07-2350 (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: 8/21/07
Application Number: 07-00002350 Owner:
Property Address: 79315 BROOKVILLE LA QUINTA ORCHARDS PARTNERS
APN: 7727040-004- - - C/O LA QUINTA ORCHARD PARTNERS
Application description: WALL/FENCE P O BOX 1716
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253
Application valuation: 10750
Contractor:
Applicant: Architect or Engineer: SPARKS CONSTRUCTION,
P.O. BOX 1716
^ LA QUINTA, CA 92247
(760)777-1052 AU
1111 Lic. No.: 674074 AUG
ci
F qty � QV/
------------------------------------------------------------------------------- C �-_�a- -- ------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 70�) of givision 3 of the Business and Is Code, and mv,NC$nse is in full force and effect.
License CI ,A/ L ense No.:�74j074
I - - -,___ O0@!ER-BUILDER DECLARATION I
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).:
(_) 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.).
(_ I 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 contractorls) 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 DECLARATi9f /
I hereby affirm under penalty of perjury one ofthe following declarations: \\�fbl/
I have and will maintain a certificate of consent to self -insure for workers' compensa n, 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 0000348-2006
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
40andgree
in any manner so as to become sub'ect to the workers' compensation laws of California,
that, if I stlould becom lect to workers' compensation provisions of Section
of the Lab (Code, I s forthwith comp with those ns.
ate: icant-.
WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA , AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A 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.
certify that I have read this application and state that the above information is correct. I agree to comply with all
City and county ord' ances and state laws relating to buildin construction, and here ooze representatives
of this counW to ter upon the above-mentioned perty for ection purpose
D� ature (Applicant or gent)
— —'s
LQPERA11T
Application Number
. . . . . 07-00002350-
7-00002350Permit
Permit. . . . .
. WALL/FENCE PERMIT
"
Additional desc .
Permit Fee . . .
. 126.00
Plan Check
Fee
00
Issue Date
Valuation
. . .
. 10750
Expiration Date
2/17/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
9.00 9.0000 THOU BLDG
:
2,001-25,000
81.00
-----------
Notes and Comments
430 L.F. 6' GARDEN
WALL, ORCO.SYSTEM
Fee summary
-----------------
Charged
--------------------
Paid
Credited
----------
----------
Due
Permit Fee Total
126.00
.00
.00
126.00
Plan Check Total
.00
.00
.00
.00
Grand Total
126.00
.00
.00
126.00
08/21/2007-1-1:28 FAX
IR 002
'
City of La Quinta
Building a Safety Duston
P.O. Box 1504, 78.495 Calle Tampico
La Quanta, CA 92255. (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # K0
Project Address: ' S (LW Ltd
O"cr's Name: f 4 7AV9x fAr)-!I
A. P. Number. Z 0!� O 00 '
Address:
Legal Description: R -G7 'Z.65 1-071
Contractor; P,A,Q S Go �+ISTANC'CI �`� INC_
Address: �� �p �'1� j (a
City, ST, Zip: CJ4 e7' ZZ zf- )
Telephoner 60 7? j OS2
Project Description: v p CO tsiAt.L
City, ST, Zip: Ve, Qvf,& `Fa cA c ZIP7
Tclephoncn,(Po r,, ( o5 L
q3 o Ciz-
State Lic_ # : (p %,:�'P 7cf' City Lic.
Arch., Engr., Designer.
Add mss
City, ST, Zip:
Tcicphonc:
Construction Type: Occupancy:
State Lic.#:
Project type (circle o°e a Add'* Alter Repair Demo.
Name of Contact Pc son: W,, L4,/
Sq. FL:
# Stories:
#Unita:
Telephoneof Contact Person: 74,o'777 /'774,
Estimated Value of Project: 000
APPLICANT. DO NOT WMTE BELOW THIS LINE
q
Submittal
Req'd
Reed 'ITRACIMIG
PER)MUTr
Plan Sets
Plan Check submitted
item
Amount
Structural Cats
Reviewed, ready for corrections
PhD Check Deposit
Truss Cates.
Called Contact Person
Pian Check Balance.
Mc 24 Calea.
plana picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2° Review, ready for correctlons/Issue
E1eet►iea!
Subeontaetor List
Called Contact Person
Plumbing
Grant Deed
plans picked op
H.O.A. Approval
Pians reaobmitted
Grodipg
INHOUSE;-
'"' Review, ready for correctiotte/issne
Developer Impact Fee
Planning Approval
Called Coetaet Porson
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Ya'mit Pees