06-4057 (BLCK)P.O. BOX- 1.504 '
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00004057
47695 SOFT MOONLIGHT
649-030-069-38 -31311 -
WALL/FENCE
HIGH DENSITY RESIDENTIAL
208
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 and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 820821
Date: Contractor:
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 d6llars ($500).:
(_) 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.). .ao"
1 VI) 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:
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:
SANTA ROSA DEVELOPMENT INC
46753 ADAMS ST
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/27/06
(760)771-3345 a 1
_ D
Contractor: %v 3 O DO
MCD CONSTRUCTION Y
49881 29 PALMS HIGHWA
MORONGO VALLEY, CA 92 5
(760)363 7740
Lic. No.: 820821
CITY
LAFO ncvTTA
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 0442271205
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
7 0 of the Labor Code, I shall forthwith comply with tpose provisions.
06`e: Iicant:
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 ($100,000). IN ADDITION TO THE COST. OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application. - -
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work_ is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and herepy authorize representatives
of this c u ty to nter upon the ove-mentioned property for inspection pur
at$ e: 11 3 Si ure.(Applicant or Agent):
LQPERI IIT
Application Number . . . 06-00004057
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue' Date
Valuation
. . .
. 208
Expiration Date 5/26/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
13 L.F. 41 PATIO/GARDEN WALL, 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
15.00
LQPERI IIT
08/28/2006 11::18 7603605719 YOUNG ENGINEERING SE' PAGE :02
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T7 804 Wildcat Dr, PAIm Desert ca. 92211 a:(760) 39D.5i10 P.(780) 380-5719 - --- — _
i
August 25, 2006
Tom Hartung f
Building Official
City of La Quinta
RE: Watercolors Phase 2 47-695 So moonli ht,Lot 38 lan 1La Ouinta CA
Dear Tom.,
We have performed Structural. Observation per C.B.C. section, 1702 for the above referenced project
and find .it to be in General Conformance with the approved City plans and calculations.
Please note that this letter does not relieve the City or the Special Inspectors from determining
compliance with the approved plans.
a e If you have any questions please call.
is d'•
Sincerely,
L Jeffrey B Young, S.E.
• �YMN71'u,cyh+ ,
. No40a«� (rrry 0 r.
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