06-4406 (BLCK)P.O. BOX 1504 T-4bt 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:Q6-000.044." 0'6 Owner:
Property Address: 78825 PINA BILL HUNTER
APN: 772-080-021- - - 78825 PINA
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: . LOW DENSITY RESIDENTIAL
Application valuation: 2500
Contractor:
Applicant: Architect or Engineer: TORRES CONSTRUCTI
81301 AVENUE 50
INDIO, CA 92201
\ I� (760)772-2848
Lic. No.: 550498
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: Bcense No.: 550498
te: L d � ntractor: G
• -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am e - mpt 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 70001 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).:
1 _ 1 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.). -
( 1 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—) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/29/06
DEC 2 9 2006
C1n.
aRfr _11A4
_ _
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 GRANITE INS I Policy Number 1883116
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 become subject to the workers' compensation provisions of Section
3/700 of the Lab r Co , I shall/forthw'
0 of t�he �Lab r Ch comply with those provisions.
YZ G plicant: �/t
WARNIN FAILURE TO SECURE WORKER OMPENSATION COVERAGE IS UNLAWFUL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 unty ordinances and sta aws relating to building construction, and hereby authorize representatives
of this umy
to enter upon the ove-mentioned propertidfor inspection p poses.
te��l ' G )/Sig cure (Applicant or Agent):
Application Number . . . . . 06-00004406
Permit
WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 54.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 2500
Expiration Date
6/27/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
1.00 9.0000
THOU BLDG
2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and
Comments
100 L.F. 6- GARDEN
WALL, CITY STANDARD
Fee summary
-----------------
Charged
----------
Paid
Credited
Due
Permit Fee Total
----------
54.00
----------
.00
----------
.00
54.00
Plan Check Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.00
LQPERMIT
Bin #
City of LaQ uinn
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Building La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit # r�,
` �QV
!�
Project Address: 79 -OZ -3 Ff N/-
Owner's Name: L 2-
A.
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: A c), �'� '� f_4� CG s
Telephone:
Address: ) O A V s-_ O
Project Description:
City, ST, Zip: %`� p) v
(y U\ t L L
Telephone:7l ;53
State Lic. # : SU c1 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �-� >, —Tb V E S
` p
Construction Type: Occupancy:
P cY:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stori :
#Units:
Telephone # of Contact Person: 76o
Estimated Value of Project: '
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for#orrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading_plan
2'' Review, ready for corrcetionsrissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
ILO.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`' 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