALL PER CITY STANDARDS &
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
LQPERMIT
1
Bin #
Q of L.a° Quinta
Building a Safety Division
P.O. Boz 1504, 78-495 Calle Tampico
. .
La Qulnta .CA 92253 - (760) 777-7012
Building :Permit,,,ppllcationt an Tracking.,.Sheet
,�^ $�'
Permit ,. )" 1
Project Addresa- AJt�p� 2�y�-�w ;
;-
A. P. Number: "7 % 3 141% • WLIL' , ::, ..
Owner's Name'�C 1 A'
Address: 1`3'� FoX�Qp 't S,
_Legal,Description: LLT M, \1lJIL \\•\ " 9--4,"1,5
--4 "j7" -
City, ST, Zip:
Contractor: 1i'�tr \ �4�c 10 C
TelephoneS•
Address: -7 1-1& pox ez P •Z"
Project Description:
City, ST, Zip: tom(• i� - 9 cso b
Telephone:-J 51. 3J%A. eVS 1
�-
State Lic. # : $ O71.1 6
City Lic. #:
t'
Arch., Engr., Designer: �� • " �+�EO11 £�
3b (v / i
Address: 0 2'] t� p' �.� �. S-•
City, ST, Zip: �..(. C A• , isocm
Telephone: qs 1 • . •7 _ Zo50
,u`
=Construction Type: Occupancy:
State Lic. #:
Project,type (circletone): MNew Add'n Alter Repair Demo
Name of Contact Person: \•:AC�\q ;� j� l
Sq. Ft.: 1'
# Stories:
# Units:
Telephone # of Contact Person: 4A' -S% S
Estimated Value of Project:
APPLICANT DO,NOTMRITE-BELOW THIS LINE
#
Submittal
Req'd '"
:'Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
'Reviewed, ready for torrections
Plan Check Deposit
Truss Calcs.
Called ContactPersonP
t Tye.
Plan Check Balance
Energy Calcs.
s
'Plans picked no
Construction
Flood plain plan
iPlans resubmitted
,
Mechanical
Grading plan
2"" 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
N + "
Total Permit Fees
7:2
UPL Y WITH THE 2001 CALIFORNIA SU/LD/NG,
?ECTR/CAL, AND 2005 ENERGY CODES AND
)RDINANCES.
lS MUST BE SUBM/TIED TO, AND APPROVED
TO INSTALLAT/ON OF THE /TEM.
4/ OWNER /S RESPONSIBLE FOR THE
LOCATION (OR EDGE OF STREET PAVING /F
Y LINE(S) WITH THE PUBLIC WORKS.
S A SEPARATE PERMIT AND INSPE-MON
ORKS DEPARTMENT.
OCCUPANCY SEPARATION (WALL OR CEILING
EEA SHALL BE 26 GAUGE M/N/MUM.
SHALL HAVE A FLAME -SPREAD RAT/NG OF
YE -DEVELOPED RATING OF NOT MORE
L NOT BE PLACED LESS THAN 6" FROM THE-
OPEN
HE
OPEN TO THE EXTERIOR OF THE BU/LD/NG,
D/L Y D/STINGUSHABLE FROM SURRONDING OR
1 'l ;
PROPERTY LINE 0.00'
EXISTING OD
FENCE EN 'IRE `
LENGTH OP AR .
..PRO 05ED ;PATI
. • :GO G. SLAB
.°?• '� ', ••.fit < 1 � /
:/ . • . /
5 � C.t Is�z4 c� t.+ �►�.L
0 v�
(N). 1-1/2" CALIPER
TREES (TVP. OP 3)'
APPROVED BY PLANNING DEPARTMENT
BY DATE l o • �o • �� WATER METER
EXHIBIT
CASE NO.
Sow
r
ELECTRICAL
J -BOX
POWER POLE
PROPOSED
L"
EXI
FM
m
Z
✓ GONG:
AAL' K Y
"e 0
PROPOSED
n DRII�EW�Y ,`
O
� e 2
<;
e 7�
L INE
�
50.001
I
I
pU (E) CURB
0' 0' I
W I .
I
/ � I
O I
W I
1
I
I
. 1
r
I
O
G.
CITYI0FL-A QUINTA-SUB-CONTRACTOR LIST
JOB ADDRESS yp-45�� AU4m-�� PERMIT NUMBER OWNER pakir.-vx BUILDER
This form shall be posted on the job with the Building Inspection Card at all'times in a conspicuous place. Only persons appearing on this list or their empl6yees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or.the voidance.
each applicable trade, all information requested below must be completed by, applicant. "On. File" is notan acceptable response.
.... . . .
... ............ ..
... ...........
..................... ...............................
...... ................
.. .................................
. ................... ... ...............
............... st
........ . .......
.
W
s CIO, u ARPM:,",
..
.........
Company Name
Classification
License Number
Exp. Date
Carrier Name
Poli Number
c
Exp. Date,
Number
License Nut
I 4,
Exp. Date,
(e.g. A, B -C-8)
(xxxxxx)., ' '
Nx/Wxxi�
I .
(e.g..,State Fund" CalComp)
_ V
it. 41
or2a 1C aries) -
(xxlxxlx)i).
(", *
xxxx ) - .
-':1)i.x�/x.x
xx
7Zr7i4ft
So 408,
ZZ -2 I
-nc
4
L
-7
44
3V;
;Z
HVI -114VA16;M IVA3ANK.-IN7 M