12-0181 (BLCK)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: 2/29/12
Application Number:12-0000018;1"- —1 Owner:
Property Address: 53065 . AVENIDA NAVARRO CHRISTIAN KNALL
APN: .774-064-026-3 -000000- 4224 LA SALLE AVENUE
Application description: WALL/FENCE CULVER CITY, CA 90232,
Property Zoning: COVE RESIDENTIAL
Application valuation; 2727 D
Contractor:
Applicant: Architect or Engineer: CALI BUILT CONSTRUCTI� FEB 2 9 2012
50855 WASHINGTON ST, ST .0-114
LA QUINTA, CA 92247 CITY OFLA QUINTTA
(760)250-8474 FINANCE DEPT.
pip Lic. No.: 923574
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
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: B -C8 License No.: 923574
Date: Contractor: '
OWNER -BUILDER DECLARATION
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 1, as owner of the property, or my employees with wages as their'sole compensation, willdo 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.).
(„) 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.). '
I—) I am exempt under Sec. B.&P.C. for is reason
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
WORKER'S COMPENSATION DECLARATION
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. '
-X1 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 BBSI INS Policy Number 2246
_ 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
WARNING: 1.11. E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 incorrect. I agree to comply with all -
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property forinspectiontpur oses.
/ rf ))
ate: !� r 2-J,
_ I , L:% $i nature pplicant or Agent): _/
Application Number 12-00000181
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . " . 54.00 Plan Check Fee—
.00
Issue Date Valuation-
2761,
Expiration Date,. 8/27/12
Qty Unit Charge Per
Extension
BASE FEE
45.00
- 1.00 9.0000 THOU BLDG 2,001-25,000
9.00
-----------------------------------------------_----------------
Special Notes and Comments
45 L.F. 6' GARDEN WALL AT SIDE P/L, 66
L.F. 5' GARDEN WALL AT FRONT COURTYARD
WITH (4) 12".X 12° COLUMNS 5'• TALL, CITY
STANDARD. 2010 CODES.
-----------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
---------L -------- ----------
Permit Fee Total 5,4.00 00 .00
54.00
Plan Check Total 00. .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total" 55.00 .00 .0'0
55.00
I
5" W -a c -,-t4, I. -
PROGRESSIVE
•►. -PROGRESSIVE DESIGN CONCEPTS
• AmhItee W rtI Dealgn
• Readen0el end Cemmen:lol
• Planning end D—I pmem
78•/75 Celle Eatado, Ste. 105
Le Quin• CA 92253
Offlee (7 S01584e707 Fea(780)5064955
wwwa.eco—epbsom
PROJECT TITLE
Proposed
Garden walls
for
CMs KnaH
53-065 Avenida Navarro
IA Quinta, CA 92253
A•P.N.: 774-064-026
Detd Deaerlptbn
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Date: 2/292012
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PROGRESSIVE
•►. -PROGRESSIVE DESIGN CONCEPTS
• AmhItee W rtI Dealgn
• Readen0el end Cemmen:lol
• Planning end D—I pmem
78•/75 Celle Eatado, Ste. 105
Le Quin• CA 92253
Offlee (7 S01584e707 Fea(780)5064955
wwwa.eco—epbsom
PROJECT TITLE
Proposed
Garden walls
for
CMs KnaH
53-065 Avenida Navarro
IA Quinta, CA 92253
A•P.N.: 774-064-026
Detd Deaerlptbn
Number
D... By
App—d ey
Prolept Mena9or
Z
CL
W
V♦
Date: 2/292012
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P.O. Boxi.1504,. 9YO& Ta pk.:).
La.Quinta, CA 922'53 -:(760) 777,7012
Building Pennit Application and'Tracking Sheet
Perrnit
'A\, cN i NA'INA OA-,Z�.Owner's
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Address: [-A LL L. A
Legal Description: UU6
Contractor. C—A-tA-P-LiU-1 t-T C-0 It N-
City,
City, ST, Zip: UL\JE Q.:k
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Telephone:
Project Description:
City, ST, Zip:
L,0 C,.K— v) A- L-L-
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State
State Lic. #: LiC*, #,
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Arch, Bag., Designer.
Ce) N x V zi,
City, ST. Zip:
Telephone: Construction Type: Occupancy:
State Lic,'#: Project type (circle one): New Add'n. Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories:
I
Telephone # of Contact Person: - I
Estimated Value of Project 0
APPLICANT: DO NOT WRITE BELOW THIS. LINE
#
Submittal
Plan Sets
Req1d
--Rtc1d
TRACENG* PERMIT-FEES-
Plan Check submitted. item Amount
Structural Cales.
Rcvlcw4 ready for corrections Phu Check Deposit.
Trust Calm
Called Contact Person Plan Check . Balance
Tide 24 Cklcs.
Plans picked up Construction
Flood plain plan
Plans resubmitkd,*. Mecharilcal
Gi-ading plan
2' Review, ready 'for correctionsirissue Elecbical
S-beo,tactor U-st
Called Contact Person Plu]nbiRg
Grant Deed
PhD$ 01clied up ML
H.O.A. Approval
Plans resubmitted Grading
34 Review; ready for carrectionvIssue. Developer Impact Fee
Planning Approval
Called Contact Person AXP.P
Pub. Wb. Appr
Date orpermit'issue
School Fees
To Permit Fees