12-0730 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-00000730
Property Address:
53533 VIA PISA
APN:
772 -530 -045 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
12000
Auulludill.: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------'--------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perju ha am lic ed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the B ne and P ssionals Code, and my License is in full force and effect.
License Class: B license No.: 799449
VDate: 2t'%2%015ontracto
WNER-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 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 contractor(s) 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
Owner:
PERRY, MARTIN & RONDA
1131 N GRANADA AVE
ALHAMBRA, CA.91801
CnntrRCinr'
JACOBS HOMES INC, PET
P.O. BOX 356
LA QUINTA, CA 92247
(760)777-9921
Lic. No.: 799449
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/25/12
----------------------------------------------—
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 A Policy Number 719000392
I certify that, in the performaof the work which this permit is issued, I shall not employ any
person in any manner so to come j t to the workers' compensation laws of California,
and agree that, if I shou e m the workers' compensation provisions of Section
3700 off the Labor Co I's 16 w' omply with those provisions.
/ate:pplicant:
WARNING: FAILURE TO SECURE WORKERS' CONSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 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.
I . 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 applicatio ecomes null and void if work is not commenced
within 180 days from date of issuance of su permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state/inab infor ion is correct. I agree to comply with all
city and county ordinances and state laws relatingn, and hereby authorize representatives
of this county to enter upon the above-mentioned r i s ' n purposes.
Da�i
J`�Sigte: �- nature (Applicant or Agen
/I
Application Number . . . . . 12-00000730
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 135.00 Plan Check Fee
.00
Issue Date . . .
. Valuation . . .
. 12000
Expiration Date
1/21/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
10.00 9.0000
THOU BLDG 2,001-25,000
90.00
----------------------------------------------------------------------------
Special Notes and
Comments
REVISED ENTRY COURTYARD WALL PER
ENGINEERED DES.TGN.
ENGINEER: REZA
ASGHARPOUR C67613.
2010 CODES
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
HOURLY PLAN CHECK
213.50
Fee summary
Charged Paid Credited
Due
-----------------
Permit Fee Total
----------------------------------------
135.00 .00 .00
135.00
Plan Check Total
.00 .00 .00
.00
Other Fee Total
214.50 .00 .00
214.50
Grand Total
349.50 .00 .00
349.50
LQPERMIT
DATE: 7/24/12
JURISDICTION: La Quinta
PLAN CHECK NO.: 12-730
EsGil Corporation
In Tartnerskip witk Government for Building Safety
PROJECT ADDRESS: 53533 Via Pisa
SET: I
❑ AP CANT
JURIS.
❑ PLAN REVIEWER
❑ FILE
PROJECT NAME: Entry Gate & Wall for SFD ( STRUCTURAL ONLY )
® The structural plans transmitted herewith have been corrected where necessary and
substantially comply with the jurisdiction's building codes. "EsGil Corporation did not perform the
original review for this project. Per the Building Official's direction, we have only verified adequate plan
changes/responses to the correction lists prepared by others."
❑ The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation staff did not.advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email:
Mail Telephone Fax In Person
❑ REMARKS:
By: Chuck Mendenhall
EsGil Corporation
❑ GA ❑ EJ ❑ PC 7/24/12
Enclosures:
Fax #:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1463 ♦ Fax(858)560-1576
[mr; ffprmit #
�z�?30
,C Project Address:
A. P. Number:
Legal Description:
Contractor:
Address:
i
City, STne:, Zip:
d� Telepho
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�C State Lic. # : 7f p
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle , ampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
,s wner's Name: /��
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APPLICANT: DO NOT WR
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Submittal
Req'd
Recd
TRAC
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Plan Check submitted
01/
Structural Calcs.
Construction Type:
Reviewed, ready for correc
?roject type (circle one):
Truss Calcs.
iq. Ft.: E Stories: # Units:
:stimated Value of Proje..t:
Called Contact Person
Title 24 Calcs.
FEES
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Plans picked up
Flood plain plan
tions
Plans resubmitted
Grading plan
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Plan Check Balance
2"" Review, ready for corre
Subcontactor List
Construction
Called Contact Person
!!1I
Grant Deed
tions/issue
Plans picked up
Electrical
H.O.A. Approval
Plans resubmitted
PV HOUSE:-
S.M.I.
Jrd Review, ready for correc
Planning Approval
Grading
Called Contact Person
Pub. Wks. Appr
Date of permit issue
A.I.P.P.
School Fees
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Project Description:
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Construction Type:
Occupancy:
?roject type (circle one):
New Add'n Alter Repair Demo
iq. Ft.: E Stories: # Units:
:stimated Value of Proje..t:
ITE BELOW THIS LINE
UNG
FEES
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Amount
tions
an Check Deposit
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Plan Check Balance
Construction
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Mechanical
tions/issue
Electrical
Plumbing
S.M.I.
Grading
ions/issue
Developer Impact Fee
A.I.P.P.
Total Permit Fees