05-3851 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property. Zoning:
Application valuation: .
Applicant: -
lC X00031'�
79738 PARKWAY
609-S90-033-
WALL'/FENCE
ESPLANADE
LOW DENSITY RESIDENTIA:
650
Architect or
P1
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovisions 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 C ".License N 752884
ate:/ 43'� ntractor:
OWNER-BUILDER DECLARATION
hereby affirm under penalty of perjury that 1 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 WithSection7000) 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 apermit 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 he 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
Owner:
PONDEROSA HOMES II, LLC
400 S. FARRELL DRIVE, B103
PALM,SPRINGS, CA 92264
LA QUINTA, CA 92253
Contractor:.
PONDEROSA HOMES II, INC.
6671 OWENS DRIVE
PLEASANTON, CA 94588
(760)318-7710
Lic. No.: 752884
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
Date: 8/31/05
----------------------------------------
WORKER'S COMPENSATION DECLARATION
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.
►'1 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 TANNER INSUR ' Policy Number 15671603"
_ 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 shouldbecome subject to the workers'- compensation provisions of Section
700 of the L bor C , I shall forthw' h ccoom ly iwitl ose provisions.
.ate: 8 plicant:
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 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 by 'ng
construction, and hereby a orize representatives
of this cou y t enter upon the bove-mentioned pro for inspec ' purp ssees.
te: Q S ature (Applicant or Agent): v�
Application Number . . . . . 05-00003851
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 19.00 Plan Check Fee
.00
Issue Date . . Valuation.
650
Expiration Date 2/27/06
Qty Unit Charge Per.
Extension
BASE .FEE
15.00
2.00 2.0000 HND BLDG.501-2,000
4.00
----------_--- ------------ ----.------- ------------------
' Special Notes and Comments
--------------
26'L.F. 61' GARDEN'WALL, ORCO SYSTEM
Fee summary Charged,. Paid Credited
Due
Permit Fee Total 19.00 .00 -00
19.00
Plan Check Total 00 00 00
00
Grand:'Total 19.00 .00- .00
'19.00
LQPERMTT
REMSIONS
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KEYNOTES
1.
NEW 1/2" THK. COLORED CONCRETE BAND
2.
CONCRETE STEPS
3.
POOL EQUIPMENT
4.
ELECTRICAL PANEL
5.
NEW BLOCK WALL ( SEE DETAIL)
6.
GAS METER
7.
EXISTING BLOCK WALL
8.
SKIMMER
9.
_
10.
EXISTING CONCRETE PAD
11.
WATER METER
{
INTERIOR BENCH
13,
UMBRELLA SLEVE
�0
5' POOL SETBACK00
15,
EXISTING DRIVEWAY
16, `
EXISTING GRASS
17,
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_
12" DEEP TANING SPACE
19.
24" HT. LOW WALL W/ CONCRETE ON TOP
20.
MAIN DRAIN
21.
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REMSIONS
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KEYNOTES
1.
NEW 1/2" THK. COLORED CONCRETE BAND
2.
CONCRETE STEPS
3.
POOL EQUIPMENT
4.
ELECTRICAL PANEL
5.
NEW BLOCK WALL ( SEE DETAIL)
6.
GAS METER
7.
EXISTING BLOCK WALL
8.
SKIMMER
9.
UNDERWATER LIGHT FIXTURE
10.
EXISTING CONCRETE PAD
11.
WATER METER
12.
INTERIOR BENCH
13,
UMBRELLA SLEVE
14. -
INTERIOR STEPS
15,
EXISTING DRIVEWAY
16, `
EXISTING GRASS
17,
STACKED STONE WATERFALL
18,
12" DEEP TANING SPACE
19.
24" HT. LOW WALL W/ CONCRETE ON TOP
20.
MAIN DRAIN
21.
EXISTING GATE
REMSIONS
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DRAWN BY: J. CONTRERAS