06-0481 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'!t- 4 e(Pa"
Application Number: '06-0000'0481'
Property Address: 52120 AVENIDA VALLEJO
APN: 773-223-023-18 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL _
Application valuation: 1321 D
Applicant:, Architect or En e�
BUILDING & SAFETY DEPARTMENT
BUILDING .PERMIT .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/31/06
Owner:~A
SHARMAN ROBERT W
A O BOX 681 1
LA QUINTA, CA 92253`
---------------------------------
I
:AN
Contractor:
12U06Owner
QUINTA----____--
" t
. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION • - '
- I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided �{ y
License Class: ' License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. \
Date: Contractor: .. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor t-
-`� Code, for the performance of the work for which this permit is issued. My workers' compensation 1R
OWNER -BUILDER DECLARATION
_
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
_
Carrier - Policy Number
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any -
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
., person in any manner so as to become subject to the workers' compensation laws of California,
- permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor ode, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
n applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
6,W - Applica
(,) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES'AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT -
as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
-. 1 . Each person upon whose behalf this application is made, each person at whose iequest and for
pursuant to the'Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _ 1 I am exempt under Sec. B.&P.C. for this reason
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.
- ate: 0w ,.
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
3 I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). '
city and county ordinances and state laws relatinAtobu'di;nnstructio n, and hereby. authorie representatives
_
of this -county to enter upon the above-mentiones trio purp
Lender's Name: - _ _ - _-- , . -
_:
—� Signature (Applicant or Age -
- Lender's Address:
rate
LQPERMIT
- -
T --d *V
FMOF9 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253
TELEPHONE (760) 777-7012 FAX (760) 777-7011.
OWNERBUILDER INFORMATION
Dear Property Owner:
• An application for a building permit has been submitted in your name listing yourself as the. builder of the property
improvements specified. -
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the Cityor County. They are also required by law.to put -their license number on all permits for which they
apply.
r
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and. protection: '
If you employ or otherwise engage any persons other than your immediate -family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
•
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions. ,
There may be financial risks for you if you do not carry out these obligations, and these risks. are especially serious with -
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner•is providing his or her own -labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so thatwe can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 7 -7011. '
OWNER'S SIGNATURE/ -DATE"
AeL r_7� �C • l.0 . '
PROPERTY ADDRESS t
o6—��i
PERMIT NUMBER(S)
")p
a
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE ---I..
ATC 13Y�_
,LLBECHARGEDIF-M"
PLANS AND JOB CARD -i"IRE NOT 0
THE SITE FOR A S HEDULED
INSPECTION.
NO EXCEPTION S!
7.
V
Bin #.
City of La Quinta:
Building & Safety Division
T.O. Box 1504, 78-495 Calle-Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and .Tracking Sheet
Permit #
D6 -til
Project Address: _ �j y� L
;
Owner's Name:tic
A. P. Number: ' -
Address:
Legal Description:
City, ST, Zip: �.
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Contractor: r T k
Telephone:
Address:
Project Description:
City, ST, Zip:
.Telephone -
Z4;
-State Lic. # : City Lic. #:
Arch., Engr., Designer:
4 /•
,
Address:
"
City, ST, Zip:.
Telephone: - a, '��E�•
` t�'SK
State Lic. '#: . s Y
Name of Contact Person:Sq.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ' _ __ —T -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 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
2n° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. .e
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
-LANfl-MAR'-K.
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Ged-
a DBE/MBE/SBE'Company 780.N. 4th Street
' EI Centro; CA 92243
370-3000
.0 * (760) 337-8900 fax.
77-948 Wildcat Drive
October 21' 2004 ' `"' ; _. # `` Palm Desert, CA, 92211
(760) 360-0665
(760) 360-0521 _fax
Mr. Mark Tuvell -
City of La Quinta
50855 Washington St.
La Quinta, CA 92253 4 z
Subject: Compaction Test Report
�52120-Ayenida Vallejo "
b La Quinta, California
LCI Project No. LP04139 f
Dear Mr: Tuvell: x
Attached is a summary report of compaction tests made • of fill within the. building pad on the
s
subject project site. Placementand"compaction.of'fill soils were not observed by our firm. The
compaction tests,were'made in conformance -to In-place,Density by Nuclear Methods (ASTM
2922 & D3017) on October 05, 2004, and October 13, 2004 the test results are attached.
LIMITATIONS
The tests results summarized in this report present the moisture•`and density only at the locations
and elevations tested,on the specified dates. -The density testing was.performed according to the
generally accepted, geotechnical' engineering' standards of practice that, existed in the Coachella
Valley of Riverside County- at the time the report was prepared. No opinion is expressed as to
the uniformity of the. material, compaction, nor adequacy of the material. to perforin as intended.
No guaranty or warranty of the contractor's work is made ,or implied.' The test . locations are
approximate, determined by pacing and sighting from sdistinguishable field features. In doing
Our work.-, we have -.relied • on • topographic and surveying information provided' by others.
Avenida Vallejo LCI Project No::LP04139
Natural or imported soils (if any) at one foot. or below existing pad grade, were not. investigated
or.tested by our firm. No warranty is made as'to the stability/density of these soils. '
With any manufactured product; ' there are statistical variations in its uniformity and' in the
accuracy of tests. used -to determine its, quality, As compared to other manufactured products,
field placement' of materials usually presents large statistical variations', in its uniformity and in
the accuracy of the test results. Thus, even with careful observation, and testing, all parts of the
constructed product may not comply with the job requirements.
Therefore, -our opinion means -that there,is only a statistically -based probability that the densities
obtained comply. with the job requirements. Y Y q
This report 'is issued with tl e, understanding that the owner or 'his representative ,has the
responsibility to insure that this report is submitted to the appropriate.governing agencies.
Please review the test results and contact our'office with any questions or comments. !
Sincerely yours,
Lad ark Consultants, Inc. a
Q�pFESS/pl ;
• �O �G M. CHAS Y • �. -
a u+ No,C34432 m }`
Greg MAChandra, P.E. °C EXPIRES 09-30-05
Principal Engineer'
CML'
Landmark Consultants; Inc. 5'
Max.
Opt.
Mata
Density . '
Moisture
Type
Description
USCS
(pet)
1
Olive Brown Silty Sand'
SM '
119.0
t_ 12.0
2 :
Olive Brown Silty, Sand .SM
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