08-1949 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application. Number:
08-00001949
Property Address:
53160 AVENIDA VALLEJO
APN:
774-053-008-17 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
325
Applicant:
.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 Professionals Code, and my License is in full force and effect.
License Class: C29 License No.: 704270
Date: Zg - IL —41 ontractor: / \9
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I amlexempt 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 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 _ 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
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:
•KRANHOLD JEANNE F
4831 HASEKIAN DR,
TARZANA,-CA 91356
Contractor: '
HENRY'S MASONRY,
P.O. BOX 5185
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/12/08
INC.
LA QUINTA, CA 92248
(760)775-6807.
LiC. No.: 704270
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 DELOS INS CO Policy Number 01DKRM12002701
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 b_eco subject to the workers' compensation laws of California,
and agree that, if Ishould bec l ubject to the workers' compensation provisions of Section
3700 of the Labor Code,,, IM orthwith co ly with those provisions.
Date: '�� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENS IONOVE GE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F 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 in or ion is correct. 1 agree to comply with all
city and county ordinances and state laws relating to building c ion, and hereby authorize representatives
of this county to enter upon the above-mentioned property f ction pur ses,
Date:�'4 Signature (Applicant or Agent):
LQPERMIT
Application Number . . . . . 08-00001949
Permit . . ...WALL/FENCE
PERMIT
Additional desc .
Permit .Fee 15.00
Plan Check
Fee
.00
Issue.Date . . . .
Valuation
325
Expiration Date.. 6/10/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
15 LN FT X 5 FH HT GARDEN BLOCK
WALL PER
CITY STANDARDS & APPROVED PLANS.
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
LQPERMIT
RealQuest.com ® - Report
Page 1 of 2
Property Detail ReportFalt1u?t:Co
For Property Located At
53160 AVENIDA VALLEJO, LA QUINTA CA 92253-3453
Owner Information:
Owner Name:
Mailing Address:
Phone Number:
Location Information:
Legal Description:
County:
Census Tract / Block:
Township -Range -Sect:
KRANHOLD JEANNE F
4831 HASEKIAN DR, TARZANA CA 91356-4712 C008
Vesting Codes: / / TR
LOT 17 BILK 218'MB 020/022 SANTA CARMELITA VALE LA QUINTA
UNIT 21
RIVERSIDE, CA APN: 774-053-008
451.1012 Alternate APN:
Subdivision:
Legal Book/Page: 20-22
Map Reference:
Legal Lot: 17
Tract #:
Legal Block: 218
School District:
Market Area:
Munic/Township:
Neighbor Code:
GRANT DEED 2nd Mtg Int. Rate/Type:
Owner Transfer Information:
Price Per SgFt:
Recording/Sale Date: /
Deed Type:
Sale Price:
1st Mtg Document #:
Document #:
Finish Bsmnt Area:
Last Market Sale Information:
GENERAL CONTRACT MANAGEMENT
Recording/Sale Date:
11/30/1994 / 1 st Mtg Amount/Type:
Sale Price:
1st Mtg Int. Rate/Type:
Sale Type:
1st Mtg Document #:
Document #:
448411 2nd Mtg Amount/Type:
Deed Type:
GRANT DEED 2nd Mtg Int. Rate/Type:
Transfer Document #:
Price Per SgFt:
New Construction:
Multi/Split Sale:
Title Company:
FIRST AMERICAN TITLE
Lender:
Finish Bsmnt Area:
Seller Name:
GENERAL CONTRACT MANAGEMENT
Prior Sale Information:
Year Built / Eff:
Prior Rec/Sale Date:
01/31/1992 / 01/1992 Prior Lender:
Prior Sale Price:
Prior Doc Number: 34507
Prior Deed Type: GRANT DEED
Property Characteristics.
Prior 1 st Mtg Amt/Type:
Prior 1st Mtg Rate/Type:
Gross Area:
2,189
Parking Type:
Living Area:
1,769
Garage Area:
Tot Adj Area:
1,769
Garage Capacity:
Above Grade:
Parking Spaces:
Total Rooms:
Basement Area:
Bedrooms:
4-
Finish Bsmnt Area:
Bath(F/H):
2/1
Basement Type:
Year Built / Eff:
1993/
Roof Type:
Fireplace:
Y / 1
Foundation:
# of Stories:
1.00
Roof Material:
Other Improvements:
Site Information:
Zoning
Flood Zone:
Flood Panel:
Flood Panel Date:
Land Use:
SANTA
CARMELIT.A VALE
LA QUINTA UNIT
21
/ 879-E2
DESERT SANDS
INDIO U
MULTIPLE
GARAGE/CA RPORTConstruction:
420 Heat Type:
Exterior wall:'
2 Porch Type:
Patio Type:
Pool:
Air Cond:
Style:
Quality:
WOOD SHAKE Condition:
R1 ' Acres: 0.11
X500 Lot Area: 4,792
06070900106 Lot Width/Depth: x
08/19/1991 . Res/Comm Units: I/
SFR
County Use:
State Use:
Site Influence:
Sewer Type:
Water Type:
CENTRAL
CENTRAL
SINGLE
FAM
RESID
(1101)
NONE
TYPE
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RealQuest.com ® - Report Page`2 of 2
UNKNOWN
Tax Information:
Total Value: $140,673 Assessed Year: 2008 Property .Tax: $2,073.22
Land Value: $23,287 Improve %: 083% Tax Area: 20076 ',
Improvement Value: $117,386 Tax Year: 2008 ' Tax.
• Exemption:
Total Taxable Value: $140,673
,L
http://www.realquest.com/jsp/report.jsp?&client=&action=confirm&type=getreport&re6o... 12/12/2008
OWNCP N/iM
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Bin #
City of La Quinta
Building & Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
CA N
Project Address: 3_ U'` VA _ ., 0
Owner's Name: j e v �U Z N
A. P. Number:
Address: 53/60 3f6U /3uz 1/�ille Sv
Legal Description:
City, ST, Zip:
Contractor: /?�•) rn S C� ��
Telephone:'
Address: Ll ` bi je iq. pi wn-C •
Project Description:
City, ST, Zip: 4 .�4, r4
r I!/S�GP0
Telephone: 760 •• 2)I
City Lie. #:
S f`i9 S1(. 6"t S ¢aw 2
State Lie. # : y (,)
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT:_ DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsfissue
I
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Building
Address S$ -
Address
City
Contractor
T419 4 4 Qum& -
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
_ BUILDING: TYPE CONST. . ' OCC. GRP.
A.P. Number
Legal Description
Project Description
- - - - ice) c? • -�-: rt i1, � ,_, _ ,�..�.. , ;�:
City 'Zip _ Tel.. -
' 72 U
State Lic - -- - } City— _ _ _ .
Classif. S G �/ 5�S Lic. # Z� Sq. Ft. No. No. Dw..
Size Stories - Units
Arch., Engr.,
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
-
City
Zip
State
Lic. # '
LICENSED CONTRACTOR'S DECLARATION
affirm
AWby irm that 1 am licensed under provisions of Chapter 9 (commencing with Section
f D3 of the Business and Professions Code, and my license is in full force and
`
effect
SIGNATURE - DATE
OWNEWBUILDER DECLARATION - _
Estimated Valuation
-
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: -Any city or county which requires •a
permit to construct, after, improve, demolish, or repair any structure,'pror to its issuance also
requires the applicant for such permit to life a signed statement,that 'he•is licensed pursuanCto ---
,
- PERMIT
AMOUNT _
the provisions of the Contractor's License Law, Chapter 9 (cof unenchng with Section 7000) of
-
Divisfon 3 of Me Business and Professions Code, or that. he is exempt therefrom, and the basis
-applicant
Plan-Chk. Dep.-.-_
for the alleged exemption. Any violation of Section' -7031:5 by..anyfor a permft—
-
... _ .. ._ -
subjects the applicant to a civil penalty of not more than five hundred dollars (E500).
Plan Chk. Bal.
-
- ❑ 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, Buisness and
Const.
Professions Code: The Conbactoes License Law does not apply to an owner of pmperty who
III ilds or improves thereon and who does such work himself orthroughhis own.employees,-
Mech.-
- - -
provided that such improvements are not intended or offered for sale. H however, the building
,
or improvement is sold within one year of completion, the owner-bu>?der will have the burden
Electrical
'
- of proving that he did not build or improve for the purpose of sale.)-
,
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
_ struct lhe,project. (Sec.,7044,,Business and Professions Code: 77ie Contractor's, License Law
does not apply to an owner of property, who buids-or improves thereon. and who contracts./or
S. M.I:-
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
—" -
Grading .,
❑ 1 am exempt under Sec B. & P.C. forthis reason
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENS ATION DECLARATION
• I hereby affirm that l have a certificate of consent to self -insure; or a certificate-of..Worker's
Y' _
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company -
❑ Copy is filed with the city. ❑ Certified copy is hereby -furnished: •,
TOTAL
' CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed B the permit is for "one hundred dollars (S 100) valuation
- -
or less.)
- I certify that in the performance of the work for which this permit is issued, 1 shall not
`
employ any person in any manner so as to become subject to the Workers' Compensation '
Laws of California
r
NOTICE TO APPLICANT., f. after making this Certificate of Exemptionyou should become
ZONE:
- BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
Comply with such provisions orthis permit shall bedeemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line -
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lenders 'Name
Lenders Address r
FINAL DATE
INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days. ,
certity that I have read this application and state that the above information is correct.
Issued by:
Date 'NA Permit
agree to comply with all city and county ordinances and state laws relating to building
+
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
•
Mailing Address
Validation:
City, State, Zip
BUILDING DIVISION
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
A.C. UNIT
•
1ST FL. SQ. FT. ® $
UNITS
BONDING
HEATING (ROUGH)
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. @
GAS (FINAL)
I
3
DRAINAGE PIPING
CAR P. SO. FT. ®
WATER HEATER
SERVICE
FINAL INSP.
DRINKING FOUNTAIN
WALL SQ. FT. ®
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
URINAL
SQ. FT. @
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
MESH
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
FINISH GRADING
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINAL INSPECTION l
GAS PIPING
PERMIT FEE
CERT. OCC.
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
3
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM %
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION l
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUFES/INITIALS
GARDEN WALL FINAL