10-0171 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: —10-00000,171
Property. Address: 79771 PARKWAY ESPLANADE N
APN: 60.9738,0-998-58 -293232-
Application description: WALL/FENCE
Property Zoning:. LOW DENSITY RESIDENTIAL
Application valuation: 1175
4
BUILDING .& SAFETY DEPARTMENT
BUILDING PERMIT
Owner,
AMBER PLACENTIA
79771 PARKWAY ES
LA QUINTA, CA
LA QUINTA, CA 92
Contractor:
Applicant: Architect or Engineer: Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/08/10
_________________________________________________________________________________________
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
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
'
Code, for the performance of the work for which this permit is issued. My workers' compensation
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 Code, 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
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.:
-
e:
'
116 scant: VCJT L1s1-tCJC rx-A,111�
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 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. four this reason , ,) ��
P 6 ner: e)o'�' LYX.ICSL�nL.�-
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:If
ML
LQPERMIT
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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
�- - I
a� te: l b ignature (Applicant -or Agent): p Qi QJ 1hulk_"
Application Number 10-00000171
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 16.50,,. Plan Check Fee
4.13
Issue Date Valuation . . .
.
Expiration Date 9/04/10
,0
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
1.50
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 18.100 Plan Check Fee
4.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/04/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3..0000 EA PLB.GAS PIPE 1=4 OUTLETS
------------------------------------------------------------------.----------
3.00
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 29.00 Plan Check Fee .
00
Issue Date Valuation . . .
. 1175
Expiration Date 9/04/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00. 2.0000 HND BLDG 501-2,000
14.00
Special Notes and Comments
47 L.F. 6.' GARDEN WALL PROTO II SYSTEM,
22'6" FROM CURB.
2 ELECTRICAL FIXTURES AT FRONT & < 10 LF
1/2" GAS LINE FOR FIREPIT. 2007 CODES.
Fee summary Charged Paid Credited
------------_--------
Due
---------------------------•----------
Permit Fee Total 63-50 .00 .00
63.50
Plan Check Total 8.63 .00 .00
8.63
Crand TQtal 72.1 .00 .00
72.13
LQPERMIT
l Vag -r__V'`k-i t S V l Gin ckcAC/ 1-4 VY1- 1 V
CITY OF LA QUINTA
BUILDING & SAFETY
DEPT.'
APPROVED.
FOR CONSTRUCTION
DATE 3-1-/o BY 8
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by IV Goj�Arn nc VNCA\ e.lec.k�rtca(pis �V
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P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
QUA&
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(7 60) 777-7012
FAX (760),777- 7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
LWORT'ANT! NOTICE TO' PROPERTY OWNER
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 at
We are providing you with an Owner -Builder Acknowledgment and Inforimation Verification Focm to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit -until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION:
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
Opl. I ,understarid'a` frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit, that erroneously implies that the property owner is providing his or her own labor and material personally. L as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sup-tained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers
��'on my property.
QA. I understand building permits are not required to be signed by property owners unless they are responsible for the
.construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
1105. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
. I understand if I am considered an "employer" under state and federal law, I must. register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the .intent to offer them for sale, unless at'/ work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
v—DD& I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
G►'9. I understand I may obtain more information regarding my obligations as an "employee' from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand 1. may contact the California Contractors' State License Board (CSLB) at 1-
l 8(00--3321-CSLB (2752) or -,vww.cslb.ca.gov for more information about licensed contractors.
�f10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
[agree that, as the party legally and financially responsible for this proposed construction activity, [will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
\,"2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court_ It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license; form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner (—•^ d
�-�C %F� �Q.� l��l� Date: a
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understandis my personal responsibility, I hereby authorize
the following person(s) to act asmy agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
0%14 MW
wou
ER5 T
-February 26, 2010
Richard & Amber Placentia
79771 Parkway Esplanade North
'La Quinta, CA 92253
RE: Architectural Application Request ,p n
'Esplanade Community Association'
'. Dear Mr. & Mrs. Placentia;
This is to inform you the Architectural Review Committee for Esplanade Community Association t
* met recently to,review your 1/27/10 submittal requesting to install the following per the attached ,
Plans and application: ;
n 1. Enclosed front yard with block wall, -20' x 47' -
2.Wrought iron gate; 4'x 6'
-°` After due consideration the Architectural Committee has approved your request c<:)ntingent on the
following items:
1.... Walls .rfiust-be .in stucco material and painted to match the color. of the body of home.
t` 2. The exterior of the courtyard wall must be covered with some type of vine planting. The
vines should be planted close enough to each other, so that they will grow together to
'
cover the majority of the wall. The vine material should be a minimum of 5 gallon size.'
3. The height of the courtyard wall cannot exceed 5 feet and the height of the vertical
columns on'each side of the entry gate, which is going to mount your lights, cannot
exceed 6 feet. '..
4. The gate color must be an earth tone color and closely match the color ofthe side gate. •If
' you have a specific color you would like to use, it will need to be submitted to the
Architectural Committee for review. f
5. The light fixtures you will be using on the vertical columns on each side, must closely
match the light fixtures currently in place on your garage exterior walls aad other
1, variations must be submitted to the Association for review. K '
If you hav y questions please callme at (760) 346-1161. Thank you for your patience during
the rev' w rocess. • - '
Si er y
Carol Calh
Communi Association Manager. i
For the Architectural Review Committee '
T . Esplanade Community Association .
Cc: Board of.Directors :
'h Enclosure: Notice of Completion Form
42-635 Melanie Place, Suite 103 • Palm Desert, CA'92211
�• P.O. Box 14387 • . Palm Desert, CA 92255-4387
f 760.346.1161 • FAX 760.346.9918 - " _ , • ti
Email: drm@drminternet.com • www.drminternet.com,
Bin #
Permit #A`
`D
Project Address:
City of La Quints
Bw7ding 8r Safety Wvhlon
P.O. Box 1504, 78-495 Calle Tampko
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking- Sheet
Owner's Name-. Q
A. P. Number:
Address: ' 7 cri, I q)Q l'' F_c.Dlan1 �
Legal Description:
City, ST, Zip: Cit- 9'-53
Contractor:
Telephone:- 7 U O- 8315 .31 u 4 J
Address:
Project Description: Lp " 5 t U o LJ
City, ST, Zip:
WQJJ k F1 n k— U �'h1 l2 ,,L � (2
Telephone:
City Lia #;
Color, +o ha.c.p-- U-Croc
H
State Lia # :
Arch., Engr., Designs
,
118:2.. irk o
Address:
City, ST. Zip:
Telephone:
State Lie. #:
Name of Contact Person:
1,, aa ,,,,,, `-
ofz cdcl j- keLj 133oCJ
Construction Type.Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Rec'd
TRACMG PERMIT FEES
Pian Cheek submitted Item Amount
Structural Cafes
Reviewed, ready for corrections Plan Check Deposit
Truss Cala.
Called Contact Person Pan Cl.eck Balance
Tlde 24 Calcs.
Pians picked up Construction
Flood pain pan
Plans resubmitted Mechamical
Grading plan
2'! Review, ready for correctionstissue Eleetrkal
Subeonactor List
Called Contact Person Plumbeng
Grant Deed
Pans picked up S.M.I..
H.O.A. Approval
Plans resubmitted Gradiag
IN HOUSE:-
''' Review, ready for correetionsrmuc Developer Impact Fee
Panning Approval
Called Contact Person A.I.PP.
Pub. Wks. Appr
Date of permit Issue
School Fees
Toa_ Permit Fees