05-4289 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO -
LA QUINTA, CALIFORNIA 92253
4
BUILDING & "SAFETY DEPARTMENT "
BUILDING PERMIT
Application Number: • G05--00004289
Property Address:
80-100 VIA PESSARO
APN:
.772-550-021- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6000
Applicant:
Architect or Engineer:
insurance carrier and policy number are: -
Carrier C29 .Policy Number - - - - - - - - - - - - - --
- _LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty -of perjury that I am licensed un r provisions of Chapter 9 (commencing with },
' Section 70001 of Division 3 of.the Business and Prof=d I Code, and my 'cense is in full force and effect.
- License Class: icense
` , SS
PD —Z _6 ntractor: .
r�� OWNER -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 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 'l, 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 ownemployees; 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Coder 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:
PRESTWICK DEV ,
F P O BOX 980
LA QUINTA, CA 92253
Contractor:
WHEELOCK MASONRY, S.K.
WCC:` STATE FUND
WC: 1744382-2005 -
CSLB:_ 381984
VOICE (760) 777-7012
FAX (760) 777-7011 i
INSPECTIONS (760) 777-7153
Date: 9/23/05
P
0 /31/01.7® 2 1005
CITY OF LA QUINTA
FINANCE DEPT.
-----------------------------------------------
- -WORKER'S COMPENSATION DECLARATION ''
y
- 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
1
issued.
l have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor.
X
i
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier C29 .Policy Number - - - - - - - - - - - - - --
'
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
. •f
person in any manner sous to become subje�the workers' compensation laws of California,
and agree that, if I should become subject td"o w o uk $4, compensation provisions of Section
a(,
"
3700 otAh6' Labor Code, I crnply hose provisions. . .
/etrrffo/rt7wit
Z3��Applica
.
Daffi: z vl/
I�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND -
-
DOLLARS 1$100,0001- 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
' r 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 180days from date of issuance of such permit, or cessation of work for 180 days will subject
permitv to cancellation:
I certify that I have read this application and state that the above information ' rrect. 1 agree to comply with all
city and county ordinances and state laws relating to building c struction, ere uthorize representatives
,
of this co ty to enter upgp-the above-mentioned grope inspe ion ose
Date: 4? 4- ature (Applicant or Agent). /
Application Number 05-00004289
PermitWALL/FENCE PERMIT"
Additional desc .
Permit Fee 81.00
Plan Check.Fee
.00
Issue Date . . .
Valuation
6000
' Expiration Date.. 3/22/06
" Qty" Unit Charge Per
Extension
BASE.FEE
45.00
4.00' 9.0000 THOU "BLDG 2,001-25,000
36.00.
- - -
Special Notes and Comments
-- -
240 L.F..6' GARDEN WALL; ORCO SYSTEM.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 81.00
.0"0 .00
8.1.00
Plan Check Total .00
.00 .00
.00
Grand Total. 81.00
.00 .00
81.00
LQPERMIT.
Bin # .
City of. La Quinta.Building_&-Safety Division-- -
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0-41
Project Address: '96—/00 �� ��t
Owner's.Name: ` 6
A. P. Number._r LC 7 ��� ��,
Address:
Legal Description:
City, ST, Zip:
Contractor: wee
Telephone: &0 4
Address:
Project Description:
City, ST; Zip:
7
of 0 (Z�
Telephone: 700 - 2 7_5 -
City Lie. #:
Ui7G
State.Lic. # -3
'
Arch., Engr., Designer: —
Address:
City, ST, Zip:
Telephone:
State Lie. #: 4
Name of Contact Person:
Construction Type: YP : Occupancy:
Project type (circle one): New Add'n ' Alter Repair Demo
Sq. Ft.:
# Stories:
# Uriits:
Telephone # of Contact Person:
Estimated Value of Project:
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2"d Review, ready for corrections/issue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked.up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-'.
''d 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