06-3037 (BLCK);r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00003037
Property Address: 78365 CLARKE CT
APN: 643-170-999-27 -31348 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6900
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
BUILDING.& SAFETY DEPARTMENT
BUILDING PERMIT
Ihereby 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: C27,CB,C29 LicenseNo.: 849837
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).:
(_ I 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.).
1t 1 I, as owner of the property, am exclusively contracting with licensed contractors,to construct the project (Sec.
7044, Business and Professions Code: T dors' State se La`�yy�does not apply to an owner of
property who builds or improves thereo and who tracts fo the raj 9s with a contractor(s) licensed
pursuant to the Contractors' a Licea Law.).
1 _ 1 I am exempt under Sec. B. P. . for this reason
I hereby affirm under penalty of perjury that there is a construction lendin jagg/y for the performance of the
work for which this permit is issued (Sec. 3097, iv. C.).
Lender's Name:
Lender's Address:
LQPER 11T
Owner: D
PH RANCH LLC
78370 HIGHWAY 111i�
LA QUINTA, CA 922A
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.t.
ate: 8/22/06
20 �,
23 20 J"
rry pp LA QUINTA
Contractor:
DESERT CONCEPTS LANDSCPE/MAINT
41800 WASHINGTON ST, B-105
BERMUDA DUNES, CA 92201--0
(760)200-9007
Lic. No.: 849837
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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 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 r are:
Carrier R DWOOD FIRE 6, Po Number 67342 <
I certify that, in e p orma ac of the k for hich his mit is issued, I shall not employ any
person in a manne s0 s to become su ' ct the rkers' compensation laws of California,
and agree hat, if 1 sh Id become subject to wor s' compensation provisions of Section
3700 of
he Labor Cod , shall forthwith comp h hose provisions.
Dater 2 Applicant:
WARNI G: FAILURE TQ SECURE WORK RS' COMPENSATION ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER -TO CRIMINAL IENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TC 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 i ork is no ommenced
within 180 days from date of issuance of such permit, or cessation of wo for 0 days will subject
permit to cancellation.
I certify that I have read this application and hat th above inform ' n is co rect. agree to comply with all
city and county ordinances and state laws f lating t bu' ding construction, h e a thorize representatives
of this count to enter upon the above-mentioned pr y for inspection purpo
Date: Signature (Applicano r Agent):
s,
c
�7
V
LQPERA1IT
Application Number . . . . 06-00003037
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee 90.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
. . .
. 6900
Expiration Date 2/18/07
Qty Unit Charge Per
Extension
BASE FEE
.45.00
5.00 9.0000 THOU BLDG 2,001-25,000
45.00
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Special Notes and Comments
-------------------
276 LF 6' PROPERTY LINE WALLS PER CITY
STANDARD. LOT 27.
Fee summary Charged Paid
---------------------------
Credited
Due
----------
Permit Fee Total 90.00
----------
.00
----------
.00
90.00
Plan Check Total .00
.00
.00
.00
Grand Total 90.00
.00
.00
90.00
Bin #
_ City of La Quinta
Building U 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 Address: IAO-3(P5 eln-vet 60-e4—
Owner's Name: jP14-4}14(C.d- UX,
A. P. Number: LD? of %
Address: V- 3 7 0 /w. J
Legal Description: 1,/i- W114-16+ 922,,f3
City, ST, Zip: /,041- 4LUA,-14-X7 3
Contractor: S p�� GQ.�CQp� 5
Telephone: �� a~ £ ,
<.
Address: 2,%l- 9-va %3-/dT
Project Description: /6(,yf
City, ST, Zip: 109.611 15211'43
�'7 �� , - 2-
Telephone: ��4 —Z D ��90L�
State Lic. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: '`
State Lic. #: ` '.
Construction Type: Asomul. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: t/4,The,/hq, �sa1,u�.
Sq. Ft.:
#Stories: #Units:
Telephone # of Contact Person: `7&01 �ZS O -5..90 ej
Estimated Value of Project: 90iww dD
APPLICANT: DO NOT WRITE. BELOW THIS LINE
Req'd
Recd
TRACKING.
PERMIT.FEES
Plan Check submitted
Item Amount
l Calcs.
El
Reviewed, ready for corrections
Plan Check Deposit
lcs.
Called Contact Person
PlanCheck Balance
Cales.
Plans picked up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees