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10-0387 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000387 Property Address: 78420 VIA CALIENTE APN: 604-610-053- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1000 T-iht 4 4 Q" Applicant- Architect or Engineer: l `I 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 �d Professionals Code, and my License is in full force and effect. License Class: B -C27 License No.: 765243 0 /U ntractor.CG •/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perju, that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Busi ss 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 islicensedpursuant 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 (55001.: (_ 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, 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT Owner: BILL MARKSON 78420 VIA CALIENTE LA QUINTA, CA LA QUINTA, CA 92253 Contractor: JD LANDSCAPE A PARTNERSHIP 81294 POPPY STREET INDIO, CA 92201 (760)574-3347 Lic. No.: 765243 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/03/10 LJ �afr 0 3 20, 10 a CITy0,-rL,-r ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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. _ 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 FARMERS INS Policy Number 0049712552009 1 certify that, in the performance o he work for which this permit is issued, I shall not employ any person in any manner so as t ybome subject to the workers' compensation laws of California, and agree that, if I should b e subje t to the workers' compensation provisions of Section rGSLI 3700 of the Labor Code, I II forttlwith mply with those provisions. atA cant: WA TO URE /PIKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITIO TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CO E, 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 statethat the abov information is correct. I agree to comply with all city and county ordinances and state laws relating to building struction, and hereby authorize representatives of this county to mer upon the above-mentioned property f r nspectio purposes. Y ate: 0/ Si ature (Applicant or Agent): Application Number . . . . . 10-00000387 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 25.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1000 Expiration Date 10/30/10 Qty Unit Charge Per Extension' BASE FEE 15.00 5.00 2.0000 HND BLDG 501-2,000 10.00 ---------------------------------------------------------------------------- Special Notes and Comments 40 L.F. 6' COURTYARD WALL, ORCO SYSTEM. 2007 CODES. ------------------------------------------------------------ Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) --------------- 1.00 Fee summary - Charged -------------------- Paid Credited ---------- ---------- Due ----------------- Permit Fee Total 25.00 .00 .00 25.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 26.00 .00 .00 26.00 LQPERMIT / �iI�UL Wim, (l � GC- � R 420 sir+ CITY OF L.A QUINTA BUILDING &SA-ETY DEPT. s FOR CONS; f 3UC T ION _. C JL4 ,tom - ORCO STANDARD 6' TO 8' CMU SITE. WALLS OP770AM RAT car 6816, 6614 OR 6618 C74U GROUTED ONLY X51 v2w 57ER t6 S7DXIINT RED "DRaM9VT @ 24- QC (3FUMS-4PLACES FOR T B 8' WALLS). USE dS SM FOR SLOW BLOCK LEVET OZ40EBOTHSIDES DL - M allTMK PER 770E 2807 CSC 1. ALLOWABLE 50JL VSV.M : PRL357ALE = I5W PSF 2. ALLOWABLELATBUL PAS9W A%ES57/RE'=1SOPL7 I GROUT S MBVG9H - 2000 PST @ 28 DAM 4. Ri310ORCMSTE$: G94DE60. S: !Silo PST M4SOW C00O R153SQNSTRSVGM A107ES' I.CDMoeE7FBLOC(Sh4LLCOMO MTOASIMC90. Z CDNLRETF FOR AXnM MALL BE l PART C5 -"F TO 2-42 AVUS SAALQ TO 3-1/2 AMM GR4VL3 MMA MAWaM OF 1 -JW Lt411.ONS OF WA78e Phe MC7C POIR71AAfO CFMRVT SHUL CDMMDRM TOAS1Mc1507N'ElW. Fc=2500 PST A RMOORC71Y spsa 57WLL LLEOEIMAMO AAD CDNUM TO AWN A 615 WOE 6a AMME 48 BAR 014METER LAP. 4. REM MMLL BEC5NMtEOIN RAE CDAGL9F BLOC( CHL AV M7LTOt IT 15 LOC AM). 5. L1ahMTE BLOCKSWL BELAYED DVA RU MW OOALO PAT7StN WITH V R77M GUNITMQIYOF T7E LAIC ULYCL 6. ALL &DO( CHIS CONTAMW Vi RTIM RHL4R 5hW LTE SOLID GROUTID. 7. USE TYPE S MORTAR PRM-OR7W AW 1t7WAS7N C2M A4RT CSYAYT TO 42 PART LOVE TO 4-1/2 AWTS MW, LOOSE -%MD R GROUTPOR CONO ETE BLOC( MR ASTM C 476 TO LLE 1 GIRT aNW 7D 9 AIRiSMMD (GROUT NAYCX ffMN 1 AIRTSW A54 694VEL IF MEATH R COMLLNTION BARE FAVORABLEAND BLOCK Lavas1RUCIED CELL S UELSSTM38VTTUALLOW GiaDOGROUT ROMA. WA TER 9MLL MEADOW TO PROM" GiDOO MO(ff ROW NTnAXITSE;RLS4T]M OF DECt)AM7t4WM. 9. NDC( SIM MY BE WEr--SET I-1/ -PM DER707DUL: WHILE 7W GDAMEMI;S PLASTIC BLOM SUM NAY BE PLA® TU UP" EDGE CF71ETROKNTYPEF OTM. IQ F0 77W MUST BEAOUMD ON OR 1100 LiMMENBED MATLfiM SM OR ON C01WACTED PAL MYTHA FOAM N COMPACTION OF 90 96. II. FMTfiVS EF'TION TO LEAPTER FOO71M; 7RF]MCNE5 ARE RSWYFOR COAMTFAND ALL REQMfDSTEa 15 TJEDJN RACE 5fMMDA ECMNTULLEM MTHEREQWRLDMTIMLS1N RACFAAO TM ULOOC MNLL 15 R64DY TO G tOVT. u MAXIPMAq caN RLX JOINT SPACDVG. 40' OX 20' Q C FOR WALLS TO BE MORTAR WASFW OR SnXCO CD47ED SEE aMT FOR REQUIRED REW AND F0077N6 DIMEIY_SIONS. e POF E S S 1 OA,q ��F��•� S � r w z 031925 * ' Exp. 12-3h2008 CITY OF LAQUINTA �QrF OF CA F Bin # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # % Project Address: — ,Z Owner's Name: A. P. Number: Address: L- Legal Description: Contractor:¢ �5s Iv Gam. I' Address: City, ST, Zip: y./-/. (u ),tA Po 9,1_2 S 3 c:r:;wi"•>"•r:". Telephone: :....>:;.x. '.8.)il'C"h:i:C! •r<). •. iii).4i . Y:r Project Description: L1,,1 i,ai2 0� City, ST, Zip:-ev % 1, _ Telephone: %l0 5 � i ;' } � ,•.•:: �r)'�. ��.U•x JCf;�:•n+i:iiV%;. yi.'T.'vr }l;{' fh'`. :C State Lic. # City Lic. #•: PJB v y6yL Arch., Engr., Designer- esignerAddress: Address: City., ST, Zip: Telephone: � ?�;:":.:<,�i;:c��,•;<�% ��::>s`��': M1ntiJ N1N.�.<jri:�+iaC:Iff!�C({)::1 `{4•�Q 4S• ConstructionT e YP Occupancy: Project tYPa (circle one): New Add'n Alter Repair Demo State Lic. #: 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 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 Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontector List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees