07-1385 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPIC0
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001385
Property Address: 78651 'AVENIDA LA FONDA
APN: 770-171-001-144 -000000-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2598
Applicant: Architect or Engineer:
a L)JtiKIA
V -
------------------
LICENSED CONTRACTOR'S DECLARATION
� �4ur«rw
BUILDING & SAFETY DEPARTMENT
'BUILDING PERMIT
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code,.and my License is in full force and effect.
License Class: B -C33 License No.: 797162
Date: Contractor:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that 1 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—') 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 io-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 1 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:
LOPEZ FRANCISCO
Contractor:
BEST QUALITY P
7611 GREENLEAF
WHITTIER, CA 9
(562)789-1289
Lic. No.: 7971
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/08/07
-----------------------------------------
WORKER'S
----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-irisure 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 0015836-2006
_ 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: Applicant:
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.
Date: Signature (Applicant or Agent):
Application Number . . . . . 07-00001385
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee .00
Issue Date Valuation . . . . 2598
Expiration Date 11/04/07
Qty Unit, Charge Per Extension
BASE -FEE 45.00
1.00 9.0000 THOU BLDG 2,001-25,000 9.00
-
---=-----------------------------------------------------------------------
Special Notes and Comments
5' BLOCK WALL CITY STANDARD X 120' L.F.
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 .
Bin #
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 #
o
Project Address: S V_
Owner's Name: i - 71 Z
A. P. Number: , 9 l d O
Address: '
Legal Description: %✓
Contractor: _ .� ��,
City, ST, Zip:
Telephone . /�
Address: ((
Project Description: S�
City, ST, Zip: 6 02-
' C'6
Telephoe. L
��.
State Lic. # : 6 Z' City Lic. #:
Arch., Engr., Designer:
Address: .
City, ST, Zip:
Telephone: f „ iI� i�1
�I
State Lic. #:Project
Name of Contact Person:
Construction Type: Occupancy:
type (circle one): CNew Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: R, 2) Z -4W �
Estimated Value of Project: 6'00 0 '00
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2n' 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:-
3rdReview, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
0
School Fees
Total Permit Fees
SIGN
.OF.H.
V ' 1 ON 3svo
1181HX3
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THE ARELL
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'4-k.�$ � �� ti5�� INS SITE FOR A SCHEDULED
O,a
�tlN o INSPECTION.
HEDULEp P.P.
x 37.01 300 f 7.19. pFG x 32.15
x 36.98
7 2 .04' Via• 38.46 E'L 7 8 NO EXCEPTIONS! TELE
38.00FS-
-- LOT 144 .00'
PE=38.0
s3S50 X EXIST 5' BLOCK WALL Q I.
5 x 36. . 36.93
p j x 37.1 LOWEST HABITi4®LE FINISHED d GENE
I FLOOR ELEVATION IS 38.20 s
p 100 4 WD 1. ANY GRAI
h
?0, op; SHALL BE
IY •Jff 4 6FS.n o A o: ,3 SEPARAT!
. 2. THE CON'
x
x 36.94 ' 36.95 ' ELEVATIOI
x 36.68 e . d 6.75 0
11.60' i 0.00' y BUILDING
.4
CONSTRU(
2Z
.00' 3. A SEPARj
DEPARTMI
4. THIS PLAT
x 37.04 x 36.3 x 36.77 x 36.75 x 36.68 3'j 6�� SUCH AS
SMAC - _ SHALL BE
- - , WORKS DI
0.8.8'u _ k231 �� 0 0.5X w' 5. THE CONI`
-►. --
3 _ 4 N - - - - 7 - - �' aOFG 4G 6. THE CONI
x 37.0 .k WM N89'46'00'"E 100.57' P. . 3� �ptJ ORAINAGE OTHEF
�� o W EXIST 5' WOODEN FENCE 9Q 3 7. AFTER CL
TELE �j .,S,�. o � PAD. THE
AND THEt
SPECIFICA
8. THE CONI
x 36.92 x 36.79 NOTED OtaBE PERFC
SURVEYOF
9. ALL STREI
SCALE: 1"= 20 FEET DEPOSITS
SHOWN 01
BUILDING
0 10 20 40 60 80 10. THE CONI
REQUIRED
CITY OF LA C�UINTA
BUILDING & SAFETY DEPT.. 11. CONSTRU
HUMAN C
APPROVE®
FOR CONSTRUCTION OCTOBER
• V
I DATE nv MAY 1ST
WORK IS
4 P.O. BOX 1504 �VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
f Date: 0 7
Application Number: 07-00001385 Owner: a
Property Address: 78651 AVENIDA LA FONDA LOPEZ FRANCISCO
APN: 770-171-001-144 -000000-
�oo�
Application valuation: 2598 MAY
Contractor: I �
Applicant: Architect or Engineer: BEST QUALITY PAINTIN _W LA N
7611 GREENLEAF AVENUE �i��y����
KIA WHITTIER, CA 90602 RKty': _ pal
(562)789-1289 (562)789-1289
All
LiC. No.: 797162
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 Class: B-1233 License No.: 797162
i ♦✓ r
i Date—� Contractor: L<
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 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 town 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.).
(_ 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
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 0015836-2006
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
3377000 of the LaborCooddee,, Ishall forthwith comply with
ththose
7 provisions.
Dateq�� pIicant: _rte" / r`�C419v _
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 It by authorize representatives
of this coif/} ty to enter upon the above-mentioned p erty f inspection purpose
—Date�_x , `Signature (Applicant or'Agentl:
r
Application Number . . . . . 07-00001385
Permit . . . . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 2598
Expiration Date 11/04/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
5' BLOCK WALL CITY STANDARD X 120' L.F.
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
LQPERNIIT