08-1582 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
087vov01552
Property Address:
8, 75�PASEO DE ROSARIO
APN:
766-110-016-54 -33597 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7875
Applicant:
,
Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
R.T. HUGHES
78900 AVENUE 47, STE. 200
'LA QUINTA, CA 92253
(760)7.71-8890
d
tor:
GHA RPRISE, INC.
3 ATE -PALM DRIVE, SUITE C
�17 � (A 69-1400Y, CA 92234
L' o.: 750957
Date: 9/17/08
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.I.
Lender's Name:
Lender's Address:
LQPERMIT
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 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 county to enter upon the above-mentioned property for inspection purposes.
---------------
- LICENSED CONTRACTOR'S DECLARATION
- - - - - - -
- ,WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chaptei 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
yL�ic�ense Class: B - License No.: 750957
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ �,^ �+c,...�
LDat I 0 X Contractor: - "
.issued.
_ I have'and will maintain workers'. compensation insdrance, as required by Section'3700 of the Labor
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:
I hereby affirm under penalty of perjury that I am exempt'from the Contractor's. State License Law for the
Carrier STATE FUND: Policy Number 719000223
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
-
_ I certify that, in the performance of the work for which this permit is issued, I 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 tofile a signed statement that he or she is licensed pursuant to the provisions of,ihe Contractor's State
and.agree that, if I shouldbecome subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000). of Division S of the Business and Professions Code) or
I
_ 3700 of the Labor Ede; shall forthwith comply with those provisions.
"that'he or she is exempt therefrom and the basis for the alleged exemption. Any violation of'Section 7031.5 by
p -
any applicant for apermit subjects the applicanfto a. civil penalty of.not more than five hundred dollars ($5001.:
'
"Date i 1 1� 4 Tlica'nt
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation; will do the work, and
C
:•
tfie structure is not'intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECUFCU6RJRS' 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 ownemployees,-provided tfiat the
DOLLARS (5100,000). IN ADDITION TO -THE COST.O"F 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 yeer,of<completion, thebwner-builder will have the burden of proving that he or she did not build or
-
improve for the purpose of sale.).-
APPLICANT ACKNOWLEDGEMENT
I _ 1 1, as owner of -the property, am exclusively contracting with licensed contractors to construct the projects (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
conditioris 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 person at 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,
1 _ 1 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
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 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 county to enter upon the above-mentioned property for inspection purposes.
Application Number . . . . . 08-00001582
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 99.00 Plan Check
Fee
.00
Issue Date . . . . - Valuation
. . .
. 7875
Expiration Date 3/16/09
Qty Unit Charge Per
Extension
BASE FEE.
45.00
6.00 9.0000 THOU BLDG 2,001-25,000
54.00
--------------------------------------------------- 7------------------------
Special_-Notes and Comments
315 LN•.FT X 6 FT HT PERIMITER GARDEN
BLOCK WALL PER CITY STANDARDS & APPROVED
PLANS.
Fee summary Charged Paid Credited
Due
Permit Fee Total 99.00 .00
.00
99.00
Plan Check,'Total .00 .00
.00
.00
Grand Total 99.00 :00
.00
99.00
LQFERMIT
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CITY OF LA CSU INTA
BUILDING & SAFETY DEPT.
APPROVED
F7CONSTRUCTION
6
DATE?-- BY
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CITY OF LA CSU INTA
BUILDING & SAFETY DEPT.
APPROVED
F7CONSTRUCTION
6
DATE?-- BY
Bin #
City, of La Quinta
Building & 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:
��EGU fk
A. P. Number:,�
�c
Address O j�Q v£ 47
Legal Description: E
Contractor: C.7ev �Sts�Te_lephone:
A` ddd�s:
30f 7-Y A4/4
City,' Sa', Zip !/'
-7-V-9,9370
Project'Descriptibn: 3/5' /L F
CitySTzp2cWA
ItAkeff—C* X23
l �i
Telephoner 7(00Y0 17 n
1'��t_ate-LiZ—X: D F-5'7 city Lic. #:
Arch., Engr., Designer:
G
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
TNamLofGontact-Person:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories: #Units:
Telephone=#gof _Contact=Person: %
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMFF FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' 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 HOUSE:-
'~ Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees