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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---- ------------------ 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 ---------------------------------------------------------------------------- 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 �• - r----