10-0120 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10--000.00120
Property Address: 81731 CHARISMATIC WY
APN: 767-64.0-015- -
Application. description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2900
Applicant: Architect or Engineer:
7�� _
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
CEN CONTRACTOR'S DECLARATION
I heraby7affirm under penalty of perjury -tit a icenved.under provisions of Chapter 9 (commencing with
Section 7000) of'Division 3 of the, Business role 'nnals'Code, and my. License is.in full,force and effect.
License Cl "s: License.No.: 753190
Date: /� /J Contractor:
WNER-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I exempt from the. Contractor's State License Law for the
following reason (Sec. 7031.6, Business and, Professions Code: Any, city or county that.requires a permit to
construct;,alter: mprove; 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 7060) 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'Seciion 7031.6 by
any applicant for a permit subjects the applicant to a civil penalty of not more than fiv& hundred dollars (5600).:
(_ 1
[,,as owner of the property, or my employees with wegeslas their sole compensation, willdo the work,_and
the.structurs is not:intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' StatwLicense Law doesnot apply to an owner of property who builds or improves thereon,
and who, does the work himself or herself through hisor 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
improve4orthe purpose,of'sale.).
(_) li,as,ownerof the property, arn.exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business. and Professions Code: The Contractors' State Ligense Law does not apply town owner of
property who builds or improves thereon; andwho contracts for the projects with a contractorls) licensed
pursuantto 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 We construction lending agency for the performance of the
work for Which this permit is:issued'(Sec. 3097,:Civ..C.1.
Lender's Name:
Lender's Address:
LQPERMTf
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/18/10
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, .SUITE G
LA QUINTA, CA 92253 d
(760)777-9920 D•
Contractor' FEB 19 200 l
HERINGTON DEVELOP INC, JAME O -
40960 CALIFORNIA OAKS RD, # 83 Gl7Y�;F¢ r•..�
F' rit to r
MURRIETA, CA 925,62
(951)677-8.415 "'.
Lic. No.: 753190
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 whichthis permit Is issued. My workers' compensation
,insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1542946-2009
_ I certify that, in the perform ce,of the work for which this permit is issued, I shall:not amploy,any
person in any. manner so o, become subject to the workers' compensation laws of California,
and agree that, if I should come subject, to the workers' compensation provisions of Section
,�0 of the Lebor C_ oda, I hall forthwith comply with those provisions:
Da / �,j Applicant:�W
WARNING: FAILURE TO SECUREO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN 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.
APPUCANT,ACKNOW LEDGEMENT
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, end.the applicant, each agrees to, and shall defend,. indemnifyand hold harmless:the City
of La Ouinta, its officers, agents and employees for any act or omission related to the work being
performed under or following, issuancethis permit.
4. Any permit issued ass result of this app at n becomes null and void if work isnot commenced
within 180 days from date of issuance. ch permit, or cessation of work for T60 days will subject
permit to cancellation. -
I-certify'tnatI have read this application and state the t above information is correct. tag roe to comply with all
city and co my ordinances and state laws relating�to ing construction, and hereby authorize representatives
oUthis co-- ty to ter upon the above-mentioned pro y for inspection purposes.
Dat . Signature (Applicant or Agent):
Application Number . . . . . 10-00000120
Permit . .
. WALL/FENCE. PERMIT
Additional desc .
.
Permit Fee
54..00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
. . .
. 2.900
Expiration Date .
. 8/17/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
_1.00 -9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------
Special Notes and
------------------------
Comments
--
116 IN FT X 6 FT HT ORCO STANDARD BLOCK
WALL PER APPROVED
PLANS'.
--------------------------------------------------------------------
Other Fees . . .
. . BLDG SIDS ADMIN (SB1473)
1.00
Fee summary
- ----------------
Charged Paid Credited
-----.--- ----------
Due
Permit.Fee Total
---------
54.00 .00
-------------
.00
54.00
Plan Check Total
.00 .00
.00
.00
Other Fee Total
1.00 .00
.00
1.00
Grand Total
55.00 .00
.00
55.00
LQPERMIT
li;r_
0A CA 1K WYrI AM AN
ISM I
Mn..
e,:a ..:.
�r� w BECTION A -A
!J!m AVEMIE.AI� YONROE 8.
a1.L
N
•• trOr QIP
W aL�4N
1
Q —Alr
Ia,.
• - �r polo.
RAM
-rawwK —�—------
- lea II,IIrI
-- •fiRft�m
-'Marr f1I
`1
I
--.�
QBE
mm u
PRJVATE
STREET
8 -W
afa
THMI 'L'
-'fa,l!a
•• trOr QIP
W aL�4N
Q —Alr
Ia,.
• - �r polo.
— — — _ . faai.l OM O'a1
- 1,4a IA, W.
- Irel Is.raf
-rawwK —�—------
- lea II,IIrI
-- •fiRft�m
-'Marr f1I
�Iaa�r. r ABBRRN�TIf]Nm.
CA • O,1Wa rW `. Illfrp
L . as rc . NLL FMA OOmf
rN .�1q4 {I M.Oar N �Iap
• IO.IY -. I .. pr�ra
��'4 fawi
4G01
W . LA OUWTA
COUNTY CF mE. ATE. CALIFOHMA
TENTATIVE TRACT
MAP Q. 31202
AND PRELIMINARY GRADING PLAN
, wnwl o�rnll
oMmme • ra,s o' ar or fr narel
fuwrseNAM �ANG IONIC" f►.iw
Arrceeomm PAROa *M mtRr.
lanfe?00� AM l�i�f01/-OOL
nmam
mmrr mR,lm
q Iat rm
IMF aflM a LIIw
osvrt_orea
om m ma fs
.� frrAorm xseo /Ar
Wall "most A mm v
LA .� nasi°s�namf�
.. - raft ITSofII•rllt
' I � rNnlNrrm
I Irlrr YTS Ar Allaraft to
T L TM OUR =W= FAL Ilam M
qtr mrrL"OrwwA mr
.. No@=a WONLM]SOON
awNeOAL Nl]T6B
I � � Mlraffm Off fOmN K IOOwWa tOm I,aN
' � ��; r �soap�r mmmnnL erfMAr
lass" MIO um AOf rm
I IOIIm fOR,af mmR,L RAN AOOLnm
I � _ mOOmL OIt mOM RM LfMr
lweelm
um LII orfs Pamf'�IIIIIL
I = IIILAIIImOfIW. LWS LOTS,. THU m Mr
t AGOING
I . MaAIf amfr► Insn •A• CLOT AM"
Ntmmar f IriEIInI I tArKAIf / Mf
Lan •A• Two � Me x TIIU.x ,Lr MICRO u
Mluom Go utn LOT a oaf AOrr
I
. I II,IIOIr r„A Vr fTAIY, Lor. r mw AOO
�,. Rom ally ercATar N,e MimAL �Ie ,owr
e alar ILn Harr
;!7 wdr ArrAaa nm Arse
I .61 homa"a TSF AMB
AtA wlwa, rwAn nwfn'I,Im wnlril fa ■
I rAe�re N.T�e
O rfrra. I= NFM=w From Ia flow"."
Frame« RAT OabOlf
�m_A rR
®Y. fArra Rr RmMIea MMR, Mm OfmMl ON
rrAWIlO1 IYT 0•fA•�'
1� iAemR m�I AmaGtd
®IM
gfora PLA woAwar Irrf Ia furM1 re
lraArta Iur.�
.IAiY1 m ffA,r r MwIL
. Q. � rllrtf yaflmfr r nrrl'fI rwol ra eA
mMlma
,. .uleram r..Awrfs
L,Tw ara
61a1e Aran m"havo wwro T alumpoA
M an fns/ 1rlrlr•>7r
tafl,Or IrN0110011AMt, RafpFMl
aAr .aWOmN�rMY/ WATw owmi asmoo"m
OAKS IIF "Fla frlf afAMYr
rant � rA/ uriMat alum
L ON rr fa ar
so," I.•.,r' #a,
_
ff
Bin #
Oty of La Quinta
BAIng sr. -Safety Division
P.O. Box 1504, 76-4915 Cage Tarnoco
La Quina, CA 92253 - (760) 777=7012
Building Permit Application and Tracking Sheer
Perntfc #
Project Adt r r.. &z.4s Owner's Name X JC41,q pwd�d !/� Q
A. P. Number. 7&7-.100-006- Address: >< '7 S—,k'f} t
Lao Description:
Conrractoor. X gab T
Cny. ST. Zlp: X• (A RZ, $AT*.* is 14 e% 22-:55
0 AlamiXZ 7Z YJ Telephaae.jS
l
Address: JJO G
Project Description:
�
City. ST. Zips - %nap -1 e:i
14 . eA
Telephone _
n ,,Y ; :�z'�:u
.:n�•.»t.; �;�: ;..�.�
fCitv
State Lie. d : 7 S
Arch.. Engr- Designer.
Lic. i: 1P.
G+f'�Jra% ! 8�' �v6��iyAi4s'AI(,/ ie Gil
Address:
City. ST. Zip:
epl►
ei one:
State Lie. #:
Name of Contact Person:
n•.:<;:.:. Construction TY pe: r.�.b�✓(J Occupancy:
Project type (circle one): Newadd'n Alter Repair Demo
Sq. Ft.: A 7 to Stories: '.'Units:
Telephone Al of -Contact! Person:
Estimated Value of l'raicct: 5 7J5' i
APPLICANT: 00 NOT WRITE BELOW THIS UNE
F .
Submitral
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check•sabmined
Item -
Amount
Strvetnml Csics.
Reviewed.,readp for corrections
Plaa_Check_Deposu
'
Truss Cale.
Called Coonct Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
hlecbaaicat
Grading plan
V Review. ready for eerreetidus%sue
Electrical
::.��►
5ubcontoctorList
Called Contaet'Person
Plumbing
Grant Deed
Plans picked up
ILOA. Approval
Plans resubmitted
Grading
INV'HOUSE-
'"'Review. readv for cvrrcctionslissue.
Developer Impact Ftt
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue"
Scbool Few
Total Permit Fess
-
10/I0 'd
Naa
'ON WE Wd 6S:11 AH1 012-81-88d