06-4376 (SOTB)c_
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:. 06-00004376
Property Address: 58415 CARMONA
APN: 764-200-006-20 -316811-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
Applicant: nn
V�
Architect or Engineer:
01A
4 4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: C53 Lice No.: 816170
Date: IfContracto
OWNER -BUILDER DECLARA ON
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).:
(_ 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.).
I _ 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
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
Owner:
ELLIOT WEINSTEIN
58-415 CARMONA
LA QUINTA, CA 92253
Contractor:
INDIO HILLS POOL CONS
28800 DESERT CHARM RO,
DESERT HOT SPRINGS, C.
(760)275-8400
Lic. No.: 816170
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/26/06
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 0013571-2006
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"0 of the Labor e, I shall forthwith comply wit se provisions.
Date: A ! �APPlicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE iaNLAWFUL, 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to e r upon the above-mentioned property f inspection purposes.
"Date, nature (Applicant or Agent): A.
Application Number . . . . . 06-00004376
Permit .. BUILDING PERMIT
Additional desc .
Permit Fee . . . .
41.00
Plan Check Fee
26.65
Issue Date.
Valuation . . .
. 1800
- - Expiration Date
6/24/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00 2.0000
---=--------------------------------
HND BLDG
=
501-2,000
---------------------------------------
26.00'
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25
Plan Check Fee
4.31
Issue Date
Valuation . . .
. 0
Expiration Date
6/24/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .7500
----------------------------------------------------------------------------
PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
Permit .' . . . PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
4..50
Issue Date . . .
Valuation . . .
. 0•
Expiration Date
6/24/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 3.0000
----------------------------------------------------------------------------
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
Permit WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . .
15.00
Plan Check Fee
.00'
Issue Date
Valuation . . .
. 200
Expiration Date
6/24/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
-- -----------------------------------------------------------------
Special Notes and Comments
BBQ, FIREPIT PER APPROVED PLAN.
8L.F X
6' CITY STANDARD WALL.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
2.67
LQPERMIT
Application Number . . . . . 06-00004376
Fee summary .
------------_-----
Permit
----------------
Permit Fee_Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
91.25 .00
35.46 .00
2.67 .00
129.38 .00
Credited
.00
.00
.00
.00
Due
91.25
35.46
2.67
129.38
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
'-J
Project Address:
S
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: 87 U t h5�A
Contractor:
i LLSCA osl Telephone:
Address:_ Cep
'r Project Description: L19) I
City, ST, Zip:
-� c �LS ZLyLA-3 A
Telephone:
)-6777-o
State Lic. # :
City Lic. #: QQ L S
Arch., Engr., Designer:4
1
Watl get 64-r '7
Address: Ae d rA
efo- d0T
Q r,e L ??
d
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted i� 4 Item
Amount
Structural Cales.
Reviewed, ready for orrectiions i ( Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready for correctio . sue I Electrical
�
Subcontactor List
Called Contact Person Plumbing GAS
"�t Ov ills
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Review, ready for corrections/issue ve oper Im S
Planning Approval
Called Contact Person ..P.P.
Pub. Wks. Appr
Date of permit issueZ-40-3
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School Fees
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CITY OF LA QUINTA.
BUILDING AND SAFETY DEPARTMENT
GARDEN WALL STANDARD
Y
6" C.M.U.'
rm= 1350psi. Fr 40000psi
#4 ® 24" Vert 0 CL
#4 0 32' Horiz ` 16 1/4•
ALTERN ATE
3" CLEAR JL
KENOS o
14 HORIZ. AS SHOWN T M !
1 `t 6" .6" C.M.U.
1 —6 rm= 1350psi. Fy= 40000psi
/4 ® 24" Vert ® CL '
#4 6 32" Horiz
lot
�.
GARDEN WALL
Scale:
3/8" V-0-
6" CA.U.
rm= -1350psi• Fr 40000psi 3' CLEAR
6-
#4
O 24' Vert ® CLT#4 HORIZ. AS SHOWN
#4 6 32' Moriz
oc
OPTIONAL
10-1,./,61 30"LAP •15 / GAR:D.EN . WALL
ALTERNATE
3" CLEAR. 8EN0S
14. HORIZ. AS SHOWN T I
6` C.M.U.
2 -Q" rm6 i350psi. Fy- 40000psi
• .. #4 0 24' Vert' ® CL
#4 0 32' koriz T.
cc C
GARDEN WALL.
' Scale: 3/8 0 1',.•0•.- ` OP.TIONAL
30"LAP
'C►1.fiJ. o.
l73U
'rvi =- psi, Fy=' 46000psi "
#A' ®' 24-' :Vert :®a :...r ...
:40'-S,27Horiz 3' CLEAR
/4 HORIZ. AS MOWN T .
OPTIONAL. -
to=11.j,6 30"LAP
"GARDEN WALL
Scale: 3/8'
ALTERNATE
3" CLEAR BENDS'
o
#4 H'7-ORIZ-,AS SHOWN. '1
--. GARDEN WALL
Scale: 3/8" V-n'