07-1648 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
92253
Application Number:
07100001648"
Property Address:
�' 51300 CALLE HUENEME
APN:
770-164-005-20 -000000-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
2116
Tiht 4 e(P Q"
Applicant: Architect or Engineer:
C,
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) f Division 3 of the Business d Pr a sionals Code, and my License is in full force and effect.
License ss: B license No.: 682901
atey;� tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 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 1, 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.).
( 1 I am exempt under Sec. , BAP.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:
ROBERT ANCKER
Contractor:
ADDINGTON INC
41760 HERMITAGE
INDIO, CA 92201
(760)408-7528
Lic: No.: 682901
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/05/07
------------------
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 STATE FUND Policy Number 0019787-2007
_ 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 should become s Nect to the workers' compensation provisions of Section
3700 of the Labor Cod , shall p with comply with those provisions.
� r
e plicant:—o
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 ab information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil ' g c tru tion, and hereby authorize representatives
of thi myrttoo�?enter upon the above-mentioned proper for p tion purposes.
D , Si ature (Applicant or Agent):
Application Number 07-00001648
PermitWALL/FENCE
PERMIT
Additional desc .
Permit Fee 54.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 2116
Expiration Date 12/02/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,000
9.00
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Special No.tes,and Comments
40 L.F. 5' GARDEN WALL, 50 L.F.
6'
GARDEN WALL, BOTH CITY STANDARD
Fee summary Charged
Paid
Credited
--------------------
Due
-------------------------------------
Permit Fee Total 54.00
.00 .00
54.00
Plan Check Total .00
.00 .00
.00
Grand Total 54.00
.00 .00
54.00
LQPERMIT
B'" #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building .Permit Application and Tracking Sheet
Permit #
I�.
Project Address: �' ��N
Owner's Name: a (3YZ��-r I� EIZ
A. P. Number: G
Address:
Legal Description: �S
City, ST, Zip:, �
Contractor:
Telephon
Address:
Project Description: fL
City, ST, Zip:
Telephone:17,
State Lic. # :
City Lic. #:
Arch., Engn, Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): ew Add'n Alter Repair Demo
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 Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs:
Plans picked up
Construction
Flood plain,plan ..
Plans resubmitted
Mechanical
Grading.plan
2°" Review, ready for'correctionslissue
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
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
BeI77# 9-67 CS
40-Abir
J7-2�
-A4
CITY OF LA QUINTA
BUILDING AND SAFETY DEPARTMENT
r_ GARDEN WALL STANDARD
Y
6' C.M.U.. '
fm= 1350psi, Fy= 4O000psi
#4 ®. 24" Vert ® Cl
#4 ® 32" Horiz 7,o00oo.
1 '
a
6 1/4'
v
ALTERNATE
3" CLEAR A— BENDS
14 HORIZ. AS SHOWN T '
6 ^ .6" C.M.U.
fm= 1350psi, F.y= 40000psi
#4 ® 24" Vert ® CL ,
j4 • 32" Horiz "
lo
GARDEN WALL.
in
Scale: 3/8"
6" C.#.1 -U. d
fm= -1350psi, Fy= 40000psi
14 • :24' Vert ®CLo, 3" CLEAR o
/4. 6 32!' Hariz lo #4 HORIZ. At - SHOWN T.
00
OPTIONAL
10-11./16' 30"LAP
a S GARDEN WALL
ALTERNATE Seale
3" CLEAR ' BENDS
#4- HORIZ. AS SHOWN T
.6" C.M.U.
2 -Q" fm6 13
50PsI. fy. '40.000psi
- ' i4 ® 2$ Vert- ® cL
/4 0 32' Horiz
S GARDEN WALL.
. OPTIONAL .
1 6S 'Cav 30"LAP
:I4H;:�:.: s pil, Fy=' 40000psi
S.. ,jp4'"4' ;Vert ® CL .
Horiz
3" CLEAR .: '....
- .. f4 HORIZ. AS SHOWN Tcc
in
OPTIONAL.
10=11%16: 30'LAP f
a GARDEN . WALL
Scale:
ALTERNATE
3" CLEAR �- BENDS'
-
14 HORIZ..AS SHOWN I .o
"-3
-GARDEN WALL
Scale: 3/8"
q