10-0888 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:C10-00000888
_
Property Address: 81580 SHACKLETON WY
APN: .767-200-998-46 -330762-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
- Titit 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TAORMINA VINCE
81580 SHACKLETON WAY
LA QUINTA, CA 92253
L'J
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/10/10
• Contractor: ��� � 0
Applicant: Architect or Engineer: NANCE ENTERPRISES INCJU EN 1010
-,, l P.O. BOX 2589
44ck�. AI -A.- � � PALM DESERT, CA 92261 coryoFtr�4t�INT�
( 76 0) 3 4 5- 2 0 3 0 FINA�t;;E OEPi
Lic. No.: 814971
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.
License Class: 13 License No.: 814971
IWI Date�9 O O Convacto ��-
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 structufe, 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 Cade: 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, piovided 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 buiid'or
improve for the purpose of sale.).
1 _ 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.).
1 1 I am exempt under Sec. B.&P.C. for this reason
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
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 SUA INS Policy Number WSATMEC30493901
_ 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
d , 3700 of the Labor Code, 11_sbaWorthwCbmply with those (i ns.
Date:47�7`� tAPpfica UJ2v�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS J$ 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
peimit to cancellation.
I certify that I have read this application and state that the above information is correct. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of thisco�ter upon the above-mentioned property for i tion purposes.
-y ` Dater �- [9- Signature (Applicant ;or Agentl:
Application Number
10-00000888
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee
15.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 500
Expiration Date
3/09/11
Qty Unit• Charge
Per
Extension
BASE FEE
15.00
Special Notes and
Comments
20 LN FT X 6 FT HT
BLOCK WALL PER CITY
STANDARDS AND APPROVED PLANS.
-----------------_-------
Other Fees .
. ... . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid-
Credited
Due -
Permit Fee Total
15.00 -
00
00
15'.00
Plan Check Total
.00
.00
.00
.00'
Other Fee Total
1.00
.00
.00
1.00
Grand Total.
16.00,.
.00
.00
16.00
LQPERMIT _
-
Bin #
City of La Quinta
Building &r 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: _ G N
Owner's Name:r c t
A. P. Number: /o f 5, G
Address:
Legal Description:
City, ST, Zip:
Contractor:
e� „ �
.' :•;x;y,:€• ,
Telephone: ;, <'•
Project Description:
�o
Address: O 2
City, ST, Zip: I e r4- CA 9 Lz
o2 D L-0
Telephone:
Stats Lic. # : t City Lic. C
Arch., Engr., Designer. r
Address: ' U D c o
City, ST, Zip: r� f
Telephone: p 0 - S � � �
State Lic. #:
Name of Contact Person: N `
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person: 3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes,
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calea.
Plans pickid up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
2" Review, ready for correctionstfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
H.O.A. Approval
Plans resubmittedGrading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
� 1 -1 M
VITA'S FRONTAGE LANDSCAPE
TREE LEGEND
EXISTING
BOTANICAL NAME
COMMON NAME
- =-
GOLF COURSE
ALEPPO PINE
++++++++
+ ' + + + ` + + '
GREWIA CAFFRA
PLANT MATERIAL
f
CERATONIA SILIQUA
TREES
HYBRID BERMUDA SOD #419 over -seeded with perennial rye.
SHRUBS
SHINY XYLOSMA
LL ;__t_i_L.
LLLLLLLLLLLLLLL:
-i_L .LLLLLLL_LLi_LLL-
DIETES BICOLOR
FORTNIGHT LILY
_LL.L.L_LLi_LA.- ..!..;._LL+
5YM.
NAME
SYM. NAME
ROSA 'FLOWER CARPET'
CARPET ROSE
wood chip mulch 3 inches thick
w
METAL STEEL EDGING PER DESIGN GUIDE LINES
PINUS HALAPENSIS
AR
Aczaccia
Aleppo Pine
Desert Carpet
LY
LANTANA MONTEVIDENSIS 'New Gold"
TralLing Lantana
•>
Rosemary prostada
O
Rosemary
VITA'S FRONTAGE LANDSCAPE
TREE LEGEND
SYMBOL
BOTANICAL NAME
COMMON NAME
- =-
PINUS HALAPENSIS
ALEPPO PINE
++++++++
+ ' + + + ` + + '
GREWIA CAFFRA
LAVENDER STARFLOWER
f
CERATONIA SILIQUA
CAROB
hDortant Notice — Underground Service Alert
00 , G Section 4216/4217 of the Government Code requires
a Dig Alert Identification Number be issued before a
i 'Permit to Excavate' will be valid. For your Dig Alert
Identification Number call Underground Service Alert
TOLL FREE at 1-800-227-2600 two working days
before you dig.
SHRUB LEGEND
SYMBOL
BOTANICAL NAME
COMMON NAME
Q
CALLISTEMON 'LITTLE JOHN'
BOTTLEBRUSH
++++++++
+ ' + + + ` + + '
GREWIA CAFFRA
LAVENDER STARFLOWER
f
ROSA 'ICEBERG'
ROSE
HYBRID BERMUDA SOD #419 over -seeded with perennial rye.
XYLOSMA CONGESTUM
SHINY XYLOSMA
Construction contractor agrees that in accordance with generally accepted construction
practices, construction contractor will be required to assume sole and complete responsibility for
job site conditions during the course of construction of the project, including safety of all persons
and property, that this requirement shall be made to apply continuously and not be limited to
normal working hours, and construction contractor further agrees to defend, indemnify and hold
design professional harmless from any and all liability, real or alleged, in connection with the
performance of work on this project, excepting liability arising from the sole negligence of design
professional.
SGALE: I" = 10'-O"
GROUNDCOVER LEGEND
SYMBOL
BOTANICAL NAME
COMMON NAME
+ + + + + + + +
Trachelospermum Jasminoides 5 gal. 14
++++++++
+ ' + + + ` + + '
BACCHARIS 'CENTENNIAL'
COYOTE BRUSH
f
LANTANA MONTEVIDENSIS
'LAVENDER SWIRL'
LANTANA
HYBRID BERMUDA SOD #419 over -seeded with perennial rye.
�• jwr ;;
Decomposed Granite - 'DESERT GOLD' 3/8' pea gravel, 3 inches thick
LL ;__t_i_L.
LLLLLLLLLLLLLLL:
-i_L .LLLLLLL_LLi_LLL-
DIETES BICOLOR
FORTNIGHT LILY
_LL.L.L_LLi_LA.- ..!..;._LL+
a
3 inches thick in all rose planters
ROSA 'FLOWER CARPET'
CARPET ROSE
wood chip mulch 3 inches thick
w
METAL STEEL EDGING PER DESIGN GUIDE LINES
SEE SHEET L-6 FOR PLANTING DETAILS
,�Es PLANT LEGEND
5YM. NAME SIZE QTY. COMMENTS
UGIT Citrus species 48" -Box 5
• see plan for varieties
0
)IE C5 Gupressus 5emperviren5 36" -Box 15
Golumnar Italian Gyperus
)KML Melaleuca quinquenervia 48" Box 10 Low branching
Melaleuca
)E M6 Magnolia 6randiflora 60"- Box 2 Multi/Low branching
Little Gem
SHRUBS
` SYM. NAME`
SIZE QTY. GOMMENT5
O BMJ Buxus microphylla japonica 5 gal. 20
' Japanese Boxwood
LAE Lanvondula ongIstifolia 59al 118
i English Lonveder
JG Juniperus chinensis 'San Jose' 15 gal 6
Juniper
LJT LJT Ligustrum japonicum texanum 15 gal 3
1Noxleof Privet
NF NF Phormium tenox 15 gal. 10
New Zealand Flax
PC PG Prunus caroling 24 box 27
Carolina Cherry
OR R Rosa Spp. 5 gal. G2
Ice Berg Rose
RG Rosa Spp. 5 gal. 45
Red GaeP et Rose
pd RO Rosmarinus officinolis 'Tuscan Blue' 5 gal. 41
Tuscan Blue
aROP
Rosmarinus officinalis 'prostrotus' 5 gal. 101
Dwarf Rosemary
O0 TJ
Trachelospermum Jasminoides 5 gal. 14
Star Jasmine
GROUND GOVERS
5YM. NAME 51 ZE QTY. COMMENTS
M
LAW.
HYBRID BERMUDA SOD #419 over -seeded with perennial rye.
�• jwr ;;
Decomposed Granite - 'DESERT GOLD' 3/8' pea gravel, 3 inches thick
Note: Pea gravel will be f or side yard paths only
I
1/2" to 1" wood chip mulch
a
3 inches thick in all rose planters
Path to driving range will be covered with 1/2" to 1"
n
wood chip mulch 3 inches thick
w
METAL STEEL EDGING PER DESIGN GUIDE LINES
X DENOTED TREES WITHIN
❑T BARRIERS PER SMANUFAC TLLS URER SR SPECIFICATIONS
INGS ❑
ICATI❑NS
RECIEVE DEEPRO❑
N❑TEi ALL QUANTITIES ARE FOR ESTIMATE PURPOSE ONLY,
CONTRACTOR TO VERIFY QUATITIES,
NORTH
.J
10' 20'
SGALE : I " = 1 O !-O !!
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40' I I DATE: 7-16-10
CHANGES TO APPROVED PLAN /
VARIANCE SUBMITTAL
REVISIONS
Delta Date Shects Affected By Description of Change
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