07-3226 (BLCK)P.O. BOX.1504
78-49� CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00'003226
77320 CALLE DURANGO
773-1.61-011-13 -0000,00-
WALL/FENCE
COVE RESIDENTIAL
3500
c&ht 4 4
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
PJA
-------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under panaltyof p - licensed under "ons of Chapter 9 (commencing with
Section 7000) of Division 3 ef�tl Business an rofessionals' ode, my is imfull force and effect.
License Class: 29 n o.: 5 5 of
ale/ 2 9L P ntractor: wl*
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, Busjness.and'Professions Code: Anycity or coumythat 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
thavhe or she is exempt.therefrom and the basis for the alleged exemption. Any violationW,Section 7031.5 by
any applicant for a permit; subjects the applicant to civil penalty of not more than five::hundred dollars ($500).:
(_)
[;,as owner of the property, or, my employges with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 70",, Business and Professions Code: The
Contractors' State License Law does not apply to.an owner of property who builds.orimproves 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, asowner -of theproperty, am exclusively contracting with licensed contractors to construct the project(Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply town owner of
property who builds or'improvesthereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License. Lew.).
(_) I am exempt under Sec. , B.BP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I herebyaffirm°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:
11117,031O'llb
Owner:
HENDLER
P O BOX
MALIBU,
DOLORES LEE SANDER
2686
CA 90265
Contractor:
PRUDEAUX MASONRY,
57861 JOSHUA LANE
YUCCA VALLEY, CA
(760)272-0072
Lie. No.: 510555
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/28/07
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 forwhich this permit is
issued.
V. I haveandwill maintain workers' compensation insurance, as`required by Section 3700 of the Labor
Code, for the performance of- -the work forwhich this permit is issued. My workers' compensation
insurance; carrier and policy number are:
Carrier STATE FUND Policy Number 1863620
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 sub) the workers' compensation laws of California,
and agree that, rf u me'subject: orkers' corn nsation provisions of Section
00 Of the La r Cod she[ forth -' with those visions;
icon[:
WARNING: FAILURE TO SECURE WORKERSCOMPENSATION COIE14GI IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARSy8100,000). 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 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 980days from date of issuance ofsuch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this ap&ion state that thea rmatton is rest- I agree to comply with all
cityand county ordinances a elating to buil ' co ruction; eby authorize representatives,
of this�uPon tionedProbe nspettion, � rpo s.
i ureAf 9
i
r
Application Number . . . . . 07-00003226
Permit. . . WALL/FENCE
PERMIT
Additional desc .. .
Permit Fee . . . . 63.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 3500
Expiration Date 6/25/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.0000 THOU BLDG
2,001-25.,0.00
18.00
-----------------------------------------------------------------------------------
Special Notes and Comments
140 L.F. 5'-6' GARDEN WALL, CITY
STANDARD
Fee summary Charged
Paid Credited
Due
Permit Fee Total 63.00
.00
.0.0
63.00
Plan Check Total .00
.00
.00
.00
Grand Total 63.00
.00
.00
63.00
LQrEMrr
A V E N I D A D I A z
R _ A OSCAR W. M c G R A W FLOOR PLAN
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wa� A R C H I T E C T U R E HLWaasto■r■uo¢lawR: � .,.�
■ p ,,.,p, 0 E S 1 G N LEE HENDLER
�� MI tl�lp�i 71741 PACIFIC COAST HIGHWAY. MALIBU. CA 90963 77-320 CMUI ppOQ LA WA CRISO AR!!17 a_ p
Mc:O R'A W MALIRU Pf0j4S&= /AR.13IpI45L. M TOPAHOA PIOUS""
Bin #
City of La Quinta
Building ex Safety- Division
P.O. Box 1504; 78-495 Calle Tampico
La Quintai. CA 92253 -.(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
X22
Project Address: �,.- 2 0 C e Urq rl
Owner's-Name:
A. P. Number:
Address:- - Q
Legal Description:
City; ST; zip: C' 2 41?
Telephone: 1,-
Contractor: 0"Ly,11f N Q K Q n r
�,u G
Address: J))
Project Description:
Ce-
// f `
ST, ZiP: q 4 1 [e ! , / 2 2 P
Id,
n
_54' ' -i0 +c t � W 4 /
phone: `%�� _ (D _ �. Sr
Lica City Lic: #:
., Engr., Designer. 6 s-,c G -r'V • / l r au
[Address:
/ / .
-
2 2 ti PGC
City, ST, Zip: . �- p + �' V 2 1W 5-
Telephone: fl 55 2-,2 S5�
State LicA:
Name of Contact Person: v,
Construction Type: Occupancy:
Projectlype (circle.one); New. Add'n Alter Repair Demo
Sq. Ft :
71, tories:
#Units:
Telephone # of Contact Person:- -. Z
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Subadttal
Req'd
Reed
TRACING .
PERMTP FEES
Plan Sets:
Plan Check submitted .
item-
Amount.
Structural Calcs.
Reviewed, ready for corrections
Plan (heck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy CalcL
Plautpicked•up
Construction
Floodplain plan
Plans,resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcoutactor List.
Called Contact Person
Plumbing
Grant Deed
Plans picked up'
S:M:h
iEMA. Approval,
Plans resubmitted
Grading
IN HOUSE-,
?'' ReAew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit-:Fees