06-1624 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001624
Property Address: 78900 SONESTA •WY
APN: 6b4-151-024-35 -23269 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 125
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION .
I 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 d Professionals Code, and my License is in full force and effect.
License Class: C29 License No.: 776632
'(f_dC Contractor6
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).:
(_ 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 of proving that he or she did not build or
improve for the purpose of sale.).
(_) 1, 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 am exempt under Sec. , B.&P.C. for thisreason
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
Owner:
NESPOLI GIUSEPPE
78-900 SONESTA WAY
LA QUINTA, CA 92253
Contractor:
JIMENEZ CONSTRUCTION
26900 DOLLAR ROAD
DESERT HOT SPRINGS, CA 92241
(760)342-7881
Lic. No.: 776632
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 4/24/06
APR 2 4 2006
CITY OF LA QUINTA
. 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 number are:
Carrier STATE FUND Policy Number 1795093
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 sho a subject to the workers' compensation provisions of Section
/ 3700 of the Labor C e I s forthwith co m I with those provisions.
DatE L 2 f!- O_ Applicant
V.
WARNING: FAILURE TO SECURE WORKERS,' COTOIPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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 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 prop or n ction purposes.
Date 2/ —J Signature (Applicant or AgesR).
I
Application Number . . •06-00001624
Permit` WALL/FENCE PERMIT.
Additional desc,•
Permit Fee . . . . 15.00
Plan -'Check
Fee
.00
Issue, Date . . . .
Valuation
125
Expiration Date 10/21/06
Qty Unit Charge Per'
Extension
BASE
FEE
15.00 ,
-----------------------------------------------------------------------------
Special Notes.and.Comments
.
5 L.F. 6' BLOCK WALL/ GAT AT SIDE.OF
HOUSE; ORCO SYSTEM.
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 15.00
.00
.00
15.00
Plan Check -Total ..00
00
.00
.00 <,
Grand Total 15.'00
.00
.00
151.00
LQPERMIT . - -
-
-
• Bin #
School Fees
Total Permit Fees
City of La Quinta
Building u Safety Division
Permit #
P:O. Box 1504, 78-495 Calle Tampico
6
La Quinta, CA 92253 - (760) 777-7012
Building
Permit Application and Tracking Sheet
Project Address:
Owner's Narne: /9 A/ l —p
A. P. Number. 10O Lf .
Address: _19 M
Legal Description:
City, ST, Zip.,Ul lAS 3
Contractor: Q e
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lie. # :
City Lie. #:
gaGlG 11 <—
Arch., Engr., Designer.
d�
Address:
City, ST, Zip:
Telephone:
Construction Type: Occu an
P cY
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft : #Stories: #Units:
Telephone # of Contact Person:
Estimated Value orProject:
APPUCANT: DO NOT WRITE BELOW THIS UNE
4 Submittal Req'd
Reed TRACING . PERMIT FEES
Plan Sets
Plan Cbecksubmi'ttedItem Amount
Structural Cities.
Reviewed, ready for corrections Plan Check Deposit
Truss Carts.
Called Contact Person Plan Check Balance
Energy Cal¢s.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading. plan
2" Review, ready for correctionsrssue Electrical 77
$ubcontactor List
Called Contact -Person plumbing
Grant Deed
picked rap S.M.L
H.O.A. Approval
r1ans
ans resubmitted Grading
IN HOUSE:-
Review, ready for corrcetions/issue Developer Impact Fee
Planning Approval
3
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date otpermit issue
School Fees
Total Permit Fees
i
BLOCKW WALL LOCATION AGREEMENT
This document attests and affirms that both of the propertyowners at
78-890 Sonesta Way and 78-900 Sonesta Way in La Quinta, California,
agree and warrant that the, proposed block wall to be built on the common
property line between these properties is built on the center line of the
Property Line, and that this location is acceptable and undisputed.
w Further, both parties agree to hold harmless the City of La Quinta and .
City staff for any approvals of this location and issuance of this block wall: permits.
_Property Owner QV $ d / . Address
(Print n e) La Quinta, California 92253
Property Owner '
-
(SigndiYey
Property Owner ;al Lez L (ed <,j.. Address 9
(Print Name) La Quinta, California _9 253
Property Owner
(Signature)
t