08-0998 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000998
Property Address: 60299 POINSETTIA PL
APN: 764-270-999-90 -300232-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1000
Applicant:
c
Architect or Engineer:
oft -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICE
'S DECLARATION
I hereby affirm under penalty of perjury t t I am lic sed u der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu s ander ssio Is Code, and my License is in full force and effect.
License Class: C27 Lieense No.: 379421
D#4�� - 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.).
(_ 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:
LOPERMIT
Owner:
BRAGG P &"
60299 PO S1
LA QUINTA, I
Contractor:
ARTISTIC LANDSCA
76206 VARNER RD,
PALM DESERT, CA
(760)360-1395
Lic. No.: 379421
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
E V
2
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OCG' D
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# PMD 4 /
9221
Date: 6/12/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 DELOS INS CO Policy mber KDRM12002584
I certify that, in the perfoteshall
the wp for whi this permit is issued, I shall not employ any
person in any manner ecome ubject to he workers' compensation laws of California,
and agree that, if I shoe su ect to the orkers' compensation provisions of Section
700 of the Labor Cc forth ith compK with those provisions.
Date t Applicant: ?
WARNING: AILURE TO SECUR 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 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 ' not commenced
within 180 days from date of issuancdit,
or cessatioq of work or 180 days will subject
permit to cancellation.%I certify that I have read this application and state tnformation' i correct. I agree to comply with all
city and county ordinances and state laws relating struction: d hereby authorize representatives
of this co my to,enter upon the above-mentioned ppection p rposes.
iDate: ignature (Applicant orAgent
n to --
LOPE"11T
Application Number . . . . . 08-00000998
Permit . . . . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee 25.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 1000
Expiration Date 12/09/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
5.00 2.0000 HND BLDG
501-2,000
10.00
----------------------------------------------------------------------------
Special Notes and Comments
49 LN FT X 6 FT HT BLOCK WALL TO
CITY
STANDARDS AND APPROVED PLANS
Fee summary Charged
Paid Credited
Due
Permit Fee Total 25.00
.00
00
25.00
Plan Check Total .00
.00
.00
.00
Grand Total 25.00
.00
.00
25.00
LOPE"11T
Bin #
City of La . Quinta
Building 8i 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:' 2-22 —14r, L-a
Owner's Name: Ot U w 1
A. P. Number.
Address:p
Legal Description:
City, ST, Zip:
Contractor:
�
«j,,b•.:,rs
Telephone:7 -s' ��'a �-�3 � ,��_ -�-:.
Description:
Address: Z9Z0 6 VA",evProject
city, ST, zip: J71 V.
t(! L OPJL 157114-1,
Telephone• 6 3
aE,�y
�a.�c:� . cam.
State Lic. #: Z City Lic. #: IN
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: �� ',�-� " �
StateLic. #:
Name of Contact Person: tlY1qoY7q10
Constmction Type: Occupancy-
ccu anState
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft:
#'Stories:.
#Units
Telephone # of Contact Pelson:zl J
Estimated Value -of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIUNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.Reviewed;
ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance
Energy Cabs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionslissue
Electrical
Subcontactor Last
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
LL.O.A. Approval
Plans resubmitted
Grading.
IN ROUSE:-
Ud Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.L.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees