06-3644 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: L 06-00003644
Property Address: 53372 VIA PISA
APN: 772 -530 -065 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6199
Applicant:
Ihereby affirm under penalty of perjury
Section 7000) of Division 3 of the Busi
License Class: C8 C27 C29
Contractor:
Tily 4 4 Q"
Architect or Engineer:
d1lor
BUILDING& SAFETY DEPARTMENT
BUILDING PERMIT
CONTRACTOR'S DECLARATION
Id under provisions of Chapter 9 (commencing with
nals Code, and my License is in full force and effect.
\) License No.: 656128
OW ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exeNet from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Profession 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 155001:
(_ 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 _ 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.). _
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
NRI CCP I
81100 AVE 53
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280
COACHELLA, CA 9223E
(760)398-9222
LiC. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/11/06
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 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 polic number are: -
Carrier SEABRIGHT A Policy Number BB1060510
I certify that, in the perfer so a torma a of the work for which this permit is issued, I shall not employ any
person in any manno become subject to the workers' compensation laws of California,
anrd agree that, if I sho a ome subject to the workers' compensation provisions of Scction
37p0 of the Labor Co , I ha I forthwith comply with those provisions.
Date: l� �,vv Applicant:
WARNING: FAILURE TO SECURE WO 1
SUBJECT AN EMPLOYER TO CRIMINAL 1
DOLLARS ($100,000). IN ADDITION TO
SECTION 3706 OF THE LABOR CODE, It,
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
,LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
:ST, 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 de, each person at whose request and for
whose benefit work is performed under or pursu to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, an hall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees f �, any act or omission related to the work being
performed under or following issuance of this per it.
2. Any permit issued as a result of this applicati b o es null and void if work is not commenced
within 180 days from date of issuance of ch p rmi or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that he bo I info mation is correct. I agree to comply with all
city and county ordinances and state laws relating to uildi c nstru ion, and hereby authorize representatives
of this co my to enter upon the above-mentioned pro rty f r ecti purposes.
Date:~ Signature (Applicant or Agent):
LQPERMIT
Application Number . . . . . 06-00003644
Permit . . . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 90.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 6199
Expiration Date . . 4/09/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00. 9.0000 THOU BLDG 2,001-25,000
45.00
----------------------------------------------------------------------------
Special Notes and Comments
103 L.P. 6' GARDEN WALD, ORCO 3Y3TEM
75 L.F. 5- GARDEN WALL, CITY STANDARD
Fee summary Charged Paid
---------------- ----------
Credited
Due
----------
Permit Fee Total 90.00
----------
.00
------
.00
---
90.00
Plan Check Total .00
.00
.00
.00
Grand Total 90.00
.00
.00
90.00
j
APPROVED FOR PERMITTING, PLANNING AND ZONING COMPLIANCEi
-CONSTRUCTION NOTES QUANTITIES OUGLAS R. EVANS DATE
TOM HARTUNG DATE D
CONSTRUCT YARD DRAIN,"NDS #9 10B, 47 DIA. 3 EA BUILDING AND SAFETY DIRECTOR COMMUNITY DEVELOPMENT DIRECTOR
SATIN BRASS GRATE OR EQUAL
CONSTRUCT YARD DRAIN. NDS #50, 6' DIA. GREEN 14 EA CITY OF LA - QUINTA CITY OF LA QUINTA
COLOR GRATE OR EQUAL.
1 EA
CONSTRUCT 6'X45 BEND (SDR -35).
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CONSTRUCT Er PVC PIPE, (SDR
UNLESS OTHERWISE NOTED ON PLANS.
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CONSTRUCT BUBBLER BOX WITH GRATE TOP. NYLOPLAST 1
DRAIN BASIN PER DErAIL ON SHEET 1.
XXX LF
CONSTRUCT WALL PER SEPARATE PLAN AND PERMIT. 1
HEIGHT AS SHOWN ON PLANS.
6 18 1,000 SF
CONSTRUCT Er MIN. THICKNESS DRMAY PER
ARCHITECT PLAN.
6 19
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1, CONSTRUCT 10' DEEP DRYWELL PER DETAIL ON SHEET 1.
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3/1/06
ION OF:' -Planning
PREPARED UNDER THE SUPERVIS
SUN VISTA DEVELOP"MENT DESIGN: DRAFT:
OFESS/ -civil
Underground Service Alert _�o ce ? Engineering ESSI CEASARE
NR S .4 ESSI SHAHANDEH -Structural
PRECISE GRADING PLAN
Engineering
ESFANDIAR SHAHANDEH DATE: CHECK: DATE:
EXP. DATE o. 47834 CIVIL ENGINEER
m HIDEWAY LOT 300
RCE NO. 47834
Call: TOLL FIREE 12/31/2007 ESSI MAY 05 -
APPROVED BY: Exp. 12/31/07 AMENDED TRACT 29894-2, M.B. 327/83
PALM DESERT DWG No. PG941 002
?ORTION OF SECTION 9, T.6S., R.7E., SB:B&M
1-800 C101
L 45-175 Pommino Va, Su&e T, Pahn DwO. Ck 92260 2 OF 2
227-2600 DATE: OF C MA SHEET
1APPVD1 DATE Phone: (760) 340-5597 FW: (760) 340-1121 1 CI1-FY OF LA QUINTA
IN0. DATE—INIT-1 REVISIONS RCE NO. EXP. DATE
TWO WORKING DAYS BEFORE YOU DIG REFERENCES
>0 001,
Tota. Permit Fees
Bin #
City of. La Quinta
Building ez Safety Division
Permit # r f, P.O. Box 1504, 78-495 Calle Tampico
v�(�.�`'[ La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project AddressS—S— 3?.Z y S Owner's Name: -CKs t,.r 30 O
A. P. Number: Address:
Legal Description: City, ST, Zip:
Contractor%�,�,
—lJ`\i C nS Telephone:?
Address: %
(23`o
Project Description:
City, ST, Zip• CL, . 12-23 t c,v-' �'IaU
-o
Telephone: 5��-,PL
L.l.
ZZ
State Lic. # : City Lic. #: r cc
I S O
Arch., Engr., Designer: � Li/D
Address:
Address:
City, ST, Zip:
-
Telephone: Construction Type: Occupancy,
State Lic. #: Project type (circle one): Add'n Alter Repair Demo
--,.
Name of Contact Person:
Q Sq. FL: #Stories: #Units:
Telephone # of Contact Person: aS0— L L '\
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan.Check submitted
(� 10 Item. Amount
Structural Cates. Reviewed, ready for corrections PlanCheck Deposit
Truss Cates. Called Contact Person Plan Check Balance
Energy Cates. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading, plan 2,d 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:- ''' Review, ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.Lr.
Pub. NVks. Appr Date of permit issue
..
School Fees
Tota. Permit Fees