07-2353 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002353
Property Address: 79330 BROOKVILLE
APN: 772-040-018- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3350
Tiht 4 4 Qu&& -
Architect or Engineer:
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 CI / B License N
ate:- C actor:
OW E -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law or the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the pplicam 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 1, 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, 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•_) 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.I.
Lender's Name:
Lender's Address: AR
LQPERA11T
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/21/07
Owner:
LA QUINTA ORCHARDS PARTNERS
C/O LA QUINTA ORCHARD PARTNERS
P O BOX 1716
LA QUINTA, CA 92253
Contractor: D /A\ a—
SPARKS CONSTRUCTIO /moi
P.O. BOX 1716
LA QUINTA, CA 9224 AUG 77 2007
(760)777-1052
Lic. No.: 674074
CITY OF LA QUINTA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
1 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
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
�FJ� 700 of the Labor Co X•f thwith comply with those provisions.
Y'F 0 �Ppplica
WARNING: FAILURE TO SEC ERS' COMPENSATION COVERAGE IS UNLA L, 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 AS ROVIDED 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 that I have read this application and state that the above information is correct. I agree to comply with all
City and c9 my o finances and'state laws relatin construction, and hereby authorize representatives
of thi§.co)AntySuter upon thejabove-men' ed property fo inspection pur_g e
or
Application Number . . . . . 07-00002353
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. •63.00
Plan Check
Fee
.00
Issue Date
Valuation
3350
Expiration Date
2/17/08
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
134 L.F. 6' GARDEN
WALL, ORCO SYSTEM
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
08/21/2007 11:28 FAX
[a 004
Bin �t
City of La Quinta
Buftding ar Safety Davtsion
Peanut #
P.O. Box 1504, 78.495 Calle Tampko
d`✓
1a Quanta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Project Address: �' .'►j (
Vl Owner's Name: J f Uir4 pQ�"f4>+�� 7AK4
A. P. Number. '7'7'Z dj O C, j Address: tb
Legal Description,:
'City. ST, Zip:
Contractor5FA•4-KS G,r?s-TANCTf.o" INC. Telcphone:76077? JOS2
Address:rJ go (� ((o
Project Dmscriptlon: o
'_ D
City, ST, Zip: /� 11
Telephone:-J(pa
ICi!tYLiI!-!ZT—
Statc Lic. # : 1p 7cf
Arch.,Engn, Deagner.
Address:
City, ST, Zip:
Tolephonc;
Construction Type: Occupancy:
State Lie. 4,
Project type (cirele ono ew Add'n Alter Repair Demo
Name of Contact Person, W- L4,/ ��p,4,[�S Sq. FL: # Stories: iR Units;
Telephone # of Contact Person: 7&.0 '777 /774:- Estimated Value of Project IF/2 p o p
APFUCANT: 00 NOT 1AM MOW THIS Me
N Submittal Req'd [rued TRACIMG PERMfr FEES
Plan Sets
Plan Cbeck submitted Item Amount
Structural Caeca
Reviewed, ready for eorrca lou Pian Check Deposit
Trues CRIoS,
Called Contact rerson
Plan Cheek Balance
'fide 24 CsleL
Plans picked up
Conatrvc6oa
Flood plain plan
Plans resubmitted
Mechanical
Grading plea
240 Review, ready for correetiononme
Electrical
Subeontactor List
Called Contact person
Plumbing
Grant Deed
Plans picked up
8.NL1.
R.O.A. Approval
Plan resubmitted
Grading
W HOUSE:-
7i0 Review, ready for earmcdoaefiasuc
Developer pnpact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
bate otpermlt i6sue
School Face
Tocol Permit Fees