07-3179 (BLCK)v P.O. BOX 1504 A
78495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number:
Property Address:
APN:.
Application description:
Property Zoning: , f
Application valuation:,.
07-00003179
58505 QUARRY RANCH RD '
766-060-022- -
WALL/FENCE
LOW DENSITY RESIDENTIAL
1000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
*. QUARRY RANCH
41865 BOARDWALK NO 214
PALM DESERT, CA 92211
Applicant: Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 878197
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 td a civil penalty of not more than five hundred dollars 155001.:
(_ 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, 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
' yG7LG5hl to Lhu Diuie Llwnee Lauu.).
(_ 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:
LQPERMIT .
VOICE (760)-.777-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 12/20/07
Contractor:
RAM DEVELOPMENT & CONST INC p
72218 DESERT DRIVE JAN A
RANCHO MIRAGE, CA 92270 JA
(760)346-4457 amp &A11181
Lic. Noo..:: 8 878197 a� CEOCf. V?
-----------------------------------------------
WORKER S
-----—------————————————--------——————--------
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 0460009059
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 1$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. 9
1. Each person upon whose behalf this application is made, each person at whose regvul PnO, 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number 07-00003179
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee, 25.00 Plan Check
Fee
.00
• Issue Date..:: ... Valuation
1000
Expiration Date 6/17/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HND BLDG -501 2,000
10.00
------------------------------------------ ----------------------------
Special Notes and Comments
------
40 LN FT X 6 FT.HT GARDEN WALL PER CITY
" STANDARDS & 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
LQPERMIT 1 _
Bin #
City of la Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
3mLa
Project Address 6S
Owner's Name: V j U
A. P. Number:
Address: 2W
`
Legal Description:
City, ST, Zip:
Contracto.•':'�i
y
4 n 9" +T',•'g "•:tis?.`J•:•.
,^�
Project Description:
Address: � @ . a \ Y—L led
City, ST, Zip: \ C'n q —Ito
Telephone: 2A
State Lic. #:
City Lic. #;
4 "
Arch. Engr., Designer.
Address: SO i b M
City., ST, Zip:A
Telephone: "1 5
f<=..:- ".,,:::•::<k
yj? ,;fr.w/ r},3y;
Construction Type:un s u an
State Lic. #:.
Project type (circle one): New Add'c Alter Repair Demo
Name of Contact Person<:�n(DA'nCLn
Sq. Ft.: 4SS
# Stories: 7
#Units:
Telephone # of Contact Person: (go • (Di 6-
Estimated Value of Project: 0(XG . 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd
Recd
TRACKING
PERMIT FEES
F#Submittal
Plan Check submitted
Item
Amountl
Calcs.
Reviewed, ready for corrections
Plan Check Deposit
lcs.
Called Contact Person
Plan Check 3alance
Title 24 Calcs.
Plans picked up
Construction "
Flood plain plan
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:-
Review, ready for correctionvissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permi.' Fees
W