11-0126 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:'� 1�1-0000012-6—t
Property Address: 8'63.377PEERLESS PL
APN: 770-.310-022- -
Application description: WALL/FENCE.
.Property Zoning: LOW DENSITY RESIDENTIAL
Application -valuation: .2600
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
LICENSED CONTRACTORS DECLARATION -
I hereby affirm under penalty of'perjury.thaf I am licensed under provisions of -Chapter 9 -(commencing with
Section 7000) of Division 3 of t usiness and',P.rofessionals Code, and.my License is in full force and effect.
�icense'Class: C53 License No 833313
Datevl" 1 contractor.. -
OWNER-BUILDERDECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor;eState License Law for the
.- following: reason (Sec. 7031.5, Business and Professions Coder 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 statemem.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 sfie isekempttherefrom'and thebasis for.the alleged exemption. Any violation of Section, 7031.5 b'
. any applicant for a:permit subjects the applicant to a civil penalty of not more than five.hundred.dollars 0500).:
1 _ 1 1,:as,owner of the property, army employees with wages as their sole compensation will do, the work, and
the structure is noijntended.oroffered for sale (Sec. 7044;-Businew and Professions Code: The -.
Confracfors' State License Law "does not apply to an owner of'property who builds or improves thereon,
and who'doesthe .workhimself`or`herself through his -or her. ownemployees, provided that the
improvements are not intended or offered for sale. If, however', the.buildirig orimprovemeni is sold within
one year ofcompletiom the owner -builder will have, the burden of: proving that he.or she did notbuildor .
improve,forthe purpose'of.sale.):.-
1 _ 1 .l, as owner of.the property,.am exclusively contracting wit h.licensed contractors to construct the project (Sec:
7044, sin
Buess and Professions Codb: '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 am ekempt under Sec. BAP.C. for this reason
Date: - Owner:
CONSTRUCTION LENDING AGENCY. _
'I hereby affirm under penaltyof'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:
1' ■ '
Lender's Address:
FEB c
CITY OFJJ4
LQPERMIT ' _ F11I.Sti\t'.
Owner:
IRWIN
78633 PEERLESS PLACE
LA QUINTA, CA 92253
Contractor:
LINDLY'S-POOLS .OF CALIFORNIA
30805 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
(76-0343-0600
Lic. NO.: 833313
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/01/11
WORKER'.S'COMPENSATION DECLARATION
I hereby affirm underpenalty of.perjurgone of the following"declarations: -
_ I have and will maintain a certificate.of consent,to self -insure for workers' compensation, as provided
- for by Sectiom3700 of the; Labor Code, for the performence.of.the work for which this permit is
issued..
I have and will maintain workers"compensationinsurance, 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 DELOS INS CO. - Policy Number, .0009172010-02
_ I certify that, in the performance of the work for:which this permit is issued, I. shall not employany
personin any manner so as to become 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.
A _leant. `A^
WARNING: FAILURE:T,O SECURE W RKERS' COMP.ENSATION.COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT ANEMPLOYER To CRIMINAL PENALTIESAND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (000,'000). IN ADDITION TO THE COST OF'COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706.OF THE LABOR CODE, INTEREST, AND"ATSORNEY'S FEES: -
APPIdCANT ACKNOWLEDGEMENT -
IMPORTANT Application is hereby made to the Director, of Building and Safety for 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 tinder or pursuant to any permit issued as a result.of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnifyand 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 issuanceof such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I nave retia this application and state'that the above information is correct. I agreeto comply with all
ances.and state laws relating to.building'construetion, and hereby authorize representatives
his county e. ei upon the above-mentioned property for inspection purposes.
a 54nature (Applicant or Agent).
LQPERMIT
Application Number . . . . . 11-00000126
'Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee. . 54.00 Plan Check Fee
.00
Issue Date . . Valuation . . .
2600
Expiration Date 8/06/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
Special.Note6 and.-Comments
a;.. 26 Ji. F. 6'.,,GARDEN,,;WALL F,OR.Ot7TDOQR ..
SHOWER, .18..L F. 6' GARDEN WALL,. & 60
L:
•
F 'COMBO WALL: 3 '• GARDEN.. WITH• 31
WROUGHT .IRON .FENCING ON-TOP, ALL CITY
STANDARD;.;2010 CODES..
Other�Fees . .. . . . . . . BLDG STDS ADMINc(SBT473).-
1.00
Fee.sumCharged Paid. Credited
inary
D ue
"Permit•.Fee`..Total 54.00 00 00
54.,00
Plan`Check'Total .00 00 .0000
.
Other.:Fee Total"' . iA0 . 00 0.0
1.00
.5.. Grand Total.. 55.0.01 '00 .00
..55:00
LQPERMIT
Bin #
City of LiQuinta
Building 8r Safety Division
P. O.- Box. 1504,, 78-495 Calle Tampko
La.Qdinta; CA 92253 =.(760)..777-7012
Building Permit Application and -Tracking Sheet
Permit # n�D
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Project Address:
Owner's Name:Lf 5
A. P. Number:
Address:
Legal Description:
City, ST, Zip:. LA • ( J I .L' j�Pt
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Contractor: .L` SOL S RA5 �� C� L,r��i�S.
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Telephone: �>4>ys.a:��w}.::�•:.>..,::»s`%�;:
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Address:.1��pR�Vt.
ProjectDescription:.
City, ST, Zip: I V JJ Q rS;
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Telephone: J �j` 1Jr Qsr�
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State Lie. # : ���.
City Lie. ..
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Arch., Engr., Designer:
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Address:
City., ST, Zip:
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<%<'„,« »>'::».":�`::'•'' r.°•'•' °
osuctioTTele e: Occupancy:
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State Lie. #:
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Pro'ect a circle one New . Add'n Alter Re air Demo
Name of Contact Person: S� �O� IE�
Sq. Ft.:
#. Stories:
# Units:
Telephone # of Contact Person: : I i ” l`12_ VC l 2,
Estimated Value of Project: .
APPLICANT: DO. NOT:WRITE:BELOW THIS -LINE
k
Submittal
Req'd ' '
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
_
Item
Amount
Structural Calcs.
.•Reviewed, ready for corrections
PIan.Check Deposit
Truss Calcs.
&lied Contact Person
.'Plan Check'Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready. for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans.resubmitted
-Grading
IN HOUSE:
''d Review, ready for. correctionsrssue
Developer Impact Fee
Planning Approval,
Called. Contact Person
A.I.P.P.
Pub. Wks. Appr
Date.of permit issue.`
School Fees
Total Permit Fees