05-2348 (BLCK)ff
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
X05-00002348
77750 COACHELLA DR
658-310-046- -
WALL/FENCE
LOW DENSITY RESIDENTIAL
7000 _,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LA QUINTA GOLF ESTATES
P.O. BOX 1398
LA QUINTA
LA QUINTA, CA 92253
Contractor:
or Engineer: BAUMANN MASONRY
15390 COLLEEN CT
RIVERSIDE, CA 92508
(951)780-7469
Lic. No.: 497463
--------7----------------------------------------
-LICENSED
---------------------------------------
-LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C8 C29 C54 License No.: 497463
Date: Contractor:
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 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 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 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.).
( /y, 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 Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C._IQr this reason w
Date: . `—�—�y Owner: I
CONSTRUCTION LENDING AGE! CY
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. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/28/05
-----------------------------------------------
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 which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 19133
Zf. I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers'. compensation laws of California,
and agree that, if I should b ome ubject to the workers' c pensation provisions of Section
�J00 of the Labor Cod s I with comph ith th provisions. .
Date: S Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CVER GE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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.
APPLICANT ACKNOWLEDGEMENT
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, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, 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 of this application becomes null and void if work is not 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. I agree to comply with all
city and county ordinances and state laws relating to buildi tr�n, and her by authori representatives
of this cou ty t enter ypon the above-mentioned propey�i n rpose
Date: Signature (Applicant or Agentl: /
.%
LQFERMIT
Application Number . . . . . 05-00002348
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 90.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 7000
Expiration Date . . 1/24/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
5.00 9.0000 THOU BLDG
2,001-25,000
=
45.00
-------------------------------------------
Special Notes and Comments
`
--------------------------------
RAISE 200 LF EXISTING SOUTH WALL
1' TO
1' 8" TO MATCH 80 LF NEW WALL PER
APPROVED PLAN/STRUCT CALLS/raise
100 if
on North side.
Fee summary Charged
-----------------
Paid
Credited
----------
Due.
--------------------
Permit Fee Total 90.00
----------
.00
.00
90.00
Plan Check Total .00
.00
.00
.00
Grand Total 90.00
.00
.00
90.00
r �o'TE: b#(PLrrA 0? ve�S PP1u^Ssr 1v To aLeMove �i� i o ��•� Py i k.�r�icrNy
Bin Y
-7
1 � 5 0 City ®f La Quinta
C �a Building 8l Safety Division
�-- P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit
Project Address: y5 O J��
Owner's Name -,/
A. P. Number:
Address:i-to - �
Legal Description:
City, ST, Zip:
Contractor:/r: f 1 �jn
aT /`/ d/tp
ele
T hone:
P
Address:
Project Description:
City, ST, Zip:
e:
Telephone-.
h
G �O
State Lic. # : % 6
City Lic. #:
Arch., Engr., Designer:
Address:vf
City, ST, Zip:
AS 0/ 2 90 C F tltft , 6 /-c ( o -w Tcc4
Telephone:hone:
. 2a-
Constructionn Type: eOccupancy'
State Lic.
oJe Alterr Repair t De mo
P th(circle one):. Ne��Add'n
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING*
PERMIT FEES
Plan Sets
/
Plan Check submitted f7
Item Amount
Structural Calcs.
Reviewed, read', for corrections 8
Plan Check Deposit
Truss Calcs.
.Called Contact Person
Plan Check Balance
Title V Calcs.
Plans picked up M¢ Vk�Ml
Construction
Flood plain plan
Plans resubmitted 1Z
Mechanical
Grading plan
2"" Review, readyfor correctio issue ,0 � 7
Electrical
Subcontactor List
Called Contact Person %
Plumbing
Grant Deed
Plans picked up
S.f11.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'"' Review, readv for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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T4tyl 4 4 4"
P.O. Box 1504
78-495 CALLL TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler; Building & Safety Manager
From: Doug Evans, Director -CDD
BUILDING & SAI"I:"I'Y DEPARTMENT
(760) 777-7012
FAX (760) 777-701 1
To: CDD: 6-15-2005
Due Date: 6-21-2005
Status: 1" Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for the
following project:
Description: INCREASE PERIMETER WALL HEIGHT (NO ELEVATIONS
SUBMITTED)
Address or general location: 77-750 COACHELLA DR
Applicant Contact: PETER MURPHY 760-564-2997
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
approval.
...these Building Plans are approved by the Community Development
Department. of G oVi `0LAAS
❑ ...these Building Plans require corrections. Please forward a copy of the attached
corrections to the applicant. When the corrections are made please return them to
the Community Development Department for review.
S
Doug Evans, Director -CDD T