06-1131 (BLCK)P.O. BOX 1504
78-495 CALLE'TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001131
Property Address:
79315 TOM FAZIO LN N
APN:
766 -032 -008 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2490
Applicant:
Architect or
T-ityl nF 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
M/M BILL SIMMONS
4269 COUNTRY CLUB DR -
(y i LONG BEACH, CA 90807
:APR1^ C
200u Contractor:
CLARK JR, JACK L.
CITY OF LA QUINTA 51220 AVENIDA CARRANZA
_FINANCE':T. LA QUINTA, CA 92253
(760)564-3511
Lic. No.: 506667
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/10/06
------------------------------------------------------------------------'-------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underpenalty 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%CLlaspss: El License N : 506667
,�GMe: "[- 1 [ VL ontractor:�
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 ProfessionsCode) 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 1$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 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
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:
LQPER111t1
'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 EXEMPT . , Policy Number EXEMPT
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 shall forthwith comply ith those provisions.
;vrte: pplicant:
WARNING: FAILOU 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 tMnrize representatives
of this cou �y t enter upon the above-mentioned prope t f r inspectiopurposes.
Date: �1 r® Signature (Applicant or AgentL (JpP�
Application Number . . 06-00001131
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . 54.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 2490
Expiration Date 10/02/06
Qty Unit Charge, Per
Extension
BASE FEE
45.00
1.00 9.0000, THOU BLDG 2,001-25,000
9.00 .
----------------------------------------------------------------------------
Special Notes and Comments
.5' HIGH RETAINING WALL 115 LF. PER
APPROVED PLAN. EXTRA PLAN CHECK FEES
ADDED ON FOR STRUCT PLAN CHECK OF ROCK
WALL
--------------------------------------------------------------'--------------
Other Fees . . . . . . . . . HOURLY PLAN CHECK
105.00
Fee summary Charged•Paid
-------------------------------------
Credited
---- ------ ----------
Due, �.
Permit Fee Total 54.00
.00
.00
54.00
Plan Check Total .00
.00
.00
.00
Other Fee Total 105.00
.00
.00
105.00
Grand Total 159.00
.00
.00
159.00
LQPERMIT 1
"ID 1% %. k/ i / .-, c7 -
Bin
#
eJ
City of La Quinta
Building U Safety Division
P.O. Box 1504 78=495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Application and Tracking Sheet
`
1131-Building�Permit
Project Address:'
� O M AZ.Io �✓p
Owner's Name:
A. P. Number: '
Address: 404/ Gk
Legal Description:
City, ST, Zip: ( 7 t2 oV 7
Contractor:
A�c �C /9/1,
Address: ,
i—jb
Telephone�,� 2 � �
Project Desccrnription: •
City, ST, Zip:
Telephone:
"t/
State Lie. # :
CityLic. #:
Arch., Engr., Designer: SSo CA
>
Address: Cv D/`
City, ST, Zip: G45 zel>
Telephone:
i .%' �
Construction Type: Occupancy: YP
State Lic. #:
Project type (circle one): New, Add'n Alter' Repair Demo
Name of Contact Person: - h e / • v CC4 1(/•p
Sq. Ft.: i
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value' of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING-.
PERMUT 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
2"' Review, ready for corrections sue
y
Electrical
Subcontactor List
Called Contact Person
S
Plumbing
Grant Deed
Plans picked Up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue ..
School Fees
Total Permit Fees
Tih
P.O. BO)c.1504
LA. QUINTA, CALIFORNIA 92247-1504. BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253 (760) 77.7-70 12
(760) 777-701 1
TRANSMITTAL
TO:
Illy
TODAY'S DATE: ��lle�' "�
PROJECT ADDRESS:
APPLICANT NAME:
SUBMITTAL:Q2ND
BIN NUMBER:
-INCLUDED HEREWITH:
OCORRECTION LIST
❑OTHER
ON NEIUHUE
DUE DATE: rS;
3RD 04TH a5TH .
PERMIT NUMBER:
[]REVISED PLANS
[]REVISED STRUCT
OREVISED TRUSS
❑REVISED SOILS
[]APPROVED PLANS
[]APPROVED STRUCT
EIAPPROVED TRUSS
E)APPROVED SOILS
[]CUSTOMER RESPONSES
-BUILDING DEPARTMENT USE ONLY
GREEN SHEET TO: TCDD ❑(w/Plant) ❑PUBLIC.WORKS .
[]COVE CHECK (w/Application)
LOCATION ON BOARD: LEFT '� IIIIIDDLE
RIGHT
SENT TO:. SY N., -,SV SH
STRUCT/NON-STRUCT
ASSIGN NON-STRUCTURAL TO:
COMMENTS:
:NS
❑REDLINED PLANS
(,STRUCT
[]REDLINED•STRUCT
nTRUSS
[]REDLINED TRUSS
. FISOILS
QREDLINED SOILS
nENERGY.
❑REVISED. ENERGY
OCORRECTION LIST
❑OTHER
ON NEIUHUE
DUE DATE: rS;
3RD 04TH a5TH .
PERMIT NUMBER:
[]REVISED PLANS
[]REVISED STRUCT
OREVISED TRUSS
❑REVISED SOILS
[]APPROVED PLANS
[]APPROVED STRUCT
EIAPPROVED TRUSS
E)APPROVED SOILS
[]CUSTOMER RESPONSES
-BUILDING DEPARTMENT USE ONLY
GREEN SHEET TO: TCDD ❑(w/Plant) ❑PUBLIC.WORKS .
[]COVE CHECK (w/Application)
LOCATION ON BOARD: LEFT '� IIIIIDDLE
RIGHT
SENT TO:. SY N., -,SV SH
STRUCT/NON-STRUCT
ASSIGN NON-STRUCTURAL TO:
COMMENTS:
` Plan check No. 06-1131
' VCA File No: LQ -18410G
CITY OF LA QUINTA
r .
PLAN CHECK CORRECTION LIST
Michael Buccino Associates March 31, 2006
77 734 Country Club Drive, Suite A-2
Palm Desert, CA 92211
PLAN CHECK NO. 06-1131 FIRST CHECK/APPROVED
ADDRESS 79- Tom Fazio Ln. North OCCUPANCY R -3/U-1
SCOPE OF WORK Grading TYPE -OF -CONST. V -N
The submitted'plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted'by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL-, FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by:
Timothy Koutsouros
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext. 758
VCA File No. LQ-1841OG
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Michael Buccino Associates
77 734 Country Club Drive, Suite A-2
Palm Desert, CA 92211
PLAN CHECK NO. 06-1131
ADDRESS 79- Tom Fazio Ln. North
SCOPE OF WORK Grading
Plan check No. 06-1131
VCA File No. LQ -18410G
March 31, 2006
FIRST CHECK/APPROVED
OCCUPANCY R -3/U-1
TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA and the State of California Amendment.
==_ — -- _
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by:
Timothy Koutsouros
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange,. CA 92868
(714) 363-4700 ext. 758
1
VCA File No. LQ-1841OG