06-4287 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00004287
Property Address: 43576 WASHINGTON ST
APN: 609-070-028-25 -000000-
Application description: WALL/FENCE
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 560
Tdy/ 4 e(P Q"
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ENTIN FAMILY TRUST
43576 WASHINGTON ST
Dr LA QUINTA, CA 92253
Contractor:
MARVEST
42208 WASHINGTON STREET PMB153
BERMUDA DUNES, CA 92201--0
(760)360-7061
Lic. No.: 876299
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 ce a No.: 876299
Date: e Z'!J Contractor:
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).:
(_) 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 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 contractorls) licensed
pursuant to the Contractors' State License Law.). .
I—) 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:
LQPERMIT
Date: 12/15/06
-----------------------------------------------
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 workerscompensation 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 184615506
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'ect to the workers' compensation laws of California,
and agree that, if 1 should bec a lect to the orkers' compensation provisions of Section
3700 gf the Labor Code, I onhwith co with those provisions.
Date// Z��0Applican
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 infor ion is correc agree to comply with all
city and county ordinances and state laws relating to building con ction, and he y authorize representatives
of this county to enter upon the above-mentioned property for ' pec ' r es.
Date:�lS —Signature (Applicant or Agent
Application Number . . . . . 06-00004287
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 17.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 560
Expiration Date 6/13/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 2.0000 HND BLDG 501-2,000
2.00
___------__ -------- =- ----------
Special Notes and Comments
-- ----------
245 LF <36" RETAINING WALL @ SOUTH P/L
& 165 LF <36" RETAINING WALL @ NORTH
P/L & 35 LF 4' RETAINING WALL @ NORTH
EAST SECTION OF P/L. ORCO DETAIL &
CDDD/P/W'S APPROVED PLAN.
Fee summary Charged Paid
-------------------------------------
Credited
----------
----------
Due.
Permit Fee Total 17.00
.00
.00
17.00
Plan Check Total .00
.00
.00
.00
Grand Total 17.00
.00
.00
17.00
LQPERMIT
Bin #
City of LaQ uinta
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 #
Project Address:'�3
wner's Name: Gs`✓,�
A. P. Number:
[Address:
Legal Description:ity,'ST,
Zip:
Contractor: /11117 Y/a—J-r
Telephone;
Address:
Project Description:
City; ST, Zip:
Z --
Telephone:
State Lic. # : City Lie. #:
S�
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:.
State Lie. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:.#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd :.
Ree'd
TRACMG
PERMU FEES
Pian Sets
Plan Check submitted
item
Amount
Structural Calcs.
Reviewed, ready fort Erections
Plan ChecL Deposit,
Truss Cafes.
Called Contact Person
Plan Cheelr Balance
Energy Calcs.
Plans picked up
[Construction
Flood plain plan
Plans resubmitted
Mechanica:
Grading. plan
2" 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:-
m 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 Pertrit Fees
0 1
ri
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BASIS 01 BEARING APPROVED BY: CITY OF LA QUINTA PREPARED BY -
SEAL SEAL :3
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BASIS OF BEARINGS IS THE CENTERLINE OF OEsst FOMO I wn CITY OF LA QUINTA
WASHINGTON STREETi AS SHOWN ON PARCEL tv., _,()IFESS/,
MAP NO. 27131, PER PM 184/87-91 TAKEN -,c-- �OA Ovu,
'WO DRAWN BY. DATE:
AS N 00'11'07*E. ENGINEERING 03-18'-05
DIAL TWO WORKING TAP 'PRECISE GRADING PLAN
_j
BENCHMARK FILE NO.
No. 45�34
BEFORE DAYS BEFORE x r, No. t7 2 4
X LO
,1!
YDU DIG Y13U DIG CITY OF PALM DESERT BENCH MARK NO. 130, A Exp. 03-3-06 Exp. 1: 07 DESIGNED BY:
DAM: 225 S. CIVIC (DRIVE, SUITE 1-5 QUINTA BUSINESS CENTER C)
1.5" C.P.D. BRASS DISK ON THE NORTH SIDE OF PKIF (U
SHEET SHEETS
TOLL FREE 1 -800 -?2i-2600 FRED WARING DR. WEST OF WASHINGTON ST., IN PALM SPRINGS;, CA. 92262 SDP 2004 814
CIVIL _fvl� 0,
0 PHIWP K. FDMOTORI PE., PILS. EXP. DATE- 12/31/07 (760) 323-1&42, FAX (760) 323-1742 CHECKED BY: 3, 7
THE -SOUTHEAST CORNER OF CATCH BASIN 75 MARK: I APPR. DATE:\ ON. DATE OF S)N1/4 OF SECTION 18, T.5 S, R. 7 E, S. B. M
A PUBLIC SERVICE BY FEET WESTERLY OF THE WESTERLY ECR STAMPED DATE`- By' DESCRIPTION UBI TCWR& GSD ECTCV/CITY ENGINEER R.C.E. NO. 47284 PKF
UNDERGROUND SERVICE ALERT "130", ELEV.= 139.037 (NGVD 29) ENGINEER R.C.E. NO. 4 EXPIRES 12-31-06 APN#' 609-070-047, 609-070-028'
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