06-3959 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-0000.3959
Property Address: 78302 TALKING ROCK TURN
APN: 7.70-290-014- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8799
Applicant: Architect or Engineer:
Pr
-----------------
LICENSED CONTRACTOR'S DECLARATION
4 X�v VOICE (760) 777-7012
FAX (760) 777=7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/20/06
Owner:
DAVINCI CONSTRUCTION
78365 HIGHWAY 111, #177
LA'QUINTA, CA 92253
'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 LicenseNo.: 801142
ate: 1 �� 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 dollars ($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 dot 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 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 ownerof
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
l _ 1 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:
LQPER1fIT
8
Contractor: k3. COAST & DESERT DE�L CO 778365 HIGHWAY 1114;, l V�!LA QUINTA, CA 922
(760) 567-2026 CaY®F RUNT10
Lic. No.: 801142 _FIN ONE
-----------------------------------------------
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 carrierandpolicy number are:
Carrier STATE FUND Policy Number 2290030651
1 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 Code, I s f forthwith comply with those provisions.
ate: ,7")
plicant:
WARNING: FAILURE TO SECURE WO RS' 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 hereby authorize representatives
of this county to enter upon the above-mentioned proper 1 fo spe n purposes.
D6fe: L nature (APPlicant or Agent):
. Application Number 06-00003959.
Permit . . . WALL/FENCE PERMIT
Additional. desc' :
Permit,Fee 108.00,"
Plan Check
Fee
.00
Issue Date
Valuation
8799
Expiration Date 5/19/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
7.00. 9.0000 THOU BLDG 2,001-25,000
63.00
- ------
Special Notes and Comments
148 L.F. COMBO WALL, 31. RETAINING,,3'
' -GARDEN, 165 L.F. 6' -.GARDEN, 45•L.F. 51.
GARDEN. WALL, ALL .CITY STANDARD
Fee summary Charged Paid
Credited
Due
Permit Fee Total 108.00
.00
.00
108.00
-Plan Check Total .00
.00
.00 -
.00
Grand Total 108.'00
.00
.00
108.00
LQPERMIT -
-
Application'Number 06=00003959
Permit . . . .WALL/FENCE PERMIT
Additional.desc .
Permit Fee . .108.00 Plan Check
Fee-.
.00
Issue Date . . . Valuation
. . .
. 8799
Expiration Date 5%19/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
7.00. 9.0000 THOU BLDG 2,•001-25,000
63..00
----------------------------------------
Special Notes and Comments
-
148 L.F. COMBO WALL, 3' RETAINING, 3'
-GARDEN, 165 L.F. 6' GARDEN, 45 L.F. 51.
GARDEN WALL, ALLCITYSTANDARD
Fee summary Charged Paid .Credited
------------------ ---------- ---------- ----------
Due
-------- --
Permit Fee Total 108.00 .00
.00"
108.00
Plan Check Total .00 .00
.00
..00
Grand Total 108.00 .00
.00
108.00.
" o
LQPERMIT
.�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00003959
Property Address: 78302 TALKING ROCK TURN
APN: 7.70-29.0-014- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8799
Applicant:
T-it!t °F Xi� Quin1w
Architect or Engineer:.
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
'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 11, License No.: 801142
ate: 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 dollars ($500).:
1—) 1, 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 riot 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.).
( 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/20/06
Owner:
DAVINCI CONSTRUCTION
78365 HIGHWAY 111, #177
LA QUINTA, CA 92253
Contractor:
COAST & DESERT DEVELOPMNT CORP
78365 HIGHWAY 111 STE 177
LA QUINTA, CA 92253
(760)567-2026
LiC. No.: 801142
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
-Y-1I 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 2290030651
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 Code, I shall forthwith comply with those provisions.
ate: Xpficam:
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 Ouinta, 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 property for inspection purposes.
Ddfe: nature (Applicant or Agent):
Bin #
4A City of La Quinta
Building & Safety Division
Permit # P.O. Box 1504, 78-49S Calle Tampico
La Quints, CA 92253 - (760) 7.77-7012
J Building Permit Application and. Tracking Sheet
Project Address: 3 Q 2 to �tN
G'iC tel,0. A) Owner's Name: V G C C �• � �/)QV
A. P. Number. Address: bS ('ti ,µ %%
Legal Description: City, ST, Zip:L to,,
/+
Contractor: -ew,v .
Telephone: �Z6r2�M _01M
Address:S' ��/� l { 17 7
Project Description:
.City, ST, Zip: "LJ� 421L
Telephone: '3(0'7207Ar !( P
State Lie. frol I Lk Z City Lie. #: '
Ips . �,• -/� . i��k
Arch., Engr., Designer: R �� /�'(� /
. 4 �
Address:
City,. -ST, Zip:
Telephone: ConstrucOccupancy:
Type: Occu
., G Cy.
State Lic. #: '7
ProjedtYP circle one): New Add'n Alter Repair Demo
• Name of Contact Person: C ir- J ok v'. .S 0� FEstimated
: Ft : # Stories: # Units: ,
Telephone # of Contact Person: Value of Project;
APPUCANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd. Recd
TRACEING .. PERMIT FEES
Plan Sets Plan Check submitted 11 I 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 correctionstusue Electrical
Subcontactor List Called Contact Person
Plumbing
Grant Deed Plans picked up
H.O.A. Approval Plans resubmitted.
Grading
IN HOUSE:- 3 Review, ready for correctionsrssue Developer Impact Fee,
Planning Approval Called Contact Person
A.I.P.P.
Pub. Wks. Appr Date or permit issue
School Fees
Tota Q
.: ..:......:... .:. ...
I Permit Fees
r