08-0187 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000187
Property Address:
81774 COUPLES CT
APN:
764 -060 -045 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY. RESIDENTIAL
Application valuation:
5250
Applicant: Architect or Engineer:
b N�
LIC SE 'CONTRACTOWS DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I',hereWj;;0WRNERBUILIDMr�ECLARATION.
of. rju that.l m Ii under provisions of Chepter9 (commencing with
sectiof t 8 a d Pr f nals Code, and my License?is in full force and effect.
Licens230
Date:ctor:
OWNER BUILD ECLARATION
1 hereby affirm under penalty of perjury that) am exempt from the Contractor' State Ljcense,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'sState.
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'a permitSubjectsthe applicant to a civil penalty of not more than five hundreddollars(9500).:
(_ 1 1, 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 Lawdoes not apply to an owner of
property who builds or improves thereon, and who contracts for the projects.witha contractor(s) licensed
pursuant to the Contractors' State. License Law.).
I_) I am axempt under Sec. _ , B.&P.C.for this reason,
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that thereAs 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
Owner:
CHRIS MICHEALS
81774 COUPLES
LA QUINTA, CA
(
CT
92
Contractor:
BOVENZI HOMES
56078 PALMS DRIV
LA QUINTA, CA. 92
(760)564-8424
Lie: No.: 710'230
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/23/08
---------------
WORKER'S COMPENSATION, DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided
for by Section 9700 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 which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number -EXEMPT
I certify that, in the performance4f"the work for which this permit is issued, I shall not employ any
person many manner so as to bwome: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 Code, I shall forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES. UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions°and restrictions setforth on this application.
1. Each person upon whose behalf this applicationis.made, each person at whose request and for
whose benefit work" is performed under pursuantto 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 Ouinta,As officers, agents and employees for any act or omission related to the work being
performed under orfollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work isnot 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. 1 agree to comply With all
city and county ordinances and state.laws relating to building construction, and hereby authorize, representatives
of this county to enter upon the.above-mentioned property for inspection purposes.
Date:" Signature (Applicant or Agent):
Application Number . . . . . 08-00000187
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee 81.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 5250
Expiration Date . . 7/21/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
4.00 9.0000 'THOU BLDG
2,001-25,000
36.00
------------ ---
Special Notes and Comments
-
210 IN FT X 6 FT HT GARDEN WALL
PER CITY
STANDARDS AND APPROVED PLANS
Fee summary Charged
-----------
Paid Credited
- -
Due.
-----------------
Permit Fee Total 81.00
.00
.00
81.00
Pian Check Total .00
.00
.00
.0.0
Grand Total 81.00
.00
.00
81.00
LQrERMff
Bin
City of La Quinta _
BWWI 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quanta, CA 92.253 - (760)- 777-7012
Building. Permit Application and Tracking Sheet
Permit # l�_)
Projeet.Address:
ccur�
Ownees Name:
A. P. Number: C L6 0
Address: S O IgS �U
Legal Description:
City, ST, Zip:InO, A�- S3
Telephone: )-
Contractor.
Address:
-Project Description:
City" ST, Zip: —
A 1 t
Telephone:4,53 0 613 11'73.
State Lic. # : Q --_:�> 0 . - City Lic. #: 05-
V, rJ
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lia #:
Name of Contact Person: �,L US--`1 /�
Construction Type: (� q, Occupancy: .
Project type (circle one): New. Add'n Alter Repair' Demo
Sq: Ft::
# Stories: ,
# Units:
Telephone # of Contact Person:
Estimated Value o�'Project �
APPLICANT: DO NOT WRITE BELOW THIS UNE
# .
Submittal
Req'd
• Ree!d
TRACMG •
PERMrr FEES-
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Phu Check Balance
Energy.Calca.
Plans Picked up
Construction `
Flood plain plan
Plans-resubmitted
Mechanical
Grading plan
P' Review, readyfor correctionslissue
Electrical
Subcontactor. List
Called'Contact Person
Plumbing
Grant Deed
Piaui. picked up
S.M.I.
XLO.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr '
Date of permit Issue
School Fees
Total Permit Fees