08-1799 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TdY
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
08-00001799
Property Address:
78985 CALLE BRISA
APN:
649-450-039- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6250
Applicant: JArchitect or Engineer:
G,.
Y
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty ofperjury that I am licensed under provisions of Chapter 9 (commencing with
Section70 501 of Division 3 of the Bus ess and Professionals e, and my License is in full force and effect.
License/�C11l s: Li nse No.: 674074
Date: V Contractor: tN"�
OWN -BUILDER DECLARATION
I hereby ffirm under penalty of perjury. f 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 155001.:
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 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(sl 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
Owner:
TD DESERT DEV LTD PARTNERSHIP
79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/31/08
Contractor: D
SPARKS CONSTRUCTION, Ir
P.O. BOX 1716. G
LA QUINTA, CA 92247 O
-1776
Lic. No.: 674074
ciry l
A- r1l . _
-------------------------------=`y�----{------
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 STATE FUND Policy Number 0000242-2007
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,
an agree that, if should become subjec o t e workers' compensation provisions of Section
I _!J_31 0 of the Labor ode, I shall forthwit compZtthose�provisions.
Date: 1 Applicant: V�
WARNING: FAILURE TO SECURE RKERS' 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 cessation of work for 180 days will subject
permit to cancellation.
I certify tha I have rad this application and state tha the above information is correct. I agree to comply with all
city and cou ty ordi� once and state laws relating to ilding construction, and h eby authorize representatives
of thisTapWpn�U'Jn the above-mentioned prop ty for inspection pur osDate: 1`VSignature (Applicant or Agent):
Application Number . . . . . 08-00001799
Permit . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . 90.0.0
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 6250
Expiration Date 4/29/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00 9.0000 THOU BLDG 2,001-25,000
45.00
-----------=----------------------------------------------------------------
Special Notes and Comments
250 LN FT X 6 FT HT PROTO WALL SYSTEM
(GARDEN TYPE) ON EAST AND WEST OF
PROPERTY PER APPROVED PLANS & A.J.
Fee summary Charged Paid_
-------------------------------------
Credited
----------
----------
Due
Permit Fee Total 90.00
.00
.00
90.00
Plan Check Total .00
.00
.00
.00
Grand Total 90.00 1
.00
:00
90.00
LQPERMIT
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CITY OF LA QuP TA J <> J
BUILDING & SAFETY DE1DT.
APPROVED
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Submittal
Bin #
City of La Quinta
Building ex 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: TIM—CG 'C JAI Jcf
Owner's Name: —7� %), Ser7- ��,
A. P. Number:
Address: U -k 1 `7
Legal Description: -
Contractor:
City, ST, Zip:
Telephone: '7 (p0 7 % 71 .
�•
PID /- G A ->A 1-7/
Project Description: _^^
City, ST, Zip: GL y( l ttit r��d( CA uY 7
6 e- t,--; e,
Called Contact Person
Telephone: 77% I 7
Energy Cales.
State Lic. # :
City Lic.
Construction
Arch., Engr., Designer:
tP trV q r0 K
Address:
O T /f rw
City, ST, Zip:
Telephone:
Electrical
Consimction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 3{ r✓
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: % ii O - S 7 7 S 7
Estimated Value of Project:
S.M.I.
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:-
Jrd 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