08-0763 (BLCK)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:. 5/05/08_
Application Number: 08-00000763 Owner:
Property Address: 78237 SAN TIMOTEO ST, LEE RICK & PAMELA
APN: 646-160-015- - - 78237 SAN TIMETEO
Application description: WALL/FENCE LA QUINTA, CA 92253 D
Property Zoning: LOW DENSITY RESIDENTIAL ( d a
Application valuation: 3725
Contractor: MAY 06 2008
Applicant: Architect or Engineer: COOPER MASONRY U
�® nnp 13236 CLOVERLY AVENUE CITyOF
Ov� VICTORVILLE, CA 92392FIIVgNC QUINTA
(760) 949-1238 DEP7
LiC. No.: 875594•
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: C29 Lic se No.: .875594
Dat contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of er y that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, usiness 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 _ 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 ocher 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 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
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
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 ENDURANCE REINS Policy Number WEN000111802
_ 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
3700 of the Labor Cod shall forthwith comply with those provisions.
Dater
Applicant:
WARNING: FAILURE TO SEC ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER IMINAL 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 td 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 enter upon the above-mentioned propert r. insperxion purposes.
Dat Signature (Applicant or Age
Application Number 08 -006007631 -
Permit WALL/FENCE PERMIT
Additional desc,..
Permit..Fee 63.00 Plan Check Fee .00
- Issue.Date . . . Valuation 3725
Expiration Date 11/01/08
Qty Unit Charge Per Extension
BASE FEE 45.00
2.00 9.0000 THOU BLDG 2,`001-25,000 18.00
- - -------- - --- ---------------------------------------------
= Special Notes and Comments
TOTAL OF 149 LN FT X 6 FT HT.GARDEN PER
CITY STANDARS & APPROVED PLANS.
Fee summary Charged Paid Credited_ Due
Permit Fee Total 63.00 .00 .00 63.00'
Plan Check Total .00 .00 00 .00
Grand.Total 63.00 .00 .00 63'.00
LQPERMIT
Bin #
Gty' of La. Quinta
'Building 8t Safety Division
Permit f#
P.O. Box 1504, 78-495 Calle Tampico
La Quirita, CA -92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:' ` a3jrj)�
7 c Owner's Name: ;GK
A- P. Number:
Address: a3c% 'm
..
Legal Description:
City, ST, Zip: LA
Contractor.
Telephone:
Address:
Project Description:
Total Perini
CCYY !
.
ice T
State Lic. #
City Lic.
l3loc-lc w
Arch., &W., Designer..
Address:
City,�ST, Zip:
Telephone:
Constltrction 'Pe=
Occ�ipancy:
State Lic. #:
Project type (circle one):
New . Add'n 'Alter Repair, Demo
Name of Contact Pelson:
_ . Sq. Ft : #Stories: ...
a€ Units:........ .
Telephone # of Contact"Person: '
Estimated Value.o� Project
APPLICANT; DO NOT WRITE BELOW THIS UNE
.
# " Submittal Req'd •
Ree.'d TRACIONG .
PE�iMTT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed; ready for corrections
Plan Check Deposit
" ��
Contact Person
Plan Check Balance
Energy Cala.
cked up
Construction
Flood plain plan ,.
sdbmitted
F2"R
Mechanical
Grading plan
w, ready for corrections. ssueElectrical
Subcontactor."List
ontact Person
Plumbing
Grant•Deed
Plans.picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
" IN HOUSE:-
Review, ready for correctionslissue
IDeveloper Impact Fee
Planni4g Approval '
Called Contact Person
Pub: Wks. Appr
Date of pchalt issue
School Fees
Total Perini
Mai 02 08 12:46p Pamela Hunt Lee
760-564-8321
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--- ----------
FACE OF CURB
JOB AD - DRESS) 9`231 1Alj
DevelopmeM Departrnert
Building Division
OWNER wk/ bee
API: NO. -77 PLOT PLAN
PERWT NO.
IQ43 cw, 0,&- 1 (7130) w-sim
CA =93
rOX (760) 209-CV1
May 03 08_.02:07p .Pamela Hunt Lee 760-564-8321 p.3
To Whom It May Concern; _
I am the owner of 78250 -San Timoteo, La Quinta, CA and
hereby give permission to Rick and Pamela Lee to construct a
fence as described in the attached Plot Plan dated 4/29/2008, at or
on the property line between our properties. _ h
Date: o �'
♦ fin.