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06-1104 (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: \06-00001104 80785 VIA PESSARO 772-500-070- - WALL/FENCE LOW DENSITY RESIDENTIAL 4130 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: D a MAR 2o aaos � LICENSED CONTRACTOR'S DECLARATION 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 Pr fessionals Code, and my License is in full force and effect. License Class: CC88 C27 C29 . License No.: 656128 Date: L // Contractor: / / O NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am a empt 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—) 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.). (_) 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 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 Ly Owner: MOORHOUSE BONNIE 80-785 VIA PBSSARO LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 COP-HELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/17/06 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 HRH INS Policy Number BB1060510 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 subject to the workers' compensation laws of California, and agree that, if I should bec4ne subject to the workers' compensation provisions of Section 3700 of the Labor Code, I rthwith comply with those provisions. eate3// �— ApplicaoC WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county toenterupon the above-mentioned property for 'n ction purposes. bate: // / Signature (Applicant -6r Agentl: Application Number . . . 06-00001104 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 4130 Expiration Date 9/13/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 -------- ---------------------------------------------------------- Special Notes and Comments 30 LF 6' BLOCK WALL; 55 LF 4' BLOCK WALL, CITY STANDARD. 100 LF 6' BLOCK WALL, ORCO SYSTEM. Fee summary Charged Paid -------------------- Credited ---------- Due ----------------- Permit Fee Total 72.00 .00 ---------- .00 72.00 Plan Check Total .00 .00 .00 .00 Grand Total 72.00 .00 .00 72.00 1 LQPERMIT ., - Bin # City of. La Quinta Building u Safety Division Permit # P.O. Box 1.504, 78-495 Calle Tampico 6 ­� / /D La Quints, CA 92253 - (760) 777-7012 V 6 ! f Building Permit Application and Tracking Sheet Project Address: gQ� $ V t C& Owner's Name: ++ 11 Igloo � A. P. Number: JAS S/ R O Address- cgo' SsS Vto, Legal Description: City, ST, Zip: Lc.. 0 ; eta Contractor.\: (ICY\• s.. 1� Telephone: NOW Address: �Po 12— 6P Project Description: 310 .acs 30 'L'F K ( w L. GC t , loC,4<t,9 lL bo'c t- � / City, ST, Zip • 'tom � C , . Z2 Telephone:..%� 39 9ZZ L , -• State Lic. # : Z 9 . City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: p� s©— C� LV 2 �S_ Estimated Value of Project:' pp d # Submittal Req'd Plan Sets APPLICANT: Recd DO NOT WRITE BELOW THIS LINE TRACKING . PERMIT FEES Plan.Check submitted Item Amount Reviewed; ready for corrections Plan Check Deposit Structural Calcs. Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan god Review, ready for corrections�ssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.X. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Conta to Pub. Wks. Appr Date of perm i e G �t SA M School Fees APPROVE Total P mit Fees a t v Q , a t v APPROVED FOR PERMITTING: PLANNING AND ZONING COMPLIANCE: CHECKED AND RECOMMENDED FOR APPROVAL BY: TOM HARTUNG DATE DOUGLAS R. EVANS KURT M. SAXON DATE BUILDING AND SAFETY DIRECTOR i COMMUNITY DEVELOPEMENT DIRECTOR R.C.E. 44180, EXP. DATE 6/30/05 CITY OF LA QUINTA CITY OF LA QUINTA SAXON ENGINEERING SERVICES SC: i"=10' AID wm wm /� P ' ' 20' E CK s o I ON PVE l GRASS ' NOTE / ' oPOWE GAS, TELE, CATV ' TO B LOCATED IN PUE. o ' c� \\ of 1 PA O RIM 1007.60 � j (' N � INV 1006.10 o 1 x a w , O P a/ / LL o �p° Q� �Gb� N o'. 2p a / 5 �. � -- • .1 X - `i ,SCP �, � � ,.::. Im 11007.60 V. 1005.94 ,> - ' '1 • r DRI C • W �G 1009.63 TW 2.0x ,` 6. 1 j 1006.63 1� RIM 1007.60 INV 10.05.73 5 INV 100 , PA '1.5 ASS O g w INV 1005.19- o N,� � 78' CNC. RI 1007.67/ DRIVIWAY ' IN 1005.65/ i..Y. 1 WATER l I Pooloo�' 00 •. ' / SERVICE NV 1003.50 r 0-_.0, 1 \� 41r D1Ax48' EEP DRY WELL RIM 100 0 l `'— VV 1003.8 5 ®4 / FILL ww/#2 R UND DRAIN ROCK i❑❑❑❑❑❑ ❑❑❑ I',V1.0X MIN INV 4 PVC 1003.55 P O � NO3 54'28"E 153.50' cx- i--- Lu CL u I WALLS / % (�co i TIME. LL �C IL c) a a UJI w \- - CL N CA ti % '.` 0) Q APPROVED FOR PERMITTING: PLANNING AND ZONING COMPLIANCE: CHECKED AND RECOMMENDED FOR APPROVAL BY: TOM HARTUNG DATE DOUGLAS R. EVANS KURT M. SAXON DATE BUILDING AND SAFETY DIRECTOR i COMMUNITY DEVELOPEMENT DIRECTOR R.C.E. 44180, EXP. DATE 6/30/05 CITY OF LA QUINTA CITY OF LA QUINTA SAXON ENGINEERING SERVICES SC: i"=10' AID wm wm /� P ' ' 20' E CK s o I ON PVE l GRASS ' NOTE / ' oPOWE GAS, TELE, CATV ' TO B LOCATED IN PUE. o ' c� \\ of 1 PA O RIM 1007.60 � j (' N � INV 1006.10 o 1 x a w , O P a/ / LL o �p° Q� �Gb� N o'. 2p a / 5 �. � -- • .1 X - `i ,SCP �, � � ,.::. Im 11007.60 V. 1005.94 ,> - ' '1 • r DRI C • W �G 1009.63 TW 2.0x ,` 6. 1 j 1006.63 1� RIM 1007.60 INV 10.05.73 5 INV 100 , PA '1.5 ASS O g w INV 1005.19- o N,� � 78' CNC. RI 1007.67/ DRIVIWAY ' IN 1005.65/ i..Y. 1 WATER l I Pooloo�' 00 •. ' / SERVICE NV 1003.50 r 0-_.0, 1 \� 41r D1Ax48' EEP DRY WELL RIM 100 0 l `'— VV 1003.8 5 ®4 / FILL ww/#2 R UND DRAIN ROCK i❑❑❑❑❑❑ ❑❑❑ I',V1.0X MIN INV 4 PVC 1003.55 P O � NO3 54'28"E 153.50' cx- i--- Lu CL u I WALLS / % (�co i TIME. LL �C IL c) a a UJI w \- - CL N CA ti % '.` 0)