10-0121 (BLCK)Iii
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000121
Property Address:
81667 CHARISMATIC WY
APN:
767-640-041- -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2900
Applicant:. Architect or Engineer:
C��
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------ ----------------------- I --------
ENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th am licensed under provisions of Chapter 9 (commencing with
Section 7000) of, Division 3 of the Busines nd Professionals Code, and my License is in full force and effect.
License CI B License No:: 753190
Dat % Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I em 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'toits issuance, also requires the applicant for the
permit to file a signed statement that hear sheds 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 thwalleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of notmore;than five hundred dollars (8500)::
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the; work,,
the structure is not intended oroffered forsale (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 herown,employess; provided that the
improvements are not intended or offered forsale. If, however, the building orimprovement is sold within
one year of completion, the owner -builder will have the burden ofproving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I; as owner of the property, am exclusively contracting with lioensed.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 coniractor(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.).
Lender's Name:
Lender's Address: -
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/18/10
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, A ti AWA
LA QUINTA, CA 9225IDL (760)777-9920Lr�J u
Contractor.
F E 8 i 2um
HERINGTON DEVELOP NC,
40960 CALIFORNIA O RD,
MURRIETA, CA 92562
(951)677-8415
Lic: No.: 753190
-------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following; declarations:
_ I have and will matritairi 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
Cole, 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
I certify that, in the perfor nce of the work for which this permit.is issued, I shall not employ any
persortany manner so become subject to the workers' compensation laws of California,
and agreethat, if I should ma subject to the workers' compensation provisions of Section
3700 of:the Labor Code, I jail forthwith comply with those provisions.
Dat . / �i Applicant: -
WARNING: FAILURE TO SECURE WORKE S' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AWEMPLOY.ER TO CRIMINAL P ALTIES 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 applicatiom,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 Quints, its officers, agents and employees forany'.act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued wa.resutt of this applic 'on bicomes null and void if work is not commenced
within 180 days from date of issuance AsNh itirmit, or r cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and statethat t a ,information is correct. Iagree,to comply. with all
city and county ordinances and `state -laws relating to bui_ in onstruction, and hereby authorize representatives
of this cou t enter upon the above-mentioned propert f inspection purposes.
Date �0 Signature (Applicant or Agent): _
d v
Application Number . . . . . 10-00000121
Permit .
. WALL/FENCE PERMIT
Additional desc .
.
Permit Fee
54.00 Plan Check Fee
.00
Issue Date
Valuation . . .
. 2900
Expiration Date
8/17/10
Qty Unit Charge Pet
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
-------- -
Special Notes and
----- -
Comments
116 LN FT X 6 FT HT ORCO STANDARD_ BLOCK
WALL PER APPROVED
PLANS.
---------------------------------
Other Fees .
- ---- -
. . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid Credited
Due
-----------------
Permit Fee Total
---------- ----------- --------- -----------
54.00 .00 .00
-- --Permit
54.00
Plan Check Total
.00 .00 .00
.00
Other Fee Total
1.00 .00 .00
1.0.0
Grand Total
55.00 .00 .00
.55.00
LQPExMrr
�. rola
rA M 1N .araa..AO '411
Ls. 'd .
RECTION A -A
A2W AVENLIE AIA] IJONIIOE STREET
- au
:.. _.r..l owni►r AAAA ._o.i.a l.Iw
w
.n
Ivvlr
nr
1 �
w�
wnuew .RECTION
PmyATE' RTREETR
.la
B -R
W TNRL ILv
—
_I
_ Cowl~ u,Ia -rLO,
�A .uomrol.r � : wao�il.ar r/ail.a
d lrr�llrw— vin -liars+
------------- _asw'Low.
- ns.c a.s — - — - - e w••s.. aw I.a
7m crry
CO_ LINTY F' WV�mE STATE"G� CALIFOfWA
TENTATIVE TRACT
MAP O. 31202
AND PRELIMINARY GRADING PLAN
u o� wwaw�arlor�
saowo.w A road w an. lit aqm
vewwrur ae mi T aW.
weseaenwa PAACm wuue.a.a.
rrr-goo-m.. Aw ria-wo-oo.
' � IIWt>1R8
�s.aAi w
ro ia. wA
' r..r mwlr a waw
O6V0�Pwa
OVIf sumac
.� io.rAor•.a law.erAa
TiO1...r1A1'}l YI. r
taws awwrras
ru awrauw
i Y ..-let101tlG�
. ,. wmm as No moo="& m
m a Trews ra. m war. wm a
nor worm -••m•' ww1
wrwlow owwAie
... .oar a wror a rww
I nowwawL .l.OTB9
=904 dawn Mm .-m wa04Twe
Woos alt aa.a weellwr ruw talo
e �wwl►nw.wwsnaw aiouv
` mow rAldls rwaA.11w.
.r�' 0wwi iawfr asa.r; 8171 AOi7LTl.w
� _ Narwm at'I iwYL.Ir.11. 1i4Y
w.:aa IIUw ur wwY raft, arallrlr
' � AAAA w.1.r! wwiwlrr tori en 1111.11.11Ai
ao.
fie- wor.w: i111eii .fat. •.• f1..1 t• Isar .aur
may. neem / ero.ml / I.IO.pAIw / reals►'
�Y� ren •�• nr4 r w x nw/ yr nal .aw
� wsa�s ffarrfe rm r oA. Aafa
Coram .afa yr .rfoi toT r ar .alas
n olw r lei.11oM'Yw •go.Iw llww.
.lar w Aafo
'pe .:. wwo rw.s 111.1 .00
• �; In .a..: +Cada
y Iwww Iww.r..far aillw.w WWA • a.
eweEwur.re Norea
�w e.wefr b weaui fm pm www w
'd wn.raTfe. RAI 0.4 -WA
+.loan Ti Aowr w It.n
t i ®Ir inert IO I.AMIs.ii. a.law.a s
wln.rls war oa.-we
,/sr .i..oir m..Iem.Te
1� ®O If..00lc rat fsso.m rilu a I.nu71 a•
1a! � enrols n.r
.i..welr fo.www w 1r.aa
�. v Ill.rtr nror w rata. v vocal.sn ax
rwwAa
+..ewlr ro a ..aoa.o
-'• r13. UT.w
ft
YC— .writ wam �
w na w ccr w o°aeamp�n.r
CATIA COWS" won aAa.
rWIN=w.a wTI.lafwi
nam 1w wwow . 0,69"'"0,69"'"'"ai
lawal ai.oeA► ww"AMirffsR ,a'.O.Ai.n
Iwo uao.�Yw.owd row w.wllaJw.
Ir rw wr s it
.au I -.1w WMftl10. S10J8 Ilm ISfOOAfif, /NG:
r1.1w. / load sswwri / m mow
.1'Oq'i'r t as a wnlr w
"! 7
ff
s'° #
City of La Quints
Bla7din5 far Safety Di don
P.O. Boz 1504, 78-495 Cabe Tampico
La Qufnrap CA 72253 - (760) 777.7012
Building Permit Application and Tracking Sheer
Permir #
Project Address: pie r i�i'1/I Ovrncr's Name: X joh q
A" P. Number. 7&7- atm 005 Address: 'i a—Atb t d
jepj Description:. City. ST. Zip: (,% 4,4 � CLQ 972 5 3
Contraetor,.x .J � Q �7E�,✓ v Telephone: ` � l
Address;)C PrcjectDescription: X
City..ST.Zip:-<- /%�GCiZt�.� 14 C1q' pZ5 G. /oaf sale// [ il�fic/ GJ..411
Telephone: x aZ
94C77;/
fC!ty
State Lic. tl : K 7S Q
Lic. #:
Arch_. Engr.. Designer G+ J�•a% / l
a�- .�e?C�.,�w,,�;s., T�� r,�
AddM39:
Ciry. ST. Zip:
Cel hone ;- «;:' �!y„"' „ Construction Tvpe: p «ale Gam!
cp H.�4'..�� g::>r >.'r :... lj' Occupanc}':
State Lic. #: s: ' `' . `•" -, Project we leirck oncl; Nen' Add`n. Alter Repair Demo
Name of Contact,Petson: Sq" Ft.: i.'Z 7
It Stories:
a Units:.
Telephone # of Contact Person: Estimated Valde ofPcoject: X Jr' 71 1
APPLICANT: DO NOT WRITE. BELOW THIS LINE
M -
Submittal
Rcq'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Revic-ed.,ready for correetlons
Plan Check Deposit
Truss Cales
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plana resubmitted
Mech9nical
Grading plan
2" Review;.ready for eorreetidnsAssoc
Electrical
SubcontaetorList
Called Contact Person
Plumbing
,
Grant Deed
Plana picked up
5.i►1.1.
1LOA. Appravgl
Plans resubmitted
Grading
IN HOUSE.-
Review. ready for correctionslissue
Developer Impact F'cc
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permiClssue
E
School few
Total Permit Fees
-
10/10 'd 'ON VE Wb 65 11 AHI 0103-81-M