08-1868 (BLCK)4
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: 11/18/08
Application Number: CZ6L8-00001868' 1 Owner:
Property Address: 54500 PGA BLVD NADADOR, LLC
APN: 775-080-999- - - 78120 CALLE ES 9-,--SUITE'203
Application description: WALL/FENCE LA QUINTA, CA 53 ��-► �^
Property Zoning: MEDIUM DENSITY RES
Application valuation: 25000 p
Contractor: NOV 2
Applicant: Architect or Engineer: TESERRA`U
P.O. BOX 12.0 City OF I -A
COACHELLA, 2A , A-1,ANCE p UINrA
(760)398-9222��T,
�J LiC. No.: 656128
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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: C8C27License No.: 656128
Date: a V on
MWNER�-..ERDECLARATION
1 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 (5500).:
(_ 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
impiove 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.).
( 1 1 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- Pip
LQPERMIT
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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.
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 SEABRIGHT Policy Number B131080510
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
37700 of the L I s�forlhwththose provisions.
e: 1\ \ o v pylic11161
WARNING: FAILURE TO SECURE WORKERRAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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�unty ter upon the above-mentio inspection purposes.DSi nature (Applicant or A —T
Application Number . . . . . 08-00001868
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 252.00 Plan Check.Fee
00
Issue Date Valuation
. . .
. 25000
Expiration Date 5/17/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG.2,001-25,000
207.00
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Special Notes and Comments
1000 L.F. 61- 8' PERIMETER WALL ORCO
SYSTEM AT AVENUE 54, PER APPROVALS FROM
PLANNING & PUBLIC WORKS (S. TRAXEL)
Fee summary Charged Paid Credited
---------------------------
Due.
--------------------
Permit Fee Fee Total 252.00 .00
-------
.00
252.00
Plan Check Total .00 .00
.00
.00
Grand Total 252.0.0 .00
.00
252.00
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project 44dress1 ID,E �- G
A. P. Nur�*500 -P&A WEST" `S1..V
O r s Name:
-� PC 35 1..A ��N't1A
Address:
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Legal Description: 1
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Telephone: - 9 g 21
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Address: S& 1 o p ENtJ1.E s
Project Description:
City, ST, Zip: C,> P%C—VtE1.1.A
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T -
loon L. 'TT- (mr-s— �AAT-yk
Telephone:
Telephone: 3CM 222
M W `o (Q&
State Lic. # : 656 1 ZS
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
8 !/
Construction T Occupancy:
YPe� �LCf..`rL P Y:
Project type (circle one): env Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories: # Units:
"telephone # of Contact Person: Estimated Value of Project: S51 DOD.Op
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES .
Plan Secs
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2w° Review, ready for correctionstiissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
N.O.A. Approval
Plans resubmitted Grading
IN HOUSE:
''' Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees p���