11-0807 (BLCK)P.O. BOX 1504
78-495 CALLE .TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
'r11;-00_0.00 8,
Property Address:
51880 TRADITION TR
APN:
770 -250 -016 -
Application description:
WALL/FENCE
Property Zoning:
GOLF COURSE
Application valuation:
- 1083
Applicant: Architect or Engineer:
. u�it�Gv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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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 and Professionals Code, and my License is in full force and effect.
Licensee las : 13 License No.: 744091
C ractor.
ET.-4-41-
OWNER-alDER 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 _ 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 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 am exempt under Sec. , B.&P.C. for this reason
;Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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: P(
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/27/11
Owner:
TRADITION CLUB ASSOC D 4 a
78505 52ND AVE
LA QUINTA, CA 92253
JUL � 2011 f
(JF! ACdA
Contractor. Fp,�l�,�
SUN VISTA DEVELOPMENT CORP
P.O. BOX -1144
LA-QUINTA, CA 92247
(760)771-4722
Lic. No.: 744091
---------------------------------------------
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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 number are:
Carrier STATE FUND Policy Number 0000179-2009
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 Cod shall forthwith comply with those provisions.
r � �
at � pplicant: '
WARNING: FAILURE TO SECURE RKERS' COMP SATION 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 aV state laws relating to building construction, and hereby authorize representatives
of this coun y to enter up he above-mentioned propert r pection purposes.
ate: �OJ ignature (Applicant or Agent): e
LQPERMIT
Application Number . . . . 11-00000807
Permit. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 27.00 Plan Check Fee
.00
Issue Date . . . . Valuation
1083
Expiration Date 1/23/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 2.0000 HND- BLDG 501-2,000
12.00
-------------------------------------- -------------------------------------
Special Notes and Comments
A TOTAL OF 50 L.F. 5- GARDEN WALL, CITY
STANDARD AT VARIOUS SITES AT FITNESS
CENTER. 2010 CODES.
-- - - - - - - - - - - - - - - - - - - - - - - - -
Other Fees . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
E ---------------------------------------------------------
Permit Fee Total 27.00 .00 .00
27.00
Plan Check Total .00 .00 .00
..00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 28.00 .00 .00
28.00
LQPERMIT
07/26/2011 TUE 14:32 FAX La Quinta Bldg & Safety
i
i
i.
0001/001
Bin
#
Crty of LQ Quinta
Building lit Safety Division .
P.O. Box 1504, 78-495 Calle. Tampico
!a Quinta, CA.92253 - (760) 777-7012
Building Permit Application and Tracking Sheet . .
Permit # 1 cQj� 1
ProjectAddr=.: / OPQ 7 -
Owner's Name:
A. P. Number:��� • ap�Q • ®/gyp
Address: �`,�Dbf'D/d /�vel),4
Legal Description: 1_(%)290
City, ST, Zip: I,Q
Contractor:/j^/fQ���/,
Telephone:Iwl&9
Address: �QiE/ ��T
Project Description:
City, ST, zip:4a- a&-1i77'Q ' 90�0�,77
7—radi -7 41 an 7 chess C'e.�ter
Telephone: %D 7%/H�oS
�' "``' "~
`.N s...'
City Lia
u/ ZZ !� o .a''h� h
State Lia #.:�'`%i�� 9/
Arch., Engr., Designer: � SS
��� �Q/��d•
Address.
City, ST, Zip: Q
Telephone: %p0 • ��� 9 9
State Lie. #: s:...: .<
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: 130b tT7lU'/7
Telephone # of Contact Person: 5G
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THI$ UNE
#
Submittal
Plan Sets
Req'd.
Recd
TRACKING
Pian Check submitted
PERMIT FEES
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan'
Plans resubmitted
Mechanical
Grading plan
21. Review, ready for corrections/issue
Electrical:
Subcontactor List
Called Contact Person
Plumbing -
Grant Deed
Pians picked up
S.M.L-
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correetionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees