08-0170 (BLCK)P.O. BOX 1504 '
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Application Number:
08-00000170
Property Address:
80614 VIA PESSARO -
APN:
772-500-013- - -
Application description:
WALL/FENCE
r` Property Zoning:
LOW DENSITY RESIDENTIAL
v Application valuation:
1875
Applicant:
Architect or Engineer:
Cy---�
I hereby affirm under penalty of pe
Section 7000) of Division 3 of the
License �Class: ,B
Date: [��- U Contractor:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
CTOR'S ORATION
er provisions Of Chapter 9 (commencing with
Code, andLicense is in full force and effect.
ense No.: 38041
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury at I a exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business an rofessions 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 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/22/08
Owner:
BARBARO TAPER
80614 VIA PESSARO
LA QUINTA, CA 92253
Contractor:
SOUTHERN HILLS DE L PME%iia^�tN�C+�1/�
78150 CALLE TAMPI O TE 101
LA QUINTA, CA 92 3 "
(760) 771-3497 Quill �#
Lic. No.: 838041
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.
have and will maintain workers' compensation insurance, as -required by Section 3700 of the Labor
Code, for the performance he work for which this permit is issued. My workers' compensation
insurance carrier and policy tuber are,
Carrier EXEMPT Po' Number EXEMPT
I certify that, in the performa a of a wort ich this mit is issued, I shall not employ any
person in any manner to ect to the worke s' compensation laws of California,
and agree that, if I o be a su ' ��t to the workers' c mpensation provisions of Section
3700 of the Labor o I rh II ith ly with tho provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WOR®RS'OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINATIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITIONOST 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 fora 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 applicationbec es null and void if ork is not commenced
within 180 days from date of issuance of such per it, or cess o t or 1 ays will subject
permit to cancellation.
I certify that I have read this application and state that the inf ion i or ct. (.agree to c mply with all
city and county ordinances and state laws relating to bu' in tr c o nd reby authorize re resentatives
of this rcounty to enter upon the above-mentioned prop qty r s ses.
Date: (. ZZ Signature (Applicant or Agent):
Application Number . . . . . 08-00000170
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 43.00
Plan Check
Fee
.00
Issue Date . . .
Valuation
. . .
. 1875
Expiration Date
7/20/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
14.00 2.0000
HND BLDG
501-2.,000
28.00
----------------------------------------------------------------------------
Special Notes and
rnmmentc
75 LN FT X 6 FT HT
ORCO WALL SYSTEM
PER
APPROVED PLANS.
Fee summary
Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
-43.00
.00
.00
43.00
Plan Check Total
.00
.00
.00
.00
Grand Total
43.00
.00
.00
43.00
LQPERMIT
gele(
Bin #
City of La Quinta
Building ff Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
LC()
E L-
Project Address:
Owner's e
e�v —
A. P. Number:
Address:
Legal Description:
City, ST, Zip: y,
Contractor:K C 5,00��rZ7 4/4//-5 Val.
Telephone: X
Address: )( 7,eO D e�Ile revmvlCa
Project Description:
City. ST, Zip: 1(_ 114
76 ell? Aala4000l
Telephone: y 771 —3V?lO
X. ...........
...........
.. .. ........ . . ......
.. ....... . ......
State Lic. # •Citv
Lic.
Arch.. Engr.. Designer:
Address:
City. ST Zip:
. .... ............
Telephone: ......
StateLic.
Construe nstruction Type: Occupancy:
Pr o".-ct type (circle one): 1e%v Add' n Alter Repair Demo
Name of Contact Person:x Vow 1-�
a"170
Sq. Ft. —7#
Stories: —TgUnits:
Telephone # of Contact Person:)C 40 ' $P— go" '4r -"6? "57
Estimated Value of Project: V,
APPLICANT: DO NOT WRITE BELOW THIS LINE
to
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
�'Y
1'e.
Amount
Structural Calcs.
Reviewed, ready- for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
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:-
3,d Review, readv 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