06-1653 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-_0:0:0:01653
Property Address:
77154 CASA DEL
APN:
773 -360 -007 -
Application description:
WALL/FENCE
Property Zoning:
MEDIUM DENSITY
Application valuation:
1280
Applicant:
Tity/ 4 4 091ha
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/26/06
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I sm fio u rovisions of Chapt r 9 Icemmencing with
Section 7000) of ivision 3 of the Business and of i WC de, and my Licen is in full force.and effect.
License F-1(0
- u .. 6545
�te: ontractor•
OWNER -BUILDER DECLARATION
I hereby affirm under -penalty of -perjury that I am 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 to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is lioensed,pursuant.to the provisions of the'Comractor'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 7031.5 by
any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($5001.:
(_ ► I, 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 whodoes thawork himself or herself'through his''or her own.employeee, provided that the
improvememsare not intended:or offered for sale. If, however, the building or improvementis sold within
one.year of completion, the owner -builder will have the burden of proving_ that he or did not build or
improve forthe purpose of sale.).
(,� 1 1; as,ownerof 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 builds or improves'thereon, and, who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 1 am exempt under Sec. , BARC. 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. Cil.
Lender's Name:
Lender's Address:
LQPERWT
-------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintaina certificate.of consent to,selfinsure 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 which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1818777-2005
_ I certi that, in the performance of the Wrk fopWYhph this permit is issued, I shall not employ any
on in any manner so as to boDdIS14utillict:to- he wo - -- nation 18 _California,
a agree that, if,l shouid.be a to the orke co tion pr no 'Section
OO of the Labor C e, I sit fo it comp) with os r ions.
ate: b�A plicant:
WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT A EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE&UPTO ONE HUNDRED THOUSAND
DOLLARS 18100;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 fora 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, and the applicant, each agrees to, and shall defend, indemnify end hold harmless the City
of Le Quints, its officers, agents and'employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result ofthis application beoomes,null and void if work 'is n ommenced
wit ' 180 days from date of issuance of such permit, or cess ' n o ork'f 80•, ays:will subj
r' it to cancellation:
I certify the I ve read this application and state.that the a ve info ion is torr agree to m ha
city, and c _ t ordinances and state laws relating to buildi constru ion, and eby uthorize pr n wes
of this',ccu %owenntter upon above=mentioned prope r in ion pur
Wee 1/ V gnature (Applicant, or Agent):
Owner:
SOL
ANSCHEL HAROLD
- -
722 1-1 TH STREET
ERMOSA BEACH CA
RES
OL26
ERMONSA BEACH, CA 9025:4
6
ontractor:
Architect or Engineer:
BA DEVELOPMENT
.O. BOX 605
A
ERMOSA BEACH, CA 90251.
al�
(310)318-1580
`
Lie. No.: 654540
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I sm fio u rovisions of Chapt r 9 Icemmencing with
Section 7000) of ivision 3 of the Business and of i WC de, and my Licen is in full force.and effect.
License F-1(0
- u .. 6545
�te: ontractor•
OWNER -BUILDER DECLARATION
I hereby affirm under -penalty of -perjury that I am 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 to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is lioensed,pursuant.to the provisions of the'Comractor'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 7031.5 by
any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($5001.:
(_ ► I, 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 whodoes thawork himself or herself'through his''or her own.employeee, provided that the
improvememsare not intended:or offered for sale. If, however, the building or improvementis sold within
one.year of completion, the owner -builder will have the burden of proving_ that he or did not build or
improve forthe purpose of sale.).
(,� 1 1; as,ownerof 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 builds or improves'thereon, and, who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 1 am exempt under Sec. , BARC. 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. Cil.
Lender's Name:
Lender's Address:
LQPERWT
-------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintaina certificate.of consent to,selfinsure 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 which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1818777-2005
_ I certi that, in the performance of the Wrk fopWYhph this permit is issued, I shall not employ any
on in any manner so as to boDdIS14utillict:to- he wo - -- nation 18 _California,
a agree that, if,l shouid.be a to the orke co tion pr no 'Section
OO of the Labor C e, I sit fo it comp) with os r ions.
ate: b�A plicant:
WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT A EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE&UPTO ONE HUNDRED THOUSAND
DOLLARS 18100;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 fora 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, and the applicant, each agrees to, and shall defend, indemnify end hold harmless the City
of Le Quints, its officers, agents and'employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result ofthis application beoomes,null and void if work 'is n ommenced
wit ' 180 days from date of issuance of such permit, or cess ' n o ork'f 80•, ays:will subj
r' it to cancellation:
I certify the I ve read this application and state.that the a ve info ion is torr agree to m ha
city, and c _ t ordinances and state laws relating to buildi constru ion, and eby uthorize pr n wes
of this',ccu %owenntter upon above=mentioned prope r in ion pur
Wee 1/ V gnature (Applicant, or Agent):
Application.Number . . . . 06-00001653
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit_ Fee . . 31.00
Plan Check_
Fee
.00
Issue Date . . .
Valuation
. . .
. 1280
Expiration Date . . 10/2.3/06
Qty Unit Charge Per
Extension
.BASE
FEE
15.00
8.00 2.0000 HND BLDG
501-2,000
16.0-0
------------------------------------
Special Notes and Comments
---------------------------
--
80 L.F. 4' RETAINING WALL, CITY
STANDARD
Fee summary Charged
Paid Credited
Due
Permit Fee Total 31..0'0
.00
.00.
31.00
Plan Check Total .00
.00
.00
.00
Grand Total 31.00
.00
:00
31:00
LOPERMU
Bin #
City of La Quinta
Building SL Safety Division
P.O. Box 1504, '78-405 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012•
Building Permit Application and Tracking Sheet
Permit.#
Project Address:` r— C �P 1
Qwner's Name:
v' `
T
A. P. Number:
Address:Z � S .
Legal Description:
City, ST, Zip:
Contractor.
Address: _
Telephone: '
Project':Description: �C I
City, ST, Zip:
Telephone:
State Lic. #: -1 b . City Lic.
2Q V7 %61
Arch., Engr-, Designer l._ t" S Tin-dc..a.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction.Type: Occupancy:
Project type (circle. one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:.
Telephone # of Contact Person:
Estimated Value of Projects
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd :
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed,ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans ticked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2' Review, ready for correctionsrssue
Electrical . .
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval,
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for eorrectionsli slue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees