05-1770 (BLCK)•
4 4 Q"
P.O. BOX 1504 ;'VOICE (760) 777-7012 ;i.
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING &: SAFETY DEPARTMENT ECTIONS (760) 777-7153
BUILDING PERMIT Q
Date: 5/10/05
Application Number: 05-00001770 Owner: O
Property Address: 81683 CHARISMATIC .WY DESERT CHEYENNE, INC.
APN: 767-200-999-53 -312021- 78401 HIGHWAY 111, SU E
Application description: WALL/FENCE LA. QUINTA, CA 92253 /
Property Zoning: LOW DENSITY RESIDENTIAL (760.) 777-9920 9A
Application valuation: 4553
Contractor:
Applicant: Architect or Engineer: HERINGTON DEVELOPMENT,, JAMES O
WCC: STATE FUND
WC: 1542746 11/01/05
CSLB: 753190 04./3A/06
uJandf
NTRACTOR'S DECLARATION
I 'reby affirm under penalty of perjury thatd under,provisons Chapter 9 (commencing with
ion 7000) of Divis n 3 of the Businessionals Code, andp'lLi m full force and effect..
Liccl License Nsl/5 �/ 7u
Contractor: -BUILDER DECLARATION
I hereby'affirm under penalty of perjury thatt from the Contractor's State License LawJorthe
following reason (Sec. 7031.5',.Busirxrss and Professions Code: Any city or countythat requires -a permit to
construct,.alter, improve, demolish,orrepair any structure, prior to' its issuance; also requires the applicant for the
permit to file a signed statementthat 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 sheds exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5_ by
any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).:
(_)
1, as owner of the property; or my employees with wages as their sole compensation, will do the work, and
the,structure isnot 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 notintended or offered for sale. If, however, the building -,or improvement iszsold 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.).
(_ 1 1, 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 buiIds 'or improves thereon, and who contracts for the projects with a' contractors) licensed
pursuant to.the Contractors' State LicenswLaw.).
(_ 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 agencyfor'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 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 whicKthis permit is
issued.
I,heve and'will maintain workers' compensation insurance, as required by Section 3700 of the'Labor
Code, for the performance of the workfor which thispermit'is`issued. My workers' compensation
insurance carrier and policy number are:
Wrier B Policy Number - - - - - - - - --- -
_ I, certify that, in'the performan o the work for which this,permit is Issued; I.shall nct'arriploy any
person in any manner so as ome subject to the workers! compensation laws of. California,
and agree that, if I shoulda subject to the workers' compensation provisions of Section.
7,00 of the Labor Cod 1 sForthwith comply with those pr"ovisions.
ply. 4pplicant:
WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE'IS UNLAWFUL,, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100;000): IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES:
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and'Ssfety for a permit subject to the
conditions and restrictions set forth on this�application.
1.. Each person upon.whose behalf this;application is made, eachperson 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 agreesto, and shall defend, indemnify,and'hold harmless the City
of La Quints, its,officers, agents and employees for any actor omission, related to the work being.
performed under or following issuenoe?of this permit.
2. Any permit Issued as a result of this, application becomes nulce
I and void if work isnot commend
within 180 days from date of issuance of such rmit„ or cessation of work for 180 days will.subject
permit to cancellation.
1 certify that I have read this application and state that theta v information is correct.. I agree -to comply with all
cityand county:ordinances and state laws�relsting to building ruction, and hereby authorize,representatives
of this c y t •enter upon the above-mentioned property pection purposes.
D / J J Signature (Applicant or Agent):
Application Number . . . 05-00001770
Permit . . . WALL/FENCE 'PERMIT
Additional desc . ..
Permit Fee . . . . 72.00
Plan Check
Fee
.00
Issue Date . . .
Valuation
. . .
. 4553
Expiration Date . . 11/06/05
Qty Unit Charge Per
Extension
BASE FEE
45.00
3:00 9.0000 THOU BLDG 2,001-25,000
27.00
--------------------------------------------------
Special Notes and Comments.
-------------------------
174. L.F. 6' BLOCK WALL, CITY STANDARD;
10 L.F. 4' FRONT COURTYARD BLOCK WALL;
2 L.F. 5' PILASTERS 12" X 12`".
.Fee summary Charged Paid
Credited
Due
Permit Fee Total 72.0.0
.00
.00
72.00
Plan Check Total .00
.00
.00
.00.
Grand Total. 72.00
.00
.00
72..00
LQPERMff
Bin #
City of Ld Quin
Bw7d rig Bt.Safety Division
Permit # P.O. Box 1504, 78-495 CaAe Tampico
149 1.a QEdnta, CA 922S3 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 81-683 Charismatic Way Owner's Name: Desert Elite, Inc.
78401 111 Suite G
A. P. Number: 'Address: �-
Legal Description: City, S t, Zip: La Quinta, CA 92253
``±`k
r.><
Contractor: James O. HeringtOn. Development, Inc. Telephone: ��x�>;s;;�
Address: . 40960 California Oaks Rid. #283.
Project Description:
city, sT, zipft=ieta, CA 92562+
174LF 6' Precision Block Wall
Telephone: 951 677-8415
x ` ...... '"` `y
}.' M.
Property Line
state Lic. # : 753190
City Lic. C. 5091
Arch:, Engr., Designer:
1 OLF -4' _Troht Courtyard Block Wall
Address:
W/1 'stucco
City., ST, zip:
•w/ 2 5" Pilasters 12" X 12"
Telephone:
State L'ie. #:
h,'< n
`'".. .n
, , j :L% J a > •>:;r c; :i..... >:
Construction Type: Occupancy:
Project type (circle one): New ' Add'n Alter Repair Demo '
Name of Contact Person:
Sq. FL:
# Stories:
# Units -
nits:Telephone#
Telephone #of Contact Person:
Estimated Value of Project:;
APPLICANT: DO' NOT WRITE BELOW THIS LINE
N
Submittal
Reg'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cala:
Reviewed, ready for corrections
Plan Check Deposit
Truss'Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans:resubmitted
Mechanical
Grading plan
P' Review, ready for eorrectionsAssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.A.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
''"Review, ready for correctionsPissue
Developer Impact Fee
Planning Approval
Called'Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
1.
School Fees
Total Permit Fees
A
Westen
RESIDENTIAL
. •
«ion LA
CONTRACTING
4211 Latham Street - Riverside, California 92501 - Phone: (909) 686-8760 - Fax: (909) 686-8786
License # 794464
CF6R INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24;
STATE ,OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT/PHASE: RANCHO SANTANA / PHASE MODELS
LOT 53
SITE ADDRESS: 81-683 CHARISMATIC WAY — LA QUINTA, CA
CEILINGS: BLOWN INSULATION
MANUFACTURER: GREENFIBER THICKNESS: 8.1" R- VALUE: R-30
CEILINGS: BATTS
MANUFACTURER: KNAUF THICKNESS: 10" R- VALUE: R-30
EXTERIOR WALLS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3 Y2" R- VALUE: R-13
GENERAL CONTRACTOR: DESSERT ELITE
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
TITLE: PRODUCTION MANAGER
DATE: JUNE 10, 2005