04-3683 (BLCK)QaArC4V
BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777.7153
BUILDING PERMIT
Application Number . . . . 04-00003683 Date 4/26/04
Property Address . . . . 52705 CLARET COVE
APN: 770-330-013-49 -28867 -
Appld cation description . . . WALL/FENCE
Property Zoning LOW DENSITY RESIDENTIAL
.Application valuation.. 11050
Owner
-------------------------
STRINGER JOHN GRAHAM
52705 CLARET COVE
LA QUINTA CA 92253
Contractor
------------------------
WHEELOCK MASONRY, S.K.
P.O. BOX 12459
PALM DESERT CA 92255
WCC: NONE
WC: EXEMPT 01/11/05
CSLB: 381984 07/31/05
CCC: C29
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Permit . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 135.00 Plan Check Fee .00
Issue Date Valuation 11050
Qty Unit Charge Per Extension
BASE FEE 45.00-
10.00 9.0000 THOU BLDG 2,001-25,000 90.00
Special Notes and.Comments
250.LF 6' BLOCK WALL/ 24 LF COMBO 24'
RETAINING -WITH 5' GARDEN WALL/194 LF 5'
RETAINING.WALL/ALL PER CITY STANDARD.
Fee summary. Charged Paid Credited Due.
---------------=-------------------------------.----------
Permit Fee Total 135.00 .00 .00 135.00
Plan Check Total. .00 .00 .00 .00
Grand Total 135.00 .00 .00 135.00
t�Gic�/
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: -ill g Date: �- .6
Applicant:
• �An-i. % /`lam ('
Applicant's Malting Address:
Arch' or Engineer.
/WNf`
Architect or Engineer's Address:
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affimn under penalty of perjury that I am licensed under provisions of Chapter 9 (eommenctng w0h seclion 7000) of Division 3 of to Business and Prolessionals
Code. and my I icernse is in w force and effect
License License No.
OWHER-BUILDER DECLARATION
1 hereby alfimn under pensky d perjury that 1 am atcenmhpt from the Contractors' Seale License Law for the foeln 1% reason (Sec. 7031.6. Business and Probsabra Code: Any
city or conrhh that a Vomit b cwwbuct abler, improve, doo.o is>, or repair any deck , pnw b Its Wance. also requires em appiant ter the ports b fie a sighed
staker, t that he or she k foernsed pursuant b the prwAsbm of the Cw*acbrs' Stale License law poplar 9 (oommenhcing with Section 7000) of Division 3 of the Business
and Professions Code) or ghat he or she Is exempt rierebom and the basis forte aieged exemption. Any violation of Section 7031.5 by any appiant for a permit subjects
the applicant b a civi penally of not more than five hundred lours OS00).r
U 1, as owner of the property. or my employeesith wwages as their sob compensation. wN do the work and the structure Is not intended or ofm for sale (Sec. 7044. .
Business and Professions Code: The Contracbrs' Stem License Law does not apply b an owner of property who builds or improves tbheem and who does the work
hintset or herself or trough his or her own employees, provided that to improvements aro not intended or aft for sale. N. however. the building or improvement is
soldwithin one year d completiorm, the owner-brAder win have the burden of proving that he or she did not build or improve forte purpose of sorbs
U Las owner of the property. am exclusively eontrar4irhg with rreensed contractors b construct the project (Sec. 7044. Business and Pictessiors Code: The Conbaclore
State License Low does net apply ban owner of property who buh70s or improves rideon, and who contracts for the projects wkh a eonbacbr(s) licensee pursuant b
the Contractors' state License Law.).
V I am exempt under Sea . BA P.C. for this reason►
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
—I have and wit maintain a certificate of consort to seff4rsure for workers• carpe cation, 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 wit maintain workers• compensation insurance. as required by Section 37M of the Labor Code, for the performance of the work for which this per" Is
issued. My workers' compensation insurance camier and policy number aro:
Cartier Pofic y Number
_r L I booty riot in the plum unoe cf the work ter wfmid this permit is issued. I shall not employ any person in any manner so as to become subject b the worker•
con v ersation awn of Caibmia, and agree tf>at. t I should become subject to the workers• compesation provisions of section 37M Oft* Labor code. I"
brewvleh comply with those provisions.
Date ''a 'U Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSANQ DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE. ttTEREST. AND ATTORNEYS FEES. .
CONSTRUCTION LENDING AGENCY
1 hereby affirm ander penalty of perjury that taro is* consbuction lending agency for the performance of the work for wi dd tins pem* 1s issued (Sea 3007. Civ. C.).
L~,, Name A-)0 /lir
Lenders Address /) ® tJ
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application Is hereby made to the Direcbr of Building and Safety for a permit subject b the conditions and restrictions set forth on oils application.
1. Each person upon whose behalf riffs appicetior is made, each person at whose request and for whose benefit work is performed under or pursuant b any permit
Issued as a result of oris application, the owner, and the applicant. each agrees b, and shat, defend. indemnify and hold Wan, ss the City of V Ou1rKa, Its
officers. agents and employees for arty act or omission related to the work being performed under or following issuance of obis perk
2. Any permit issued as a result of this application becomes null and void t work is not commenced within 160 days from date of Issuance of such permit, or
cessation of work for 180 days wN subject permit to canceration.
I certify that I have read this application and state that the above information is correct 1 agree b ppmply with ON city and county ordinances and slab bus reefing to bukWq
construction. and hereby authorize representatives of this county so enter upon the property for Inspection purposes.
Date ► -1L(p - / Signature (Applicant or Agent).
R
JON TANDY
78-194 Elenbrook Ct.
Palm ,Desert, CA 92211
Office (760) 772-7192
ISPECIAL INSPECT• Fax (760) 772-7193
REGISTERED INSPECTOR'S WEEKLY REPORT Pager,., (760) 776-3338
TYPE OF
INSPECTION "'
PERFORMED
❑ REINFORCEDTONCRE�E' RUCT. STEEL ASSEMBLY ❑
O POST TENSIONED CONCRETE AS ❑OTHER
❑ REINFORCED MA;$ONRY; Y O FIRE PROOFING
JOB LOCATION �/^ Q �� ` .. D v e, / ,^ /1 vLOL i
REPORT SEQUENCE N0.
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JC a
DAT
DAY Of WEEK
MATERIAL DESCRIPTION HITECT
IN
MRS. CHARGED
ENGINEER
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MRS. CHARGED
INSPECTION ,GENERAL ` - SUB
DATE CONTRACTOR - t�`�UQ (�. CONTRACTORS U I , H
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PAGE OF
CERTIFICATION OFTOMPLI""ANCE
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I HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALL OF TME ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF , THE,
GOVERNING BUILDING LAWS.
1'G AT E OF REGISTERS INSPECTOR'
t3 b (,
DA -Ty Of I*EPOFft REGISTER NUMBER
FROM FAX NO.
SRE-CIAL INSPECTION SERVICE.,
1
REGISTERED INSPECTOR'S WEEKLY REPORT
Apr. 16 2004 01:33PM P1
JON TANDY
78-194 Elenbrook CL
Palm Desert, CA 92211
Office (760) 772.7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
Jd REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLV
0 POST TENSIONED CONCRETE 0 ASPHALT
0 REINFORCED MASONRY 0 FIRE PROOFING
O
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JOS LOCATION
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DATE
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MATERIAL DESCRIPTION
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PAGE 01
CERTIFICATION OF COMPLIANCE
I HEREBY CiRTIPY THAT I HAVE INSPECTED TO THE BEST OF MV
KNOWLEDGE ALLOFTHE A80VE REPORTED WORK UNLE$$ OTHERWISE
NOTED. I HAVE FOVNO THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
SIG%ATJFJR9701 RFGfSTEREO INSPE
�S-vim _11a11fL*f--
DATE OF REPORT REGISTER NUMBER
FROM FAX NO.
w,.
REGISTERED INSPECTOR'S WEEKLY REPORT
Apr. 16 2004 01:34PM P2
JON TANDY
78-194 Elenbrook Ct.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY
0 POST TENSIONED CONCRETE O ASPHALT
0 REINFORCED MASONRY O FIRE PROOFING
0
O OTHER
JOA WCAT10N 57,- 703'C.
Co'%C iS'1�- >l I,4.7 1/1MIltM j�,p} b9
REPORT SEGUFNCE N0.
TYPE OF STRUCTURE
S VD
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DATE
ti -16--0
DAY OF WEEK
1'r+
MATERIAL DESCRIPTION
ARCHITECT, �• py T 7A.
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4
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ASSiSTANTE
HAS. CHARGED
MRS. CHARGED
INSPECTION GENERAL
DATE - oomn cTOR - _ -
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CONTINUED ON NEXT PAGE 0
►AGE Of
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF Md
KNOWLEDGE ALL OF TME ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED I NAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF TWO
GOVERNING BUILDING LAWS
SIG TU RE TEREO INSPECTOR
L r-49
DATE Of REPORT REGISTER NUMBER