07-0737 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00000737
Property Address:
52940 DEL GATO DR
APN:
770-330-022- -
Applicatjon description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
8175
c&ht 4 4 Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY.DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of periLky that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu 'ness and Professionals Code, and my License is in full force and effect.
License Cass: fB License NO.: 699640
et
Date: !t O Contractor:_6
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 1$5001.:
(_ 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 ofprovingthat 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.).
1 _ 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: 3/12/07
Owner:
STRASZHEIM DONALD H
Contractor:
JOHNSTON CONSTRD+.W:
1445 N. SUNRISE WAI, #203W I> �oOt
PALM SPRINGS, 9226_.,
(760)416-1144
Lic. No.: 699640 f]
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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.
_ I have and will maintain worker's' 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 STATE FUND Policy Number 0000024-2007
I certify that, in the perf mance of the work for which this permit is issued, I shall not employ any
person in any manner as to become subject to the workers' compensation laws of California,
and agree that, if I shout become subject to the workers' compensation provisions of Section
3700 of the Labor Code, shall forthwith mply with those provisions.
Date 1 Applicant: /Y� 1,
WARNING: FAILURE TO SECURE ERS' COMPENSATION COVERAGE 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 ch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the bove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi g construction, and hereby authorize representatives
of this cfunp to enter upon the above-mentioned property or inspectio rposes.
'Date Signature (Applicant or Agent):
Application Number . . . . . 07-00000737
Permit . . . WALL/FENCE •PERMIT
Additional desc .
Permit Fee 108.00 Plan Check
Fee
.00
Issue Date . . . Valuation
. . .
. 8175
Expiration Date 9/08/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
7.00 9.0000 THOU BLDG 2,001-25,000
63.00
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S Special Notes and Comments
117 LF COMBO 4' RETAINING WITH 6'
GARDEN WALL Q SOUTH P/L & 2106' GARDEN
WALL WITH 7 PILASTERS. ORCO DETAIL.
Fee summary Charged Paid Credited
---------------------------
Due
--------------------
Permit Fee Total 108.00 .00
----------
.00
108.00
Plan Check Total .00 .00
.00
.00
Grand Total 108.00 .010
.00
108.00
LQPERMIT
Bill #
City of La Quinta
Grading
IN HOUSE:-
Building U Safety Division
Developer Impact Fes
Permit #
P.O. Box 1504, 78-495 Calle Tampico
A.LP.P:
Pub. Wks. Appr
La Quinta, CA 92253 - (760) 777-7012
School Fees
Building Permit Application and Tracking Sheet
Project Address: j2
, 4eM (, Owner's Name:
Total Permit Fees
A. P. Number:
Address:
Legal Description:
?–S-26-7 City, ST, Zip:
Contractor: ( - -r j6-t Telephone:
Address: ( _ S {j� S �' Project Description:
City, ST, Zip: AV
Z
11
Telephone:
w'4i.` ,7
State Lie. # : Gj 0
City Lic. #: r- o n/
Arch., Engr., Designer: C 0rj,—
Address:
City, ST, Zip: i/►
7,
Telephone:
Construction tion Type: Occupancy:
State Vic. #:
Projed type (circle one): New Add'n Alter
Repair Demo
Name of Contact Person:
Sq. FL:
#Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Sabmtttal Req'd
Recd TPACKINiG PERMLT FEES
Pita Sets
Plan Greek submitted Item
Amount .
Structural Calcs.
Iteviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Ckeck Balance
Energy Cales.
Plans Picked up
Construction
Flood plata plsu
Plans resubmitted
Meet aulcal
Grading, plan'
V Review, ready for eorrectionslisiae
Electrical
SubcontactorList .
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for.correctioWusae
Developer Impact Fes
Planning Approval
Called Contact Person
A.LP.P:
Pub. Wks. Appr
.Date, of permit issue
School Fees
Total Permit Fees