07-1602 (BLCK)r.
r '
P:O.�BOX. 1504 ^' VOICE (760).777-7012
78-49,5 CALLE TAMPICO FAX "(760) 777-7011
�L''i� QUINTA, CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/30/07
Application Number: 070.0.00-1.602 Owner:
Property Address: 53188 VIA PALACIO ARKER RESIDENCE
APN: 772-550-050- - - ,%�. -188 VIA PALACIO
Application description: WALL/FENCE ` UINTA, CA 92253
Property Zoning:—LOW—DENS ITY—RES IDENTIAI7
Application valuation: 1083
Cb ractor: m
Applicant: Architect or Engineer: Q 04 SERRA
�IO ofy L� P.O. BOX 1280
Y� l� COACHELLA, CA 92236 '
(760)398-9222
�y) Lic. No.: 656128
LICEN D CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty -of perjury that I a I ensad under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and 'Pr essionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class- C8 C27 C29 j License No.: 656128 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is.
D2�_^- issued.
atesl7Cont,
_ 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
DWRER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number BB1070510 .
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct,alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to b ome subject to the workers' compensation laws of California, -
permit.to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should becom subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Codg.Lshall f rthwith comply with those provisions.
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).: _ -Date. �G'_�ZApplicant:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and Lf
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
f L 0 'nt t officers d I f I d h k b'
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 ISec.3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
o a ais o kersu , , agents an emp lo or any act or omission re ate tot a wor a ng
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 inf rmation is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr ction, and hereby authorize representatives
of this county to enter upon the above-mentioned property 'a urposes.
�s 6la' r
Date: � Signature (Applicant or -Agent):
.Application Number 07-00001602
Permit- . . WALL/FENCE PERMIT
Additional desc .
Permit Fee, .27.00
Plan Check
Fee
.00 .
Issue Date
Valuation
1083
Expiration Date 11/26/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
:.6.00 2.0000 HND BLDG 501-2,000
12.00
--------------------------------------------
Special Notes and Comments
------------
50' L.F X 5' BLOCK WALL' -CITY STANDARD.
5'6" HIGH 4 X 4 PILASTER COLUMNS PER
APPROVED PLAN.
Fee summary Charged .. Paid
Credited
Due
Permit Fee Total 27.00
.00
.00
27.00
Plan Check Total .00
.00
.00
.00
Grand Total 27:00
.00
.00
27.00
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 #
q' 1 W;?—
Project Address: 3 — , VIA LAcib
Owner's Name: s)'ZLej a Lt
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor.
Telephone:
?.
Address: P. 0.. 0 • • 2-5(,
Project Description:
City, ST, Zip:
Telephone:
State Lic. # : (2 City Lic. #:
5 j t� ., L-�O yZAqUD
Arch., Engr., Designer:
Address:
e=
City, ST, Zip:
-
Telephone:
State Lic. #:
Name of Contact Person: ., E5—sL N,.tJpCZ
Construction Type:Occu anc
p y
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: • p Z —C>Aqq
Estimated Value of Project: 1i SDS
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
2"d Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'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
Al
�icc� �eLU. r
11
CITY OF
LA QUINTA
z BYJILDING AND SAFETY
_.
DEPARTMENT -
GARDEN WALL STANDARD
1'm= 1350psi, Fy-- 40000psi "
#4 ® 24" Vert ® CL
#4 0 32" Horiz
-
-
6 1/4"
a
�LTERNA+TE'
3" CLEAR
- /4 HORIZ. AS SHOWN T:
M
S
1"t
6"
6" C.M.U.
fm= 1350psi. IF Y-- 40000psi
/4 0 24' Vert ® CL
/4 ® 32" Horiz
GARDEN WALL
-�
Stole: 3/8'
v
fm= 1350psi. Fy= 40000psi
/4 0'24" Vert
® Cl
#4 ®32" 116rizliz#4
3" CLEAR
HORIZ. AS: SHOWN T
o
Co
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V
OPTIONAL
I
10-11/16".
30 -LAP
'r
GARDEN WALL
"
ALTERNATE
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#4' HORIZ. AS SHOWN T
BENDS
p
-
6' C.M.U.
fmk 1350Csi. F _
y- 46o00psi
#4 0 24' Vert- ® cL
/4 ® 32" Horiz
S' GARDEN WALL.
'_-.. Seale: 3/8" a 1•_0".
:.
_
OPTIONAL
30"LAP
#ung Op§i
95 . Fy='XOOOOpsi
:Vert 0 CL
----
g.4 4D $2' Horiz
3" CLEAR I_
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to
10-11%16".
OPTIONAL.
30 -LAP
! ..
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3" CLEAR 1
ALTERNATE'�-
1 ® e: 8 lJ 8 OA 1
pa HOI3iz..ns sHowN `i`
BENDS
BUILDING & SAFETY DEPT.
2•_3.
VED-
POR CONSTRUCTION
-
GARDEN WALL
_ _... -- -
Scole: 3/8' = 11—O"
Ln
I
i
17
i
ARE-INSPECWILL BE TION FEE OF $30 CITY ®F LA QUINTA
CHARGED IF THE �APr�'Rq� q7,D BUILDING &SAFETY DEPT.
PLANS jo ca DARF APPROVED
THESITE r �R q SCNEE;'�T° FOR CONST UCTION
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