07-0303 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUTNTA, CALIFORNIA 92253
Application Number: c07-00.0.00303
Property Address: 58681 QUARRY RANCH RD
APN: 766-060-033- - -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2500
Applicant:
C,
;x
Architect or Enginee
d1A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
QUARRY RANCH LLC
1 QUARRY LANE
LA QUINTA, CA 92253
.(760)343-1800
p
Contractor:
a Qp ) RAM DEVELOPMENT & CONST CO INC
72218 DESERT DRIVE
�Q�ONCA RANCHO MIRAGE, CA 92'270
C��� NCE�Ept (760) 343-1800
Lic. No.: 529976
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Icommencing 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.: 529976
te: ntractor:
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 ISec. 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).: .
_ (_ 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
t; 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 _ 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
puiSuunl to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
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: IJ jtk�
LQPERMIT
Date: 2/08/07
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy Number 0460009059
I certify that, in the performance of theworkfor 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
3701ff the Labor Code, I shall forthwith comply with those provisions.
9
e: 2 scant:
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 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 anjpdunty ordinances and to laws relating to building construction, and hereby authorize representatives
oft county to e,Ir upo a above-mentioned property for inspection purp s.
O
Date: ignature (Applicant or Agent): t ---
Application Number . . . . . 07-00000303
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 54.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
.
. 2500
Expiration Date 8/07/07
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
60L.F. 6' GARDEN WALL/40 L.F. COMBO 3'
RETAINING WALL WITH 6' GARDEN WALL PER
CITY STANDARD.
Fee summary Charged Paid
Credited
Due
Permit 'Fee Total 54.00
.00.
.00
54.00
Plan Check Total. .00
.00
.00
.00
J Grand Total 54.00
.00
.00
54.00
30/01 2007 11:03 FAX
i
PCM*
Project Addrtss
A. P. Numbcr:
�] 002
City of La Quints
Btif►db)g 8r Safety Dh Won
P.O. Box 1504, 78.495 Calle Tampico
La (Nnta, CA 92253 - (760) 777-7012
Boding Permit Application and Tracking Sheet
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Add=:n,' ` ('� - �&V1 I lel Project Desahl'tz°°:
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City. ST, Z'ip: 7G � ��} � w L'l(— \ Y
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Stft Lic. #: Projcd type (circle onc): New Add'n Alter Repair Demo
Nmne of Comet Person. ���((,J( jt/� S9. Ft.: 0 Stories: Units:
Telephone 0 of Contact Pasoa. �) a Rstimatad Value of Project
APPUCAUr: DONOT WRM BELOW THIS Um
it
3nbmhtsl
Req'd
bet's
TRACIMq* ?SRNIIT FM
Plan Sets
Flan Check sobmlt0ed
Item Amount
Sumeturd Cain.
TrM Culp,
line 14 Cala
Reviewed, randy for eormcdons
Caged Contact Person
Paul picked up
Plan Cheek Dgmlt
Plan Check Bdance •
Coaatrnedon
Food plain plan
Plum resubmitted
11 chanied
Grading plan
Z"Review. ready fir correctiondiswe
Eleelrial
Sabcosactor List
Called Contact Person
Plumbing
Grant Deed
Plans pled up
S24CL
B.OA. Approval
Plans resnbmltted
Grading
IN HOUSE:-
' Review, ready for eorrecdo"Aarae '
Developer IaWaet Fee
PlaanWg Approvd
Calkil Contact Peron
A.U.P.
Feb. Wks. Appr
Datc of permit Wac
&14001 Fees
Total YermltFea
r
90/01 2007 11:09 FAX 0 001
DEVELOPMENT
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
To Whom It May Concem:. Lisa Dimmitt
COMPANY: DATE: -
City of La Quinta Building Department ' January 30, 2007
FAX NUMBER: TOTAL PAGES INCLUDING COVER:
760-777-7112 3
• PHONE NUMBER: SENDER'S FAX4N0:
760- 343-1880
RE: SENDER'S PHONE NO:.
Building Permit Applications 760, 343-1800
❑URGENT ❑ FOR PROCESSING. Q FOR REVIEW ❑ PLEASE REPLY