04-5464 (BLCK)0
_ 2004
U
%%df U I� BUILDING & SAFETY DEPARTMENT
DERTE-,-Btc 1504 (760).777-7012
OF9't� 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 04-00.005464_ Date 7/14/.04
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Property Address . . 51315 CALLE HUENEME
'APN: 770 -163 -016 -4 -000000 -
Application description WALL/FENCE
Property Zoning . . . . . MEDIUM DENSITY RES
Application valuation.. 6.25.0
Owner Contractor
POWER FINANCE CONTEMPORARY HOMES
P.O. BOX 134 P. -O. -BOX 1141
LA QUINTA'. CA 92253 LA QUINTA CA 92253
WCC: STATE FUND
WC:. 16764082004 07/01/05
CSLB: 736920 03/31/05
CCC: B.
--------7-------
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee 90.00 Plan Check Fee .00
Issue Date Valuation . . . . 6250
Qty .Unit Charge Per Extension
BASE FEE 45.00
5.00 9.0000 THOU BLDG 2,001-25,000 45.00
---------------------.-------
Special Notes and Comments:
250 LF 6' BLOCK WALL -PER CITY'-STANDARD.-
FRONT
ITY STANDARDFRONT P/L.WALL IS LIMITED TO MAX HEIGHT
OF 5' FOR FIRST 10' BACK AND ON FRONT
P/L. "
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 .00 .00 90.00
Plan Check Total .00 .00 .00 .00
Grand Total 90.00 :00 .00 90.00
1
P.O. BOX 1504 • '�Gi�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant: '
Applicant's Mailing Address:
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 and Professionals
Code, and my License is -in full force and effect.
License Clas3 License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does y to a wner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, .provi d t improvemen re not Intended or offered for sale. If, however, the building or improvement is
sold within one year of complefion, the owner-builde I e burden of pro ' at he or she did not build or improve for the purpose of sale.).
IQ I, as owner of the property, am exclusively contr icensed contracto construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an property who builds ' proves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. BA P.C. for this reason
Date
I hereby affirm under penalty of perjury one of the following decla tions
_ I have and will maintain a certificate of consent to self sun
of the work for which this permit is issued.
_ I have and will maintain workers' compensation ins nce, ,
issued. My workers' compensation insuran mer and
Cartier Policy umhar
certify that, in the performance of thew rk for which
compensation laws of California, an gree that
forthwith comply with those provisions.
COMPENSATION DECLARATION
as provided for by Section 3700 of the Labor Code, for the performance
wed hy -1 astion-37110 of the Labor Code, for the performance of the work for which this permit is
number are:
nit is issued, I shall not employ any person In any manner so as to become subject to the workers'
become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
Date - ' 0 Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AC
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
E1JLrAND-SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN .
CONSTRUCTION LENDING AGENCY
1 thereby 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.).
Lenders Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and S . ubject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is mad , ach person at whose r uest and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, an a applicant, each agrees , 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 be' g performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if rk 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 i rrect. I agree a
ll l city and county ordinances and state laws relating to building
construction, and hereby authorize.representabves of this county to enter on the a ene�ff� tionr inspection purposes.
Date r / - O� Signature (Applicant or Agent):
Earth Systems
Southwest .
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 • (760) 345-1588
Client Name ��LIt�L�,l/� Bro�CevS
Client Address
Client Phone
DATE
9/h o
JOB NO.
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PROJECT
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LOCATION
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CLIENT RE PRESENTATIVE SIGNATURE /
wBD-FS-002 (10/98)
FIELD REPORT
0.1
TaHN'ICIANS SIGNATURE
MP 13949
Earth Systems
IMF Southwest 79-811B Country Club Drive
Bermuda Dunes, CA 92203
(760) 345-1588
(800)924-7015
FAX (760) 345-7315
WORK ORDER
Description of Work: Locating reinforcing steel in foundation.
Fees to be Charged: Fixed Fee of $400.00 to be paid in full at time of service.
Additional Terms for Services are printed on the reverse side of the original contract (page two) and are
incorporated herein by reference. No services will be provided until a fully -executed contract has been delivered
to consultant. If this project is NOT subject'to Prevailing Wage, please initial
EARTH SYSTEMS SOUTHWEST
�' i ' ems' �l��.i• _ _ '-
AGREED TO AND ACCEPTED:
(By party responsible for payment)
Craig S. Hill
NAME (IN PRINT)
President
PLEASE RETURN SIGNED COPY
TO EARTH SYSTEMS SOUTHWEST
0
SIGNATURE AND TITLE
TIN or SSN (Tax Identification No. or Social Security No.)
(This information and signature above authorizes us to
review Client credit history.)
DATE
EARTH SYSTEMS
SOUTHWEST, a California Corporation, (Geotechnical Consultants) and
Client agree to a work assignment for Geotechnical Consultant
as follows:
Name of Project:
51-315 Calle Hueneme
Date: September 16, 2004
Order Received By:
Mr. Craig Hill
Revised Date: N/A
Authorized By:
Ms. Tracy Tenny
Work Order #: SWO-04-286
Client Information:
power Brokers
Job Number: 09848 -01
Ms. Tracy Tenny
Client Phone: (
Client Fax: (
Client PO#: N/A
Location of Job:
51-315 Calle Huenema
La Quinta, CA
Description of Work: Locating reinforcing steel in foundation.
Fees to be Charged: Fixed Fee of $400.00 to be paid in full at time of service.
Additional Terms for Services are printed on the reverse side of the original contract (page two) and are
incorporated herein by reference. No services will be provided until a fully -executed contract has been delivered
to consultant. If this project is NOT subject'to Prevailing Wage, please initial
EARTH SYSTEMS SOUTHWEST
�' i ' ems' �l��.i• _ _ '-
AGREED TO AND ACCEPTED:
(By party responsible for payment)
Craig S. Hill
NAME (IN PRINT)
President
PLEASE RETURN SIGNED COPY
TO EARTH SYSTEMS SOUTHWEST
0
SIGNATURE AND TITLE
TIN or SSN (Tax Identification No. or Social Security No.)
(This information and signature above authorizes us to
review Client credit history.)
DATE
TERMS FOR SERVICE
The following terms and conditions shall be incorporated into the agreement for services
1. INVESTIGATION, MONITORING & INSPECTION: If the services include monitoring or inspection of soil, construction and/or
materials, Client shall authorize and pay for Consultant to provide sufficient observation and professional inspection to permit Consultant to
form opinions according to accepted statistical sampling methods as to whether the work has been performed in accordance with
recommendations. Such opinions, while statistically valid, do not guaranty uniformity of conditions or materials. Similarly, soils and geology
investigations do not guaranty uniformity of subsurface conditions. Client hereby represents and warrants that it has provided and shall provide
to Consultant all information and sufficient advance notice necessary in order for Consultant to perform the appropriate level of services. No
statement or action of Consultant can relieve Client's contractors of their obligation to perform their work properly. Consultant has no authority
to supervise or stop the work of others.
2. SITE ACCESS & UTILITIES: Client has sole responsibility for securing site access and locating utilities.
3. BILLING AND PAYMENT: Client will pay Consultant the proposal amount or, if none is stated, according to the fee schedule in effect at
the time our services are provided. Prior to initiation of fieldwork, a retainer is required. This retainer shall be maintained throughout the
project and shall be applied to the final invoice. Payment is due on presentation of invoices, and is delinquent if Consultant has not received
payment within 30 -days from date of an invoice. Client will pay an additional charge of 1-1/2 (1.5) percent per month (or the maximum
percentage allowed by law, whichever is lower) on any delinquent amount, excepting any portion of the invoiced amount that is disputed in
good faith. Each payment will first be applied to accrued interest, costs and fees and then to the principal unpaid amount. All time spent and
expenses incurred (including any in-house or outside attorney's fees) in connection with collection of any delinquent amount will be paid by the
Client to Consultant per Consultant's current fee schedule.
4. OWNERSHIP OF DOCUMENTS: Consultant owns all documents it creates and grants Client limited license to use the documents for the
purposes stated in the documents. Consultant reserves the right to withhold delivery of documents to Client until payment in full of current
invoices has been received.
5. TERMINATION: This agreement may be terminated by either party effective seven (7) days from the date of written notice, or if the client
suspends the work for three (3) months. In the event of termination, Consultant will be paid for services performed prior to the date of
termination plus reasonable termination expenses. If Consultant has not received payment for any invoice within 30 days from the date of the
invoice, or in the event of anticipatory breach by Client, Consultant may suspend performance of its services immediately and may terminate
this contract.
6. RISK ALLOCATION: In order for Client to obtain the benefit of a fee which includes a lesser allowance for compensating Consultant for
its litigation risk, Client agrees to indemnify, hold harmless and defend Consultant, its agents, employees, or officers, from and against any and
all loss, claim, expenses, including attorney's fees, injury, damages, liability or costs arising out of non -design services (i.e., services other than
as defined by Civil Code Section 2784) performed by Consultant on this project, except where such loss injury, damage, liability, cost, expenses
or claims are the result of the sole negligence or willful misconduct of Consultant. Client further agrees to limit the total aggregate liability of
Consultant, its agents, employees, and officers to Client on the entire project, to the lesser of $15,000.00 or total fees charged by Consultant,
except that Consultant's liability for willful misconduct shall not be limited. Client agrees to provide to Consultant proof of insurance covering
claims for property damage including construction defects and related personal injury on an occurrence basis in an amount of not less than $1
million per occurrence and in the annual aggregate. These terms may be negotiable depending on the particular facts of your project. You
should consult with an attorney experienced in construction contracts and litigation regarding this provision.
7. HAZARDOUS MATERIALS: Consultant is responsible only for hazardous materials brought by Consultant onto the site. Client retains
ownership and responsibility in all respects for other hazardous materials and associated damage.
S. ASSIGNS AND THIRD PARTIES: Neither the client nor Consultant may delegate, assign, or transfer his duties or rights in this
Agreement without the written consent of the other party. This Agreement is intended only to benefit the parties hereto. No person who is not a
signatory to this agreement shall have any rights hereunder to rely on this contract or on any of Consultant's services or reports without the
express written authorization of Consultant.
9. STANDARD OF CARE: Consultant agrees to strive to perform its services that are intended solely for the use of the Client, in a proper and
professional manner in accordance with current standards of geotechnical engineering practice in this community at this time. The Client agrees
to pay for and look to Consultant only for such performances. No warranty or guarantee is expressed or implied. Consultant and the Client agree
that there are risks of earth movement and property damage inherent in land development and repair and that Consultant has not been authorized
to perform the exhaustive and economically unfeasible investigation necessary to eliminate such risks.
10. EFFECTS OF SITE EXPLORATION: It is understood that in the normal course of providing these services, that Consultant will be
required to access the site excavate test pits. All pits will be backfilled at completion, however, some settlement should be anticipated.
Consultant will attempt to minimize the effects of the excavation operations on the site. However, it must be understood that some damage to
existing roadways, vegetation, or other improvements may occur. Consultant does not propose to restore the site to the same condition as was
present prior to the exploration operations.
11. ENVIRONMENTAL SERVICES: The scope of geotechnical services does not include any environmental assessment or investigation for
the presence or absence of wetlands, hazardous or toxic materials in the soil, surface water or groundwater, or air, on or below, or around the site.
12. GOVERNING LAW, SURVIVAL AND FORUM SELECTION: The contract shall be governed by laws of the State of California. If
any of the provisions contained in this agreement are held invalid, the enforceability of the remaining provisions will not be impaired.
Limitations of liability, indemnities, representations and warranties by Client will survive termination of this agreement. The signatories
represent and warrant that they are authorized by the entities on whose behalf they sign to enter into this contract and that their principals have
filed fictitious business name statements, if required. All disputes between Consultant and client related to this agreement will be submitted to
the court of the county where Consultant's principal place of business is located and client waives the right to remove the action to any other
county or judicial jurisdiction.
BD -BF -302-11/02 HANDWRITTEN CHANGES NOT VALID