09-0266 (BLCK)i
P.O. BOX 1504
78-495 CALLE TAMPICO -
LA QUINTA, CALIFORNIA 92253
Application Number:
;Property Address:
APN:
Application description
Property Zoning:
Application valuation:
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
t INSPECTIONS (760) 777-7153
Date: 3/23/09
09-0000.0266 Owner:
80720 VIA PORTOFINO* POTTERFIELD CASE
777-150-007- - - 80-720 VIA.PORTIFI Q1-�
WALL/FENCE LA QUINTA, CA 9225 _ j
LOW'DENSITY RESIDENTIAL
4900
f.
Applicant: Architect or Engineer:
U MAR 23 -n
Contractor: 2U'g
SUNROSE CORPORA ON C/
73091 COUNTRY CL ry�QUIt4
PALM DESERT, CA 92260 D�pT
(760)773-6633
_ T.; I m- - 533670
' 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 Professionals Code, and my License is in full force and effect.
License Class: B License No.: 533670
• Date: 'V'"Z4- 02', 66ntractor:
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 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
orie year of completion, the owner -builder willhave 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.).
( 1 1 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 -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 woikers' 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 STATE FUND Policy'Number 719-0000534-089
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 become subject to the workers' compensation provisions of Section iy -
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date. -2 -G9 Applicant: -�►�� � - -
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 ($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 andhold 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 to enter upon the above-mentioned proper. r ins tion purposes. -
Date: "Z?- C-1 Signature (Applicant or Agent): o
LQPERM[T
Application Number . . . . . 09-00000266
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 72'.00 Plan Check
Fee
.00
Issue Date . . . Valuation
. . .
. 4900
Expiration Date 9/19/09
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
-------
--------------
180 LN,FT X06FT HT GARDEN WALL; 25 LN FT
X 4 FT HT GARDEN WALL PER CITY.STANDARDS
& APPROVED PLANS.
Other Fees . . . . . ..,BLDG STDS ADMIN (SB1473)'
1.00
Fee summary Charged Paid Credited
Due
Permit Fee. Total 72:00 .00
00
72.00
Plan Check Total .00 ..00
.00
.00
Other Fee Total 1.00 •.00
.00
1.00
Grand Total 73.00 .00
.00
73.00
LQPERM[T
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I. STONE PAVING: SANTA FE FLAG STONE
SET ON TOP OF A" CONCRETE j5ASE WITH ##3 15AR6 AT IS" OL. EACH WAY
Z CONCRETE PAVING: DAVIS COLOR "PEN51-E" ACID WASHED FINISH
(ECP05ED AGGREGATE)
A!' GONGRETE WITH #3 13AR5 AT 15" O.G. EACM WAY
GRID PATTERN PER PLAN
-4. STUCCO STONE VENNER: EL DORADO STONE "COGNAC' COUNTRY RUQ
APPLIED OVER 13ROVVN GOAT, OVER C -ROUT PIN15H
5. AUTOMATICALLY IL UMINATED STREET" ADDRESS NUM13ER5
MUST 13E CLEARLY V16115LE FROM STREET/AC6E55 ROADS
NOTE: DRIVEWAY APPROACH REQUIRES A SEPARATE PERMIT AND INSPECTION
FROM THE CITY OF LA QUINTA PUBLIC WORKS DEPARTMENT
UNTREATED WOOD STUD5 AND WOOD SHEATHING THAT REST ON EXTERIOR
FOUNDATION WALL5 SHALL f5E NO LESS THAN S INCHES
FROM EXP05EP EARTH. (GI3G 230�}.112z)
6. EXTERIOR LIGHTING L06A7ION5 (SEE PLAN FOR LOGATION5)
WALL SCONCE: ANDALUGIA 9" f5Y STEVEN HANDELMAN STUDIOS I
CHANDELIER: AKERIA HEX 13Y STEVEN HANDELMAN STUDIOS
N_Ui 6 (25 WATT INCANDESCENT)
14. $ACKFLOVV DEVICE: CAN NOT PE VISIBLE TO RXL.IG VIEW
UPON INSTALLATION
PLACE REMIND WALL WITH PLANT SCREENING
FIRcT FLOOR ':M'37 5F ol
SEGIJW FLOOR 6n SF
TL'7rA- LIVING 4010 6F
C6ARrAeE 25% sF o J,
L Ff w�11
I� , �"�
LOT i5.550 _ �� �{�� .2s[n W;
MASSM
MRST FLOOR (NO GARAGE) RAGE) 3 8F
SECOND FLOOR 876 SF
PERCENTAGE 26%
LEGAL DESCRIPTION:
LOT 1'5'5 OF Tfz,4GT 2-55'34-2—
AS
589 —2
A5 SHOWN PY MAP ON PILE IN 15OCK 309 OF MAPS, PAGES 18 THRU 50
INCLUSIVE, AND • AMENDED TRACT NO. 9_99�9A_7_, AS !eHOWN f5Y MAP ON FILE
IN MAP POOK32•?, PA6E5 5(v TFi{� SS, INCLUSIVE, 15Oi"H OF OFFICIAL RECORDS
OF RIVERSIDE COUNTY, GALFORNIA, 1N ' SEGTIONS 9 & 10,
TOWNSHIP G SOUTi• 1, RANGE 7 EAST,
APN 777-150-007
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 #
Project Address: O —"� Z0 ;G-Owner's
c c
wner's ame: n
� ' P. 4,—
A. P. Number:
Address:
Legal Description:
Contractor: Sv^t.0 S-2 (
City, ST, Zip:
Telephone:
Address: —Q L'.�i
Project Description:
City, ST, Zip: 0
C t — -S
Telephone:
r.
State Lic. # : 5 S 3 36-70 City Lic. #:
Arch., Engr., Designer:
Arch.,
q/ 7—
Address:
City, ST, Zip:
Telephone: Z . % O `j
State Lic. #: S3
Name of Contact Person:
Construction Type: (�I o`� w y Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 2.-7 S' - O
Estimated Value of Project: EJ (70 C)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
r
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'" 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" Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees