12-0142 (BLCK)O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-00000142
Property Address:
54920 SECRETARIAT DR
APN:
767-320-999-247 -32879
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
12000
Applicant:
TdAt 4 4 Q"
Architect or Engineer:
�J�
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: License No.:
Date: 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).:
',F*17/F) 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, 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 am exempt under Sec. , B.&P.C. for this reason
caner.
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: �r
Lender's Address: r
LQPERMIT
Owner:
JEFF & JANE WESTON
54920 SECRETARIAT
LA QUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/23/12
2012
SFFEBEB 2 3
L
CITY OF I.A QUiNTA
-----------------------------------------------
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 Policy Number
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, I shall forthwith comply with those provisions:
WARNING: FAILURE TO SECURSAARKERS' 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 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 thi couun�ytyto enter upon the above-mentioned property for inspection purposes.
ab t9 X+JI I't•s' ature (Applicant or Agent):
4
LQPERMIT
Application Number . . . . . 12-00000142
------ Structure Information SITE WALLS/ENTRY GATE/DRIVEWAY
---------------------------------------------=------------------------------
GATE -----
Permit WALL/FENCE PERMIT'
Additional desc . .'
Permit Fee . . . . 135.00 Plan Check Fee'.
00
Issue Date . . . . Valuation . . .
. 12000
Expiration Date 8/21/12
Qty Unit Charge Per
Extension
BASE FEE
45.00
10.00 9.0000 THOU BLDG 2,001-25,000
--------------------------------------------------------------------------=-
90.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 21.75 Plan Check Fee
5.44
Issue Date Valuation . . .
. 0
Expiration Date 8/21/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 .7500 PER. ELEC DEVICE/FIXTURE 1ST 20
6.75
-----=----------------------------------------------------------------------
Special Notes and Comments
40LF OF (6) FEET HIGH COMBO BLOCK AND
IRON WALL, 6LF OF (4) FEET BLOCK WALL.
WITH (1) LIGHT, (2) 32 INCH SQUARE BY
(8) FEET HIGH BLOCK COLUMNS FOR ENTRY.
TRELLIS WITH (4) LIGHTS, (2) 16 INCH BY
32 INCH BY (6) FEET HIGH BLOCK COLUMNS
FOR DRIVEWAY GATES WITH (2) LIGHTS AND
(2) ADDITIONAL CIRCUITS FOR ELECTRIC
GATE OPENERS (ALL WALLS ORCO SPEC] 2010
CALIFORNIA BUILDING CODES.
February 23, 2012 8:38:51 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 156.75 .00 .00
156.75
Plan Check Total .5.44 .00 .00
5.44
Other Fee Total 1:00 .00 .00
1.00
Grand Total 163.19 .00 .00
163.19
4
LQPERMIT
P
Bin. # ..
.;
... ... u .. ,.. • . ,
Cir�� :Q
°ain
Buiiding 8l• Safety Minn '
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Perinit # y
1�
Project Address: 5-4'92-0 S L \-LeT N (Z tOwner's
Name: :
A. P. Number.
Address: 54 9 Llcj S & LZE 7 ,N (Z\.
Legal Description:
.
City, ST, Zip:
. ."=a:us�Contactor: Telephone:
w
Address:
Project Description:
City, ST, Zip:
6p, F E N LE A, S l -EE C4�t
Telephone: -
p F A, L C\. i.._C1 T- V.) f P\ N
State Lic. #: City Lic #;
6-, l,, y �L _ t S „ i0l, 0 L
Arch., Engr•. Designer g � W t.�t�(L
iM v-� fZt Wit= O . C � � -� Cj P 0—j r✓'�
Address:
City, ST, zip:
Telephone: 4 Y >' :'
State Lic. #:,w"` :
Name of Contact Person ��A= lnj v N
Construction Type:. Occupancy: "� SAF_ I G 1-t 1� .
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft;
#Stories:
# Units:
Telephone # of Contact Person: -'
Estimated Value of Project: �Z 00 c!
APPLICANT: DO NOT WRITE BELOW THIS LINE
p
Submittal
Req'd
'Reed
TRACENG PERMIT FEES
Plan Sets
Plan Check submitted.
it. Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cafes• -
Called Contact Person
Pian Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Pians resubmitted..
echarilcal
Grading plan
V Review, ready for corrections/issue/Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L .
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review; ready for correctio On
Developer Impact Fee
Planning Approval
Called Contact Person ^►
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Director To PD: February 22, 2012
From: Les Johnson, Planning Director Due Date: ASAP
Permit #: [12-0142] Status: 1St Review
Building Plans Approval
(,This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for .the following
project:
Description: Entry Trellis, Driveway Gate and Site Walls
Address or General Location: 54-920 Secretariat
rc!
Applicant Contact: Jeff Weston — (360) 927-9621
FEB 2 2 2012
city of La Qum
PianrIng Depanmont
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
...these .Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attache corrections to the applicant. When the corrections are made
please r urn them to P
e Planning Department for review.
Les Jofti\son, Dirh'c �Y-Mining
�o°r a
0
0 ►
P.O. BOX 1504
LA QUINTA, CALMORNIA-92247-1504
78-495 .CAME TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPER'V OWNER'S S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -
Builders Applying l'or Cunstruetton Permits
f� �A1Y7'1
NOMEW., MMMTY. QMM
Dear Prouty Owner:
An. application.a for a buddingPermithas been submitted, in your name listi% yourself as the builder of *e property
intpnovemem specified at 154 q Z p 2Z<
W*C ane providing you with an Owner -Builder Avk..ledgment and infotiaat. Verification Form to make y4m awaaa of your
feWOnsibilities and possible risk y+ou May incur by having ddspernat-i d.in your Dams as.the
Owner -Builder. We willnot issue a brdldi g.penn t until y,= -brave read, initials# your. understauditng of each1prw4tiion,
signed, and returned this form to us at our.ofnclai address indicated. An agent of the owner cannot execute thiwnotice
unless You, the property owner, obtain the prior approval of the permitting authority.
MAW. Read aft4 Oddaf end statement ltety t& s' v � s
rgrti�y you oaulerstaeul or �y tills Ajonrratrrn. .
L I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own tabor ad material pmsmft.1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's msurame may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to wodwn
on sty property.
(� w 2. I understand building permits are not required to -be signed by property owners unless they are responsible for th
v construction and are not hiring a licensed Conuactpr to assume this rossosst'bilitg.
11 understand as an "Owner -Builder" I am the responsible party of moord on the permit. I understand am I may prole
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of a
own.
4. I understand Contractors are required by taw to be licensed and bonded in California and to list their licepse numbers
permits and contracts.
Q5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total vi
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "emplo,
under state and federal law.
6. I understand if I am considered an "employer" under state and fbderal taw, I must with the state. and fei
ll go��vernment, withhold payroll taxes, provide workers' compensation disability msutwwe, and contribute to unemploy
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious fins
risk-
7-
isk7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family resid
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by tic
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is pert
under contract with a licensed general building Contractor.
OL8. 1 understand as an Owner -Builder if I sell the property for which this peruut is issued, 1 may be field liable for any
financial or personal- bouries sustaked by any subsequent • owner(s) that result from any latent construction defects in. the
worlomanshiP.ormaterials.
.
L9. I understand I may obtain.more information regarding my -obligations as an "employee from the 1 rtavenuo
�Servioe, the United States Small Business Administration, the California ariment of Benefit Paymerifs. and the California
Division of Industrial Accidents. I -also understand I may contact the Calif�a Contractors' State License Board (CMZ) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed oontractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construetion activity at the following address:
agree that, as the party legally and finaucially responsible for this proposed construction activity, I will abide by all
applicable laws and requiremeats that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, drlatiuna, or obanew ts-any Of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who doers not have a license* Elio Contractors' State License bond may be unable to assist you vvit My l3nanaW loss
You may sustain as a result of a complaint Your only remedy against unlicensed Contractors may ba lrtwivil cont. It is also
MWMtW for you to wdmft3d d W if aawdimmed C=ttarrtor oa caVloyee of that iadiv'idual at &M is itkAwd while waddag
°II rur ply, YOU Way be hdd I for damages. If you obtain a permit as Owner -Builder and wixb to bin Contractors,
you wdl be respOnsMo. for vexes v&cd + oa not those Contiactem are ply fleeased and the MUM of dM workers'
oompensation insurance: oove nw. .
Before a building permit can be inn* fids form must be completed and signed by the property owner and retarned to
the agency responsible for issd,.OW perwakt. Nota: A MP3' Of *U proports aw*'s etb€rtc'z`f fiatar +atRibr+rim of
other verification aocq"k to Elie %wwy is requh-ed to be pm=ts "hen Eke pt' wdt is b=e4 to dw 7
owner's si nu*a-e
Signature of property ovt= Date a 1 �3 -�-
Note: Me following Authorization Form is required to be completed by the property owner only when desouttin
an agent of the property owner to apply for a construction permit for the Owner -Builder.
I71T)EON OF AGENT TO AOT ON PROPERTY OWNI S B
Excluding the Notice to property Owner, the Otectition of which I understand is my personal teWousib bty, I k=by author
the follovAng fit) to act as my og=gri) to aWly for, sign, and file the documents nay to obtain an Owuet-Bud&
Permit for my project
Scope of Construction Project (or Description of Work):
Project Location or Address -
Name of Authorized Agent:
Address of Aud ized Agent:
Tel No
I declare under penalty of perjury that l am the property owner for the address listed above and I personally filled out the
information and certify its accuracy. Note. A copy of the owner's driver's Ikense, form notarization. or other verocatioi
ac cwtable to the agency is required to be pr+ewnted when the permit is issued to verify the property owner's signature..
Property Owner's Signa Date: a I a3I �Z
-1::
�fi
m
5
.1 FCAM ,; O aF
'09
e�`
2�4
7
FF•487.
60J
ay LfGF.� f - w. r�.,� ,•.m.... ..
r /
24
Ar
24 t
%'1
- CAMPANI "• �` roj y I 'i
PIAN d0. 70
1 o
PE, T A
247 -� O
1
PLAN 7� \245
+-4870
gg jg �� p PE
E•48&e
p
a2Rj • t yPy
�j •1- 8
j P4
INBIItUCT10N NOTEB � �; ' ?
` mesion"�"�vw�m r�mnam ev'i �ami°� . ; - � , �s, � •
taQ,t •nmmie .•m 8 wmrr. •v mea • • C ' � '• J �' ., � G
i
ma,Mv �Q®nta m� • • , • $
MT StMTrnffE MVLAR Pm•sm SMA n
06205 Y{
' er,. e..•.• 7 q, y,«S` � _/ scut ,._,,. bb
TN0. WC NAMnaa m+ 49 ELEV. 4sa.n "° uo CTTV OF LA OLONTA CALIFORMA IT
SOOATFJ. hsC • . oa . r/r o +m,sm m, .c m m �`0' o.... •r ORffF91 RANCH -TRACT NO. 32878 7
D- '®'• �` �'� , sc-FlN RANC - ASMGTRA. SEOU 287 ,
�mim.0 P»p .4/�� pi e� . PRECISE ORADINO PLAN - LOTS 248.249. 13 Y .