05-1771 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTAXALIFORNIA 92253
Application Number: 05-0000.1771
Property Address: 81715 CHARISMATIC WY
APN: 76.7 -200 -999 -55 -312021 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY :RESIDENTIAL
Application valuation: _ 4821
T4t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DESERT CHEYENNE, INC'.
78401 HIGHWAY 111, SL
LA QUINTA, CA 92,253
(760)777-9920
Contractor:
Applicant: Architect or Engineer: HERINGTON 'DEVELOPMENT,
WCC: STATE FUND
WC: 1542746
CSLB: 753190
LIC ED ONTRACTOR'S DECLARATION
1 reby affirm under Penalty of perjury that l a lice under provisnor�s.of Chapter 9" (commencing with
coon 7000) of Division of the Business a o ionals Cade; and' m "ig j f II' force end effect.
Lice /n§e GI _ License Noy/ -� S S �1
CQntraCt - .
WNER-BUILDER DECLARATION
hereby affirm under penalty of perjury that.jo
exempt from the Cord actor's State License Law for the
following reason (Sec. 7.031.5, Business and Professions Cade: Any city or county that requires a permit to
construct, alter, improve,.demolish, or repair any structure, prior.to'ite issuance, also requires the:applicent for the
permit:to,file s:signed-statement that he orshe 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 7031.6'by
any:epplicant for a permit subjects the applicant to a civil penalty of not more than five hundred.dollars ($500).:
(_ 1 I,,as owner.ofthe .property, or my employees with wages as their sole compensation, will do the work; and
the structure is not intended oroffered 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 doesahe work himself, or herself through his or her own employees, provided that the:
improvements are not intended or offered forsale. If„however, the.buildingbrimprovement 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 cele:).
(_) I, as owner of the property; am, exclusively contracting with licensed contractorsto construct the project (Sec.
70”, Business and Professions.Code: The Contractors' State. License Law does not apply to an owner of
property who builds or improves thereon, end 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 periury,that_there is a Construction lending agency for the performance of the
work for which,this permit is issued ISec. 3097; Civ. C.):
Lender's,Neme:
Lender'sAddress:
VOICE (760) 777-70.12
FAX (760) 777-7011
.TIONS (760) 777-71.53
5/10/05
11/01/05
04/30/06
--------------------------------------------
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;performanoe ff the work for which this permit is issued. My workers' compensation
/
insurance cerrier and policy u rare: /
-Cafiier B olicyNumberl ----------------
I
-----------
I certify that, in the performan work for which this permit is!issued; I shall not employ any
person in any manner so as oma subject to the workers' compensation laws of California,
and agree thot, if I should be a subject to the workers' compensation provisions of Section
0o of the Labor Code, I s forthwith comply with those provisions.
i J Applicant:
WARNING: FAILURE TO SECURE WORKS,ij$'COMPENSATION'COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL FF#NALTIES,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 -Js 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 thisapplication 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 for any,act or omission related,to the work being
performed under or foiiowing issuance of this permit.
2. Any permit issued as a, result of this application 7 null and void if work is not commenced
within 180 days from date of. issuance of such pe it; cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abo of r ation is correct. I agree to:complywith all
cityand.coumy ordinances and state laws,relating to" ilding.co 'on; and hereby authorize representatives
of th3•cou f Mer upon the above-mentioned property f r in on purposes.
e at/eJr3 J J— Signature (Applicant or Agent):.
0
Application Number 05-00001771
Permit. .
. MALL/FENCE
PERMIT
Additional desc .
.
Permit Fee
72.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. .
4821
Expiration Date .
. 11/06/05
Qty - Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
THOU BLDG•2,001-2-5,0'00
27.00
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
LAVERMff
Bim. # City 6f U Qui n .
Buading'arSafety Division
D O Dox 1504 78Clle
T
-495 a
Permit°# ., ampfco
La -Quints, CA 92253 - (760) 777-7012
d s J Building Permit Application and Tracking Sheet
Project Address: 81-715 Charismatic Way owner's Name: Desert Elite, Inc.
A. P. Number•. 'Address: 78401 Hwy. 111 Suite G
LegaV.Description:City, ST; Zip: La Qu.inta., CA 92253
760 777-9920
Contractor. James 0. 'Harington Development, Inc. Telephone: ';:c<:«:;:::>r>::u:
40960 California Oaks Rd. #283,
Address: Project Description:
City, sT, ZipMurrieta, CA 92562 1'86LF 6'' Precision Block Wall
Telephone: 951 677-8415
Property Line
State Lic.4 : 753190 City Lic, #: 5091
Arch., Engr., Designer:8LF 4Front Courtyard 'Block Wall
Address: W/ Stucco
City, ST, Zip: wJ 2 5' Pilasters 12" X 12".
Telephone:3, < :�, Construction Type: Uccupanc}
.State Lic.::c?.y�•,l'.',3:;"?:•'.'r��-,�t"'•'Skvf.4'.vv�"•.`.L,• y.�':uv',ic�.
, ;.;,, .• Project type (circle one): Neu • Add'n Alter Repair Denio
Narne of Contact,Person: Sq. Ft:: # Stories: # Units:
Telephone # of Contact Person:. Estimated Value of Project:
APPLICANT: DO' NOT WRITE BELOW THIS LINE
tl
Submittal I
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Set
Plan Check submitted
Itein Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans icked u
P P
Construction
Flood plain, plan
Plans resubmitted
Mechanical
Grading plan
2" � Resiew, ready rorcorreetions/issue,
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant"Deed
Plans picked up
UNIX
MOA. Approval'
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact:Pe.rson
A.I.P.P.
Pub: Wks. Appr
Date of permit issue
School Fees.
Total Permit fees
DEC-08-2008 MON 08:15 AM RANCHO SANTANA FAX NO. 3987315 P. 02/02
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