11-0910 (BLCK)c&t�v 4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/29/11
Application Number: 11-00000910 Owner:
Property Address: 52545 AVENIDA VILLA DEREK SCOTT
APN: 773-303-026-1 -000000- 54350 AVENIDA HERRERA
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL
Application valuation: 1516
Contractor:
Applicant: Architect or Engineer: ORTEGA MASONRY AUG 2 9.2011
P.O. BOX 2772
INDIO, CA 92201 CITY OF LAOUINTA
�) (760) 912-1726 FINA?�CEOEPT.
Lic. No.: 809220
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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: C29 License No.: 809220
Date: Contractor:
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).:
(_ I 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—) I am exempt under Sec. , B.&P.C. for this reason
Date: wrier: -
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.I.
Lender's Name:
Lender's Address: FX
LQPERMIT
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 STATE FUND Policy Number 1948662
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, It I Should become subject to the workers' wmpensatiun pruviSiuns of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Iicant:
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 ($100,0001. 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
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
ofthiscounty to enter upon the above-mentioned property for inspection purposes.
Date: Sig ure (Applicant or Agent):
Application Number . . . . . 11-00000910
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 37.00
Plan Check
Fee
00
Issue Date . . .
.
Valuation
. . .
. 1516
Expiration Date
2/20/12
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
11.00 2.0000
HND BLDG
501-2,000
22.00
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SpPcial Notes and
Comments
TOTAL OF 70 L.F 5'
GARDEN WALL,
4' WIDE
GATE, CITY STANDARD. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged
--------------------
Paid Credited
---------------------
Due
-----------------
Permit Fee Total
37.00
.00
.00
37.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
38.00
.00
.00
38.00
LQPERMIT
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52545 AVENIDA VILLA
FRONT YARD FENCE LAYOUT WITH DESERT LANDSCAPING
1 FRONT WALL TO BE: S' H , T PRODUCTION BLOCK 1
2 SIDE YARD FENCE TO BEO GARAGE UNE 1
THEN S' TO BLOCK WALL, WITH PYRACANTHA @
3 FRONT WALL TO BE 12' FROM FACE OF CURB
I
EXISTING WOOD FENCE 1
I
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1
HOUSE
EXISTING BLOCK WALL
33' 6"
DESERT LANDSCA�
GARAGE
DRIVEWAY
4'W STEEL GATE
NEW BLOCK WALL @ 5'
N. SRVPPBNU
WANDS'
WfH PYRACANTHA
1216"
O. W=
Bin #
Cit 0f La [!(fl t A ,. tk l l - 3540
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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 #
wo
Project Address I
Owner's Name
A. P. Number:
Address:
Legal Description:
City, ST, Zip: % Zz 3
Contractor:
Address: _
Telepho d
Project Description: �L
City, ST, Zip:
_
Telephone:-
City Lie.
State Lie. # :
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Arch., Engr., Designer:
I YL
Address:
i
rF
City, ST, Zip:
Telephone:
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State Lie.ProJect
Name of Contact Person:
Construction Type: Occupancy:
type one): New mdd'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 2, 6
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
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
Title 24 Calcs.
Plans picked up
Consitiruction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2e0 Review, ready for corrections/issue
Electical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.E..
H.O.A. Approval
Plans resubmitted
Graeing
IN HOUSE-.
'`' Review, ready for corrections/issue
Devdoper Impact Fee
Planning Approval
Called Contact Person
A.I.F.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Totel Permit Fees