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11-1121 (BLCK)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001121 Property Address: 51137 EL DORADO DR APN: 777 -360 -008 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 925 Ta9v 4 4 Qulk& Architect or Engineer: ------------------ 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) of Division 3 of the Business and Professionals Co �d my License is in full force and effect. License Class: B 919430 �tt.,��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 1$500).: 1 _ 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 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. , 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.I. Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/11/11 Owner: JEFF MANLEY 51137 EL DORADO DRIVE LA QUINTA, CA 92253 11D. f Contractor: GALLAUDET CONSTRUCTION i"'" ZT9 52202 ROSEWOOD LANE LA QUINTA, CA 92253 CITYOtrLAQUINTA (760) 516-9000 Ff,lSxlhs a _pp. Lic. No.: 919430 ----------------------------------------------— 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 EXEMPT Policy Number EXEMPT 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 o the wor mpensation provisions of Section 3700 of the Labor Code, 13pat fo comp a provisions. Qat �1 "/plicant: /WARNING: FAI URL E TO SECU KERS' COMPEN ION 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 comply with all city and county ordinances and state laws relating to building construction, an ereb a epresentatives of this count to a ter upo a above-mentioned property f ion ses. ate: follf l ignature (Applicant or Agent): Application Number . . . . . 11-00001121 Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . Valuation . . . . 0 Expiration Date 4/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 ---------------------------------------------------------------------------- 2.25 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 25.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 925 Expiration Date 4/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 2.0000 HND BLDG 501-2,000 10.00 ----------- ----------------------------------------------------------------- Special Notes and Comments 37 L.F. 6' FRONT COURTYARD WALL WITH WOOD FRAMED STUCCO ARCH (NOT TO EXCEED 91)CITY STANDARD. ADD ELECTRICAL FOR FUTURE LIGHTING. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 42.25 .00 .00 42.25 Plan Check Total 4.31 .00 .00 4.31 Other Fee Total 1.00 .00 .00 1.00 Grand Total 47.56 .00 .00 47.56 LQPERMIT I I 1 1 I 1 1 I I .I O I 1 I I I I I I I NEW BOULDER WATER FEATURE AT +30' WITH ONE BASK THREE BOULDER . SPILLWAYS AND TWO LAW WATT U LIGHTS COSTING RAISE) BOND BEAM AT+Ir WITH NEW THICK CUT STONE CAP. ' AND STS FACE 3 SMAW WATER LME � 1 RAISE) SPA AT Ar WITH NEW THICK CUT STONE CAP. STONE SLAB WI LWAY AND RANDOM STONE FACE -1 EXISTING TANNING SBF AT S WATER WITH WITH ONE -UMBRELLA SLEEVE dv M i N CIN OF LA QUINTA ,BUILDING & SAFETY DEPT. IAPPROVED FOR CONSTRUCTION I ATE%La-/f Bpro Y C,g� Mm care �, proposed saes 6' SLUOCO waB wag to be 6L same style as new cedar garage doors NGw Pq.,�-�-s New SNL. W m y Tb S c r j H.O.A. Approval Bin .# City ofla Qu111ta Building a Safety Division P.O. Box 1504,78-495 Calle Tarnpko Permit 4.Qutnta, CA 92253..:(760) 7777012 �1 Building Permit Application and Tracking Sheet Project Address: ) [) Qp R►40D DZ, Owner's Name:. SE MIR j LL. A. P. Number. Address: FL >9-22 - 2(2-• Legal Description: City, ST, Zip: �; QU 1 tv Contractor. Telephone: Address: ( V L 5 2 SUN Tr 3Z Project Description: City, ST, Zip: L, t, QV t —1 ZZ5 3 Telephone: 7 (00- 5) to - 9© State Lic. # : Q 1 CALA 3© City Lic. #c LG�sv�� Arch, Eagr., Designer. rj T7M�PA GZ � .: W -i 3 bn L Address: City,, ST, Zip: - Telephone: Construction Type:. Occupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:Sq, Ft : # Stories: # Univ: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submtttal Req'd Recd .. TRACING PERMff FEES Plan Sets Plan Cheek submitted Item Amount Structural Csles. Reviewed, ready for corrections Plan Chcck Deposit. . Truss Coles. Called Contact Pcrson Plan Check Balance. Tithe 24 CalciL Pians picked up Construction Flood plain plan Pians resubmitted Mechariteal Grading plan 2'i Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. PI resubmitted Grading AV HOUSE:- Review; ready for correcdons/issae Developer Impact Fee Planning Approval Called Contact Person AAX.P. Pub. Wks. Appr ' Date of permit issue School Feu LTotal Permit Fees