07-3073 (BLCK)P.O. BOX 1504 4
• �W
Nt 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00003073 Owner:
Property Address: 43086 CORTE DEL ORO TONY CONTRERAS
APN: 609-380-997-14 -293233- 43086 CORTE DEL ORO
Application description: WALL/FENCE LA QUINTA, CA
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253
Application valuation: 1280
Contractor:
Applicant: Architect or Engineer: CABANYOG' S LANDSCAPE
n , 81120 PINDO STREET
Ch \'� INDIO, CA 92201
v (760)200-7031
Lic. No.: 829277
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 Class: JC'27 LicenseNo.: 829277
Date/� V 7 Contractor:1-11
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (5500).:
(_ 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.).
(_) 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 1 am exempt under Sec. I, 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: Y
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/04/07
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.
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 COLONY INS Policy Number WEN0032729-01
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
iCCooddee, I shall forthwith comply with those provisions.
Dater Y % Applicant: / ��w"��c�/
WARNINE 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.
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 county ordinances and state laws relating to building construction, and hereby authorize representatives
of this cou ty W enter upon the above-mentioned property for inspection urposes.
Dater .�� Signature (Applicant or Agent):
Application Number . . . . . 07-00003073
e�
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit.Fee . . . . 31.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 1280
Expiration Date 6/01/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
.8.-00 2.0000 HND BLDG 501-2,000
16.00
-----------------------------------------------
Special Notes and Comments
-----------------------------
80 IN FT X 3 FT HT RETAINING WALL PER
CITY STANDARDS AND APPROVED PLANS
Fee summary Charged Paid
-----------------
Credited
Due
---------- ----- - ----
Permit Fee Total 31:00
----------
.00
----------
.00
31.00.
Plan Check Total .00
.00
.00
.00
Grand Total -31.00
.00
.00
31'.00
LQPERMIT
j.i
Bin #
City of La Quinta
Building a Safety Division
P.O. Bcr. 1504, 78495 t:ailp Tampico
Permit #
X13
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application Tracking Sheet
and
Project .lddress: _ 3� �r
—_ _ _
0W..;er_s TT I., me_�0/1 _ . S _
A. P. Num ier: `
de
Aress: 0ork De Ya
_
Legal Description; a
City. ST, Zip: C C'n q'-�0
Contractor:YA Lmq5
Telephone:
�-Address:I�� a� �
Froject Description, � j1 n wa,'
City, ST, Zip: Z t(.Li 'C/- a oao)
_
3' 90k, i
Telethon : 190 oS 00 (Qsgp
h�
State Lic. A. City Lin #: 6
.Arch., '?uaa., Dcsigicr:
Adaress:
I
Cuy, ST, Zip:
Teiephyne:Em,Construction
Type: panty:
Project type (circle one): eK' Add'n Alter Repair Demo
State Uc;..9:
Na1Tie Of Cuatdui Fcrson:
Sq. Ft: 15jVi l # Stories: ev� # Units:
2
O�CNivnic R 3i Cuiilnci icl5(51Y: 1�0 X103
Estimated Value of Project: :3
APPOC ANT: 00 NOT WRITE BELOW THIS LINE
m
sub 8:
Rcy'u
Rec'a
TKACKING
PERMIT FEES
Dle� Ceo
111111 \.ileal( submitted
Item
Amount
Strnrtnral Caks.D.::.
�:'.,::fi,'.j ivr cuPrci iiuiis
flan Check Deposlt
Ttvss Caller
Catt?d C^_ ^teet Persen
Pian %uecit Balance
Energy Cates.
Plans packed nn
Flood plain plan
Plans resubmittedtehe.^.!c_l
Grading plan
I
2"Revlew, ready for corrections/Issue
Electrlesl
I
I Subeontactor List i
L'ati d c:ceaet Person
-
i .lumbi„g
r
Grant Deed
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
_ 'I
Grading
I
IN HOUSE:
s`” Review, ready for correetionsPiIssue .
-
Developer Impact Fee
Plannigg Approval
J I' Called. Contact Person
Pub..".'Its. Appr
' E Nate of permit issue
School Fees
l
! I
-MAL
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1
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I 'iotai rermlt Nees
��CIC—��ICClnnelp��llOJ�
Existing Wall 6'Hx60L N
3'H x 80L Retaining Wall
Requestingii 'permit from City of L. Q.
1a Waterfall Waterfall 1b
�3+� Jacuzzi \ .
�YWaterline 22'LxO.6
�o
wa�,a,tl
W E
Pool 2c ,
2b
(2) Rock Honey Qurtz
2a total 5 assorted size
Tony Contreras S
43086 Corte De Oro
La Quinta ca Cabanyog Landscape
81120 pindo dr
indlo ce 92201
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