08-1073 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO 444f
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
108 00001073"
Property Address:
57180 PENINSULA LN
APN:
762-150-022- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
3178
Applicant:/ Architect or Engineer:
Ca
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: B License No.: 559016
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).: r
1-_ I 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 of 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.).
1 _ I 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
I _ 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 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:
LQPEI MIT
Owner:
LINN WILEY
57180 PENINSULA LANE
LA QUINTA, CA 92253
(760)564-1528
Contractor:
MORGAN,CONSTRUCTION COMPNY
P.O. BOX 894060
TEMECULA, CA 92589
(951)303-9365
Lic. No.: 559016
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/20/08
-----------------------------------------------
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 SCO TTDALE INS Policy Number 1610651
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 1 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 ($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 performedunderor 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 186 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Dater Signature (Applicant or Agent):
4
LQPERA1IT
Application Number . . . . . 08-00001073
. -Permit . . . . . . WALL/FENCE PERMIT
°
Additional desc .
Permit Fee•. 63.00 Plan Check
Fee
.00
Issue Date Valuation.
3178
Expiration Date .' 12/17/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
------------------------------------------------------------------------------
- Special Notes and Comments
GARDEN WALLS PER CITY STANDARDS: 100 IN
FT X 6FT HT;18LN FT X'5 FT HT ; 18 LN FT
X 4FT HT; 38 IN FT X 3FT HT AS PER
APPROVED PLANS
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 63.00 .00
.00
63-.00
Plan Check Total .00 .00
.00
.00
Grand Total 63.00 .00
.00
63.00
LQPERA1IT
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracki ig Sheet
Permit # ^
r �b� 7
Project Address: S ! 00 fe..j loo ( jA e
Owner's Name: Mit N N w l�
A. P. Number:
Address: S 7( 60 4Ni.,,4y(w �,�+�► �
Legal Description:
City, ST, Zip: 144— UI" -a„ CP 6 Z Z V
Contractor: �' Ip„w� CpN S} Ca
Telephone:160-564-`r-2-g
Address: T! O . V \ kko oo
Project Description: New R l w-fk uJi4� t
City, ST, Zip..
Telephone. J 0 3 J3 6r,�
/ 'hl* / �'
State Lic. # : �� o G .�j City Lic. #:
Arch., Engr., Designer: 04 A
LII it r_ /
! 'TK I/I�C�tJ
� vi _ //
Address: % S()(e VAa14 Jdle-0
12e ✓ (� ( T 140464VC
City, ST, Zip: L) A
Telephone:70 _ 77i 707(
-
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): ew J'n Alter Repair Demo
Name of Contact Person:*-90AJ J
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: fo � D T T
Estimated Value of Project. Q ago
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACT UNG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Che --k Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3rd Review, ready 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