06-3530 (BLCK)-P.O. BOX 1504
78-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253
Application Number:
06=00003530
Property Address:
050495 ORCHARD LN
APN:
772-050-012- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
3325
1 ,
s.
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/20/07
Owner.
LA QUINTA ORCHARD PART
PO BOX 1716 D P
LA QUINTA, CA 92247. /al
APR
Contractor: 23 10
Applicant: Architect -or Engineer: SPARKS CONSTRUCTIO INCL/ 0,64 q ®l
P.O. BOX -1716 �IGqQ
LA QUINTA, CA 92247 �CiQ�pT�'�
(760)777
LiC. No.: 64.,7074
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ .I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Clas : B Licens No.: 674074 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�,/I, issued.
Spate: • �antractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
V' Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0000348-2006.
- following reason (Sec. 7031 .5, Business and Professions Code: Ariy city or county that requires a permit to _ I certify that, in the performance of the work for which this permit'is issued, 1 shall not employ any.
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of,the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Labor Code, I shall fort with co ply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I► -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: ate: �- U;p�cant: Yv` `
( 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION,3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT -
_ ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person.upon whose behalf this application is made, each personat whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ ) I am exempt under Sec. , B.&P.C:.for this reason _ - - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
Lenders Address: _
LQPERDIIT
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 18_0 days will subject
permit to cancellation.
certify that 1 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 this
coccoou y to nter upon the above-mentioned property for insPec 'on p rposes. "
D e —/ Signat re (Applicant or Agent):
o
Application,Number 06-00.003530
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee 63.00.
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 3325
Expiration Date .. 10/17/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.0.0
Special Notes and Comments
.133LF'Q 61. RETAINING BLOGKWALL. April
20, 2007 2:56:18 PM .AOPTEGA
------------------------------------- -
Other Fees STRONG
MOTION (SMI)
-RES
--------------
.50
Fee.summary Charged Paid
Credited
Due
Permit Fee Total 63.00
.00
.00
63.00
Plan Check Total. .00
.00
00:
.00
Other Fee Total .50
.00
00
.50
Grand.Total 63.50
.00 •
.00
63.50
LQPWIIT
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a g - City of rLa Quints
Building & Safety Division
Peimit # P.O. Box •1504, 78-495 Calle Tampico }
3� La Quinta, CA 92253 - (760) 777-7012
'Building Permit APO kation and Tracking .Sheet
Project Address: SQ �9� O�Ze� (/ Owner's Name; dr�e u�
A. P. Number: 7 7 L •. 6 5 0 b(?— Address: ( ( b
Legal Description: 72 2 -6 -fl i -Lf -w 7 Lo 7. Z7
City, ST, Zip: Z 2 -
Contractor: Contractor:Telephone: (oD 77,/-�
Address: /%D ? Project Description:.
City, ST, Zip: ( 2 Z T
Telephone:?(pc- % / � CK/11 G�(/ ,
State Lic. # : lv 7 540 7 City Lic.
Arch., Engr., Designer:
.�
Address:
City, ST, Zip: W
Telephone:- L o D o 2.' '
3 �• Construction Type: akcupancy:
State Lic. #: �_. Project type (circle one): ew Add'n Alter Repair - Demo
Name of Contact Person:, �� Sq. Ft.: #Stories: #Units:
Telephone # of Contact uPerson: Estimated Value -of Project: 41F
%0' APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING' PERMIT FEES
Plan Sets Plan Check submitted `Q Q3 • Item Amount
Structural Cafes. Reviewed, ready for corrections Plan Check Deposit
Truss Cales. Called Contact Person 1011-7 Plan Check Balance
Energy Cales. , Plans picked upt (
• - 10 Construction'
Flood plain plan Plans resubmitted t 114echanicsl
Grading.plan 2"" Review, ready f correctio issue Lof, trj Electrical
Subcontactor List Called Contact Person I11.7
Plumbing
Grant Deed Plans picked up I (0 S.M.I..
H.O.A. ApprovalPlans resubmitted Grading • .
INHOUSE:- '" Review, ready fo c ion issue eveloperImpact Fee
Planning Approval Called Contact Person 61 A.I:P.P. .
Pub. Wks. ApprDate oCpermit issue
School Fees -
ii •
Total P.erroit Fees ,
/a 3 0(0 =7 B,eorvz OyF /o �3 a� ori ar t ! 5
/a/l f� a �rR `� G,;,�
b� 1 bb At, 4�4� 07 =� B�Nz 4I I•i I `.
1-/6L
J
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b� 1 bb At, 4�4� 07 =� B�Nz 4I I•i I `.
1-/6L
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- City of La Quinta
s. 4 .,
Building 8T Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
lel g Permit Application and Trackir:g Sheet
Building
Project Address: s O 119, d912.e-o( l-2_
Owner's Name: _111-0
A. P. Number:
Address: d `Ki�, f"
Legal Description: ? 7 Z S o% Z
Contractor: - -!W1tXS 7 / 2/c-
City, ST, Zip:
Telephone: �` `7�` ��/ 2-/
Address: ea 0- (?/ {
Project Description:
City, ST, Zip: r �c cl Z Z Y, %
44 c v r r cb ;e Z� r rc f S Y
Telephone: ?
CityLic. #:
State Lic. # : 6 7 q� % -'
/> G. C,
Arch., Engr., Designer:,/
Address: Gw S �/�.��
l0 -
City, ST, Zip:
'
Telephone:
P
,Ea _
State Lic. #:
Name of Contact Person: p' / 4 ,1 . �
Construction Type: Occupancy:
Project type (circleone) Ne Add'n Alter Repair Demo `
Sq. Ft.: ,
.# Stories:
#Units:
Telephone # of Contact Person:- 7 7(/ �Yl�
Estimated Value of Project: �/o o d� o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#.
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
p?
Plan Check submitted �/?
Item
Amount
Structural Calcs.
Reviewed, ready, or corrections
Plan Chec`i Deposit ,
Truss Calcs. ,
Called Contact Pers fJor
Plan Chec Balance
Energy. Calcs.
Plans picked up
Construction
Flood plain plan .
Plans resubmitted
Mechanical
`
Grading, plan
2"' Review, ready for correctionsAssue -
Electrical
Subcontactor List
Called Contact Person ,
Plumbing
d
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval r
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
it Rees