13-0660 (BLCK)r �\
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000660
Property Address:
81875 SEABISCUIT WY
APN:
767-200-999-41 -312023-
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
8000
Applicant:
Tit!tW
BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
4�
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: 13 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).:
(_ 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.).
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
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/13
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, SUITE X
LA QUINTA, CA 92253
[F71NA Contractor:GJH DEVELOPMENT IN29207 RIDGELINE CT
TEMECULA, CA 92590(760)777-9520 LA
Lic. No.: 916227
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 EXAMPT 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 agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code sh fortwith Z
,�wi�th,(thhy�se provisions.
Date: Applicant: / ����b e .
i
WA ING: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 the abWirposes.
on' correct. I agree to comply with all
city and county ordinances and state laws relating to b ' ing hereby authorize representatives
of this count _ to ter upon the above-mentioned p party f
Pate Signature (Applicant or Agen
LQPERMIT
Application.Number. . . . 13-00000660
Permit WALL/FENCE PERMIT 2013
Additional desc
Permit Fee 47.19 Plan Check Fee
.00'
Issue Date . . Valuation
800.0
Expiration Date 11/20/13.
Qty Unit Charge .Per
Extension"
1.00 47.1900 LS MISC WALL, FIRST 100 LF
....r
47.19
-------------------------------------------------------------
-
Special Notes and Comments
---------------
207LF OF b' GARDEN BLOCK WALL AT WEST
AND SOUTH PROPERTY LINES 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 2:25:32 PM AORTEGA
Other,Fees : . . . BLDG STDS ADMIN (SB1473)
1:00•
PLAN CHECK, WALLS
60.0.6
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 61.06 .00 .00
61.06-
Grand Total 108.25 00 00
108.25
LQPERMIT
Bln.#
Cr�}r 0f Lel QuInta
Building SL Safety Division
P.O. Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 -=(760) 777-7012
Building Pennit Application' and Tracking Sheet
Permit #
�3'ObbO
Project Address: 3 w
Owner's Nam
A. P. Number.
Ate;
Legal Description:City,
Contractor: t/ O A9 k e9k
ST, Zip: fg. f 3
Telephone 0
Address:
Project Description:
City, ST, Zip: • _
Telephone. j.
D
/At
State Lie. 4: City Lic.
Arch., Engr., Designer:
A,
�.
Address:
Address:
City., ST, Zip:
Telephone:
State Lie. #;
Name of Contact Person: WI -"q.
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.; # Stories: # Unit�.
Telephone* of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Reed TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cake.
Plans picked up
Construction
Flood plain plan
Plans resubmitted '°
Mechanical
Grading plan
2'! Review, ready for correctiousfrssue
Elcetrical
Subcoutactor List
Called Contact Person
Deed
Plans picked up
rPluumbingGrant
H.O.A. Approval
Plans resubmitted
IN ROUSE:-
''' Review, ready for torrectionsfissac
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
TC 483.17 m TC 482.79
TC 0.54
80.46' 80-12
483.39 5
—G 48S 656
Go FS
974
N� TF 482.47
48j. 0
485.,30 mat 4 48440
484.72 484.40
FS
42 oni
F-485.50 PLAN
PLAN 4R PE -484.
FF -485 10
483.37
484.23 9 FS
FS 484.72
FS 483.87 0.50%
C6 FL—Fip r%
K) ..Cxlff[�Y AQoj-A QUINT
IL
20 10 APPROVED A
td TW 91.13
TF
TGF 490.47 484.10
0 FG
FG Tw 492.47
48567.20 .7�O 80.01
10 <
6