08-1123 (BLCK)44QP.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,-CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
:Application Number: 08-00001123
Property Address: 51360 CALLE HUENEME
APN: 770-164-007-18 -000000-
Application description: WALL/FENCE
Property Zoning: MEDIUM DENSITY RES
Application valuation: 1329
Applicant: Architect or Engineer:
DI'A Pu
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C29 'cense No.:010 04168fl IL
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-Dzte: i%'7r'Contracror: ? Z�gr+t !/
OWNER -BUILDER ARATION
I hereby affirm under penalty of perjury th t I am exempt from a Contractor's Stat License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: city or county th t requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its iss quires 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).:
(_ I 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 _) 1, 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 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:
LQPERn7IT
Owner:
RODRIGUEZ RESIDENCE
51360 CALLE HUENEME
LA QUINTA, CA 92.253
Contractor:
AA MASONRY
77530 DELAWARE PL
PALM DESERT,. CA 92211
(760)360-7388
Lic- No.: 804168
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/01/08
---------------------- - - - - ---- -
ht�-- tf----
WORKER'S COMPENSATION RATION
I hereby affirm under penalty of perjury one of the following declarati
_ I have and will maintain a certificate of consent to self -i e f r workfalsl}I-• fm ati rovid
for by Section 3700 of the Labor Code, for the perfo nc of theMrOfo�phrmit i
issued.
_ I have and will maintain workers' compensation insuran e, as f1� of the Lab r
Code, for the performance of the work for which thi permit is .wrap J�k"tltt9vensa on
insurance carrier and policy number are: FIN NCE DEPT.
Carrier ENDURANCE INSUR Policy Number DKRM
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 subject to the workers' compensation provisions of Section
�F�377�00 of the Labor Code, I shall fart it h ply with th a pr visions.
te:
Da _ rApplicant:- i '
WARNING. FAILURE TO SECURE WOR S' COMPENSATION C G UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND C INES UP TO HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COSTO OMPENSATION, DAMA AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, A ORNEY'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 Ouinta, 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 inspectio p o oses.
Date: + • Signature (Applicant or Agent)? "
C ,
Application Number . . . . . 08
-00001123 -
Permit . . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 33.00
Plan Check
Fee
.00
Issue Date
Valuation
.
. 1329
Expiration Date 12/28/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
9.00 2.0000 HND BLDG
501-2,000
18.00
-------------------------------------------------------------
Special Notes and Comments
--------------
36'•X 5' FRONT P/L, 22' X 6' SIDE
BLOCK
WALL PER CITY STANDARD.
Fee summary Charged
----------
Paid. Credited
--------------------
Due
---------------------------
Permit Fee Total 33.00
.00
.00
33.00
Plan Check Total .00
.00
.00
.00
Grand Total 33.00
.00
.00
33.00
F
LQPERn11T
CITY OF LA -QUINTA
BUILDING AND SAFETY DEPARTMENT
GARDEN WALL STANDARD
6' C.M.U;
.rm= 1350psi, Fr- 40000psi
14 O. 24" Vert 0 CL
04 0 32' Horiz
6 1/4 -
ALTERNATE
3' CLEAR
#4 HORIZ. AS. SHOWN t
16 .6- C.M.U.
I1 =9. rm- 1350psi. Fy= 40000pii.
#4 0 24' Vert 0. CL
#4 0 32' Horiz
GARDEN WALL
Scale: 3/8' - 1'—.0'
6' CMU
rm- -1350ps. Fy- *40000ps! 3' CLEAR
#4 0 24" Vert 0 CL
#4 0 32' Horij #4 HORIZ. AS SHOWN T
.0
OPTIONAL
10-ti/16' 30 LAP
GARDEN'. WALL
Scale: 3/8"*- 1* -0"
ALTERNATE
Y CLEAR
SENDS.
#4 HORIZ. AS SHOWN T
.6- C.M.U.
1350Psi. Fy- 40000psi
• #4 90 24' Vert .• CL
#4 0 32' Horiz
GARDEN WALL'
Scale: 3/8' 1'-0,
6' C.M.U.
M= 1350psi. Fy-. 40000psi
#4 0 24" Vert 0 CL
';o
#4 0 32' Horii
3" CLEAR
14 HORIZ. AS SHOWN T
,o
iD
lo
n
OPTIONAL
10-11/167. 30'LAP
GARDEN
WALL
Scole: 3/8'
TER
IALTERNATE
3" CLEAR S
8 N=DS.
14 HORIZ. AS SHOWN T
GARDEN WALL
J
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3
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION.
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Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
(�
Project Address:Owner's
Name:
E N
A. P. Number:
Address:
Legal Description:
City, ST, Zip: � QVC gZZS3
Telephone:
Contractor: C� 01- S J.
Address:
Project Description:
City, ST, Zip:
Telephone:
NMI, VJA&L PEP- 5 f ^
�/
State Lic. # : City Lic. #:
Arch., Engr., Designer: N
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
P y:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: SU
# Stories:
#Units:
Telephone # of Contact Person: ---20Estimated
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
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
It