06-1340 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
06-00001340
53749 VIA PISA
772-530-051- -
WALL/FENCE
LOW DENSITY RESIDENTIAL
2896
Tdy/ 4 4'Q9&M
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
A. `u
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
ate: -f �I�16Contractor/
OWN R*BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am axe t 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).:
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 1, 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:
FRANA
53-749 VIA PISA
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
LiC. No.: 656128
VOICE (760) 777-7012.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/03/06 .
----------------------------------
------
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 policy number are:
Carrier SEABRIGHT Policy Number BS1060510
I certify that, in the performance of t e work for which this permit is issued, I shall not employ any
person in any manner so as to be me subject to the workers' compensation laws of California,
and agree that, if I should be e s bject to the workers' compensation provisions of Section
3700 of the Labor Code,rj!!�h comply with those provisions.
Late: Ll ( (-04pplicant-_"
WARNING: FAILURE TO SECURE WORKERS' CPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL TI S 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 thisapplication.
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 th ven'o'm
information is correct. I agree to comply with all
city and county ordinances and state laws relating uild' struction, and hereby authorize representatives
of this county to enter upon the above-mentioned o r insp tion purposes.
Dare: -C'"�� Signature (Applicant or Agent:
Application Number . . . 06-00001340
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. .
2896
Expiration Date 9./30/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
-------------------------------------------------------------------7--------
Special Notes and Comments
55 LF 43' BLOCK WALL, 20 LF 6- BLOCK
WALL AND 70 LF 5' BLOCK WALL, ALL CITY
STANDARD.
Fee summary Charged Paid
-------------------------------------
Credited
----------
----------
Due
Permit Fee Total 54.00
.00
.00
54.00
Plan Check Total .00
.00
.00
.00
Grand Total _ 54.00
.00
.00
54.00
LQPERMIT
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 #
�3.0
Project Address:5 v iG. va
Owner's Name: '—
A. P. Number:
Address: s _ Cl C. Vic-, 4 i
Legal Description:
Contractor r 5
Address:
X 623
City, ST, Zip: Q v
Telephone: 'b u
Project Description:
City, ST, Zip: Oc.CL,-a � raA 9 Z3 0
, Telephone: �(pp 5906--g
State Lic. # City Lic. #:
Arch., Engr., Designer..
CIN
Address:
City, ST, Zip:
Telephone: -
State Lic. #:
Name of Contact Person: aC
Construction Type: Occupancy:
Project type (circle one): New Add'd Alter Repair Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: G 2.
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG .
PERMIT FEES
Plan Sets
Plan Check submitted
3 3 t
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Callcd.Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
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:-
'r° 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
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JOB# 3337
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DATE: 12-13-04
SCAPA�,
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SHEET:
Revise per Hideaway comments dated 6-14-05. 6-27-05
BASE AND SITE INFORMATION PROVIDED BY:
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52
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Revise transition planting per Hideaway DRC. 5-13-05
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LANDSCAPE DESIGNER IS TO ASSUME THAT BASE Revise per owner, add low wall at driveway. 4-29-05 &RAPHIO 50ALE Li C-1
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AND SITE INFORMATION IS TRUE AND ACCURATE Revise pe dated 4-13-05. 4-29-05
R ANY 2L r Hideaway comments TO HEET"-2 CONSTRU'r"10N "ETAIL4
DATA, AND ASSUMES NO RESPONSIBILTY FO
RACY OF INFORMATION. date smsam- Nil
no. PREVIOUS REVISIONS
---------------
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soon&
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CONSTRUCTION NOTES
A51N LOCATION5
REFER To FIN15H &RADIN& FLAN5 FOR CATCH 5
2, ALL C.ONCRETE TO BE 5.5 SACK MIX TO 05TAIN A MINIMUM
<
COMPRESSIVE 5TREN&TH OF 2500 P51 AT 20 r�AT'S ry A
E UNLE55 OTHERN15E 0 1
5. ALL CONSTRUCTION TO BE PLUMB AND TRU 'I':
INDICATED
ry
VERIFY NITH THE PROJECT 50IL5 EN&INEER THE NEED FOR W
4, a_ OU (D
REINFORCIN6, BASE MATERIAL, FRESATURATION, ETC FOR NALKS, 0 Z S: a
121:� tA 0
STAIRS, V�ALL FOOTIN65, ETC, 1--4.— N I
z
V)
�,ABLE 00
5. ALL MATERIAL5 AND CONSTRUCTION TO CONFORM TO AFPLIC C14 M
u
60VERNIN& CODES AND ORDINANCES 71 <
ALL CONCRETE FAVIN(5 70 BE A MINIMUM OF 5 1/2" THICK, COLORED
Lu u
< u CL
CONC.,RETF-IN7E6RAL COLOR, EXFANSION JOINTS, AT 8'-0 Cr- 0
V) V)
11cl 41
UNLESS OTHERN15E INDICATED V) r-
< r- Ln
< CIS
-1. ALLON FOR APJOININ6 CONSTRUCTION
uj
TORS ARE TO COORDINATE AND
E5. FAVINIS AND CONCRETE 5UE3r-,ONTAr, >
ry
COOPERATE NITH THE ELEC-,TRICIAN, DRAIN LINE 5UBCONTRACTO
AND IRR15ATION 5UE3CONTRArTOR FOR SLEEVIN6, FIFIN(5 AND
GONPUIT UNDER ALL PAVINO 0 SCALE: 1[8 1 -0
JOB# 3337
z
DATE: 12-13-04
SCAPA�,
DAVID cr)
'CO
H
S
SHEET:
Revise per Hideaway comments dated 6-14-05. 6-27-05
BASE AND SITE INFORMATION PROVIDED BY:
2i <
1032
52
BBG ARCHITECTS ASSOC. -'5
Revise transition planting per Hideaway DRC. 5-13-05
un
Lu
'A
LANDSCAPE DESIGNER IS TO ASSUME THAT BASE Revise per owner, add low wall at driveway. 4-29-05 &RAPHIO 50ALE Li C-1
DA
C
AND SITE INFORMATION IS TRUE AND ACCURATE Revise pe dated 4-13-05. 4-29-05
R ANY 2L r Hideaway comments TO HEET"-2 CONSTRU'r"10N "ETAIL4
DATA, AND ASSUMES NO RESPONSIBILTY FO
RACY OF INFORMATION. date smsam- Nil
no. PREVIOUS REVISIONS
---------------