13-0658 (BLCK)t ' G P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA- 92253
Application Number:
13-00000658
Property Address:
81878 SEABISCUIT WY
APN:
767-200-999-32 -312023-
Application description:
WALL/FENCE
Property)Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5000
Applicant: Architect or Engineer:
taM-t----
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LICENSED CONTRACTOR'S DECLARATION
4u�l'1(,rGv
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/24/13
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, SUITE,X
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: B License No.: 916227
XDate 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).:
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 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.).
(_ 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
LA QUINTA, CA 92253
(760)777-9920
VFIYNAONCE
Contractor:
GJH DEVELOPMENT INC $ ^^��29207 RIDGELINE CTO 20TEMECULA, CA 92590
(760)777-9520 UIQUINTALiC. No.: 916227 DEPT
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 EX,LJ MPT Policy Number EXEMPT
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 agreethat, if I should b e bject to the workers' compensation provisions of Section
37 of the Labor Cod shall f ith omp w' those provisions.
Date:. B Applicant, G ,
WARNING: AILURE 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 th2aormatio is correct. I agree to comply with all
city and county ordinances and state laws relating to b ' , a reby authorize representatives
1of this cou y t enter upon the above-mentioned pr ertC rp as.
1Date. Signature IApplicant or Agent):
Application Number . . . . . 13-00000658
Permit . . . WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee . . . 47.19 Plan Check Fee
.. 00
Issue Date . . .Valuation . .
. 5000
Expiration Date 11/20/13
Qty Unit Charge. Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
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Special Notes and Comments
96LF OF 6' GARDEN BLOCK WALL AT WEST
PROPERTY LINE AND HOUSE RETURNS (ORCO
SPECIFICATIONS] PRECISION GRAY CONCRETE
BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE
FROM OUTSIDE THE PROPERTY. 2010
CALIFORNIA BUILDING CODES.
May 24, 2013. 2:19:24 PM AORTEGA
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E'
90.57
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
Due
Permit Fee Total 47.19 .00 .00
47.19
Plan Check Total .00 .00 .00
.00
Other Fee Total 151.63 .00 .00
151.63
Grand Total 198.82 .00 .00
198:82
LQPERMIT
#
QtY. ofla Quin LCE
-Bu11d1pgffSafety 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: 453/ GJ
Owner', Narne:1\1-14 e=r-
A. P. N.umber.
Address: O
Legal Description:
Contractor.� f A tD
City, ST, Zip:
L
Telephone.X
Address: x
Project Description: led
City, ST, Zip:
Telephone:
�22
1,14 Ac '61j'aI2 0:an4 r�' 11
-264a-
State Lic. # City Lie., 9,
Arch., Engr., Designer,
Address:
City., ST, Zip:
Telephone:
State Lie. M 4
Name of Contact Person:es
Construction Type: Occupancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.: Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: --57
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc1d
TRACMG
PERMIT FEES
Pfau Sets
Plan Check submitted
item Amount
Structural Calc&
Reviewed, ready for corrections
Plan Check Deposit.
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.
Mechanical
Grading plan
V Rtvltw, ready for correctionMasue
Electrical
Subcontattor List
Ca V tied Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Gradio'
9
Iii HOUSE:-
RcAcw, ready for correctionstissuc
Developer Impact Fee
Planning Approval.
Called' Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
0 20'
TW 490.33 490.33
48 .67 T 483.00 -
484.30 -
FG -
484.3048 G 0
G 483.50
-- � FL -HP t
484.70 484.00 1 0.50%
FG -HP 5016____
484.40 co
N�
FL- P N N -
48 S483.
N Fc
•
484.33 483.93 " SFW I I 484-10S 0� °
I
FN
W82Fl- �4�416�T, - �
FS 48 .60 a I I
485.00 I ;gIJILDIN SAFE DEP'
• .. - • . I
33
PE c2
3 NSTRU S ` PLAN 3R
�: o °
.60 M FF -484.30
484
I o mo FF -484.80 I �� ,,� PE -483.8
3R DA1fE'4S4 3 °� I 483.60
5.20 A%484.60 3 °
FS
FS __ j
14.7 5' I ��48 10 �.'
I I ' 483.91 0l
485.00 2 I N 3 4 FS
f 4
FS D=0.09' ° 484.45 - • -
3 L=18 I FS TW 90.33 483.81
482.92 FS
°o go T 3.00 4 FL -GB
TW 493.37 5.82' N
GF=484.30 GF=483.80 ..
• 4 } ° 3.26
3 -T
485.00 F1,=G9° -�3
• 483.63 4 483.97- -- ° N o 482.85.
FL -GB °�' FL -GB FL -GB -G-,--
r N °
484.41 483.30 yi cv�0FS
5 C14o r 483.2
ow / o5
78.9
o o FL -GB
N78.96 - -
N TC 482.61
78.96' TC 482.71
TC 482.85 TC 48258 TC 482.46
_ TC 483.10 TC 48 .
3.07 TC 482.65
TC 483.08 TC 482.58 SEA 8
--.- 4--
14+00
TC 482.73 TC 482.52
-� TC 482.79 -- -
TC 482.67
TC 483.17 TC 482.89 --._......_.. _ _ ..._.
TC 483.15 0�=-i
` 483.19 ------ • a �� � ;; 4 80.01
80.12
0 0 m a nal 483.81
483.39 N N r' _ 3 m
FL -GB 3.36
TW 491 13 • Fi -ra
1484:68 �• -
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