07-2352 (BLCK)r _ �
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00002352
Property Address:
79345 BROOKVILLE
APN:
772 -040 -005 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
4150
T -474t 4 4 a"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LA QUINTA ORCHARDS PARTNERS
C/O LA QUINTA ORCHARD PARTNERS
P O BOX 1716
LA QUINTA, CA 92
Contractor:
Applicant: Architect or Engineer: SPARKS CONSTRUCT
P.O. BOX 1716
LA QUINTA, CA 92
(760) 777-1052
IN^ Lic. No.: 674074
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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 fL2Lqssionals Code, and my Ligc nse is in full force and effect.
License Clasar B icense No.: 6_ F 74
I ---UWNER-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 _ 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.).
(_) 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
Date: 8/21/07
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 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,
d agree that, i�Ishould beco a bj t to the workers' a sation provisions of Section
00ofthe Labode, I I forthwith omply wi ose pro isions.
D A ' ant:
WAR ING: FA RE TO SECURE WOR MPENSATION COVERAGE IS UNLAWFUL, AN SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRO IDED 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.
*cert,fythat phavead application anfstaat the abo information is correct. I agree to comply with all
nd state laws rbuilding nstruction, a thorize representatives
the above -m operty f inspec ' urposes.
re (Applica t o
Application Number . . . . . 07-00002352
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee
72.00
Plan Check
Fee
00
Issue Date . . .
.
Valuation
.4150
Expiration Date
2/17/08.
Qty Unit Charge
Per e
Extension
BASE
FEE
45.00
3.00 . 9.0000
THOU BLDG
21001-25,000
27.00
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.Special Notes and
Comments
166 L.F. 6' GARDEN
WALL, ORCO SYSTEM
'
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
72.00
----
.00
----------
.00.
72.00
Plan Check Total
.00
.00
.00
_.00
Grand Total
72.00
.00
.00
72.00
LQPERMIT
08/21/2007 11:28 FAX
la 009
$in #
City of La QuintCI '
Bwang ar Safety D1ldr1ofl
- P.O. Box 1504, 78-495 Calle Tampico
La Qu[nW, CA 9.2253 -x'760) 777.7012
Building Permit Application and Tracking Sheet
Permlc # /L
O'
�J
Project Address: s A 4 01L U r
Owner'9 Name: W J I A 7A i�Px ff * 1'" AK4 S.
A. P. Number �
Address: JL _;sm_ 7 (o
Legal Description: a:g"T 265-2G- LO 1 �7
City, ST, Zip. CPt �j ZZ'�f'7
Contractor: j P A4 105
Address:
Telephone-, f / OS Z
PmjectDescription: v p(Z.CO G�J LPJAAA_
City. ST, Zip: �r �n CA 4? 2 Z �%
Telephono'.1(po -) 7'1 { e>5 2- 111MM ^ 6(, UsC✓
State Lia # City Lia $' 2sf 471(1
Arch., Eng., Designer
Address:
City, ST, Zip:
Telephone: i
State Lie. #:
Construction Type: Occupatley:
Project type (circle one)eew_ Add'n Alter Repair Demo
!
Name of Contact Person:#
Sq. Ft:
# Stories.
Tlnity;
Telophone'a of Contact Person: 7&0 r7i % /77�
Estimated Value of Project: S d d
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
licca
TRACMG
PERMTTFM
Plan Sato
Plan Check submitted
Item
Amount
Structural Calces
Reviewed, ready for corrections
Plan Chock Deposit
Truss Cates.
Called Contact Person
Pian Check Balance.
Title 24 Calm
plana picked up
Construction
Flood plain pian
Plana resubmitted
Mechanical
Grading plan
Z°! Iteview; ready for corrcctlonobwe
Eleetrloal
Subcontactvr hist
Called Contact Person
Plumbing
Grant Decd
plana picked up
S.M.1.
MOA. Approval
plana resubmitted
Grading
IN HOUSE: '
"" Review, ready for eorrectlonstissee
Developer Impact Fee
Planolag Approval
Called Contact Person
ALP P.
Pub. Wim. Appr
bate of permit IY6ne
Satiool WO
Total Permit Kees
OC