06-2551 (BLCK)4 P.O. BOX 1504 �VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/28/06
Application Number: k 06-00002551 Owner:
Property Address: 48532 BIG HORN DR JOE LEDESMA
APN: 658-140-999-2 -29436 -
ptProperty Zoning: LOW DENSITY RESIDENTIAL Lr�i
Application valuation: 640
Contractor:
Ju N 22 s zoos {`
Applicant: Architect or Engineer: DESERT ISLES LANDSCAPING II ----
41800 WASHINGTON ST, B10 #21' ITYOFLAQUINTA
• INDIO,• CA 92203
FINANCE DEPT.
(760)345-3585
Lic. No.: 737763
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: C27 License No.: 737763
Date: i • �• Q6 t ontractor. �a —
Y--� 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 ($500).:
1 _ I 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 _ 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 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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 CLARENDON NAT' L Policy Number OIKR00031650
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Oate:K� I% Applicant:..
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.
i. 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 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
of this county to enter upon the above-mentioned property for inspection purposes.
Signature (Applicant or Agentl`�2.4
4
LQPERMIT
Application Number . . . . . 06-00002551
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 19.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 640
Expiration Date 12/25/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 2.0000 HND BLDG
501-2,000
4.00
----------------------------------------------------------------------------
Special Notes and Comments
40 LF 4' BLOCK WALL PER CITY STANDARD.
C-27 DOING COMPLETE LANDSCAPING
INCLUDING TREES, SOD, SPRINKLERS
ETC.
Fee summary Charged
-----------------
Paid
Credited
Due
--------------------
Permit Fee Total 19.00
----------
.00
----------
.00
19.00
Plan Check Total .00
.00
.00
.00
Grand Total • 19.00
.00
.00
19.00
1
61n #
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: ✓ /-7 O,g►V OIL
Owner's Name:
A. P. Number: 6 23 - Y% ^OO2 - $
Address: '
Legal Description:
City, ST, Zip:
Contractor: LzSSLztT lgS L � ,w , W�
pitwc4a
Telephone.
Address O Z60 GA -/AN 40 Sf
Project Description: (4 L
City, ST, Zip:
rcz---7'
Telephone: 1Y57 ---3 .SBS
e /AMzw tis
State Lic. # : 3) %
City Lic. #:
9 SO .2>1J i@2 5
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
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
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'" Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
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
May 26, 2006
Personalized Property Management
68950 Adelina Road
Cathedral City, CA 92324
(760)325-9500
(760) 325-9300 fax
This is to certify that the plans and application for 48352 Bighorn Drive have been approved by the
Architectural Committee as per the plans submitted
For the Architectural Committee
Dayton Dic y
Community Manager
-
:E'otnmunityivtng at its Finest_`='
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