09-0973 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000973
Property Address: 81476 JOSHUA TREE CT
APN: 764-280-999-128 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1024
Applicant: Architect or Engineer:
I hereby affirm under penalty of perjury
�cton 001PM-111rmmcir:�"
Division 3 of the Busi
%%s��:rV
P/A
-----------
NS�B CONTRACTOR'S DECLARATION
r licensed under provisions of Chapter 9 (commencing with
Professionals Code, and my License is in full force and effect.
License No.: 658996
V OWNER•BUILDER DECLARATION
I herebylaffirm under penalty of perjury that am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and ofessions 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
an applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars $500 .:
Y PP P I PP P Y 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 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
1 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: QA
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
'TIONS (760) 777-7153
9/10/09
Owner:
BERG RESIDENCE V V
81476 JOSHUA TREE
LA QUINTA, CA 92253 1 Q
(
�Na�c oqG,� 9
Contractor: FAQ lq
FAMILY POOLS CONSTRUCTION
P O BOX 283 \
LA QUINTA, CA 92247
(760)564-3655
Lic. No.: 658996
-----------------------------------------------
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' compensati insurance, as required by Section 3700 of the Labor -
Code, for the performance of the wor r which this permit is issued. My workers' compensation
insurance carrier and poli numb re:
Carrier STATE FUND olicy Number 1344032-2009
_ I certify that, in the perfor of the work for which this permit is issued, I shall not employ any
person in any manner s to become subject to the workers' compensation laws of California,
///��� d agree that, if I o ome subject to the workers' compensation provisions of Section
' / / r00 of the bor de I I ith comply with those provisions.
't'�11 vU
WARNING: 1 URE TO SECURE WOR ERS' 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 T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, I REST, 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 fo ny act or omission related to the work being
performed under or following issuance of this per it.
2. Any permit issued as a result of this application eco s II and void if work is not commenced
within 180 days from date of issuance of such er , or cessation of work for 180 days will subject
permit to cancellation.
I certi4dunt
atd this application and state that e v atioorrect. I agreeto comply with all
ciyaord' antes and state laws relating toouceby authorize representatives
of 0rilk t� upon the above-mentioned pro r in purpose .
(Applicant or Agent):
Application Number . . . . . 09-00000973
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 27.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 1024
Expiration.Date . . 3/09/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 2.0000 HND BLDG 501-2,000
12.00
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Special Notes and Comments
64 LN FT X 4 FT HT GARDEN BLOCK WALL PER
CITY STANDARDS & APPROVED PLANS PER G.B.-
----------------------------------------------------------------------------
- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary. Charged Paid Credited
-
Due
----------------------- ---- ---------- ----------
Permit Fee Total 27.00 .00
----------
.00
27.00
Plan Check Total .00 .00
.00
.00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 28.00 .00
.00
28.00
LQPERD1IT
SEP. 9.2009 1:41PM ACOSTA CANADA
To: Greg Butler Date:
From. Gary McClune Pages:
Fax:
September 9, 2009
One
NO. 927 P. 1
i
Dear Greg,
i, Gary M.cClune, owner of the property located at 81462 Joshua Tree Court, La Quinta, CA, hereby grant
permission to allow a courtyard wall to -be constructed directly on the property line between our
property and 81476 Joshua Tree Court..
Gary W McClune,
.✓tali :� .. .. i.i'....,_.. _i::..rw F,� �1. ....
3
� r,
CITY OF LA QUINTA.
BUILDING & .SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT 0 ,Oq BY GJ
.1� Q914
t
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0 6
Project Address:
Owner's Name:
A. P. Number:
Address: t 1-4? $ )L
Legal. Description:
City, ST, Zip: b3f— 414
Contractor:
Telephone: n
�T
Telephone:
le P a S
State Lic. # :
City Lic.'#.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
�'.
Construction Type: Pe: Occupancy:
Lic. #:
Project ect type (circle one • New Add'n
Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stori s:
# Units:
Telephone # of Contact Person: 2—
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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
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