12-1284 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00001284
Property Address: 52545 AVENIDA VILLA
APN: 773-303-026-1 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 325
Tity/ 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DEREK SCOTT
54350 AVENIDA HERRERA
LA QUINTA, CA 92253
VOICE,r- -/17-7 2
FAX ( /60) - 011
INSPECTIONS (760) 777-7153
Date: 10/29/12
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.).
(_) 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: �I�Ay�
Lender's Address: 11"
LQPER-MIT
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 co ply with all
of�city d county ordinances and state laws relating to building construction, and h rize r resentatives
issccoo)unt o en upon the above-mentioned prope inspection purpo
Datg{� V ignature (Applicant or Age
CCC...
D
Contractor:
Applicant: Architect or Engineer:
ORTEGA MASONRY
31691 ROSEMARY d
THOUSAND PALMS, CA 92276
O
(760) 912-1726
Lic. No.: 809220 V �
�jpgN�ED
-
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licen a Class: C29 License No.: 809220
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: ( 67 n caster:
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
pP.rson in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the we rs' d�ation visions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 the Labor Code, I 111orthwith comp) ith pr �(sio
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
/ f
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate ` plicant:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
/IN
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WAR G:: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
(_) 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: �I�Ay�
Lender's Address: 11"
LQPER-MIT
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 co ply with all
of�city d county ordinances and state laws relating to building construction, and h rize r resentatives
issccoo)unt o en upon the above-mentioned prope inspection purpo
Datg{� V ignature (Applicant or Age
CCC...
D
a, — f
Application Number . . . . . 12-00001284
Permit. . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 15.00
Issue Date . . . .
Plan Check Fee .00
Valuation . . . . 325
Expiration Date . . 4/27/13
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Special Notes and Comments
15 L.F. 5' DECREASING TO 4' GARDEN WALL,
TO COMPLETE FRONT COURTYARD, CITY
STANDARD. 2010 CODES.
------------------------------7---------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 15.00 .00 .00 15.00
Plan Check Total .00 .-00 .00 .00
Other Fee Total 1.00 .00 .00 1.00
Grand Total - . 16.00 .00 .00 16.00
LQPERMIT
52545 AVENIDA VILLA
FRONT YARD FENCE LAYOUT WITH D CAPING
CITY OF LA QUINTA
BUIT.
LDING & SAFDEPT.
APPROVED
FOR CONSTRUCTION
DATE Aon! ZBY_�
I
1 FRONT WALL Yb BE: 5' HIGH, TAN PRODUCTION BLOCK
2 SIDE YARD FENCE TO BE STEEL, 6' TO GARAGE LINE
THEN 5' TO BLOCK WALL, WITH PYRACANTHA @ 19'
3 FRONT WALL TO BE 12' FROM FACE OF CURB
I
EXISTING WOOD FENCE
HOUSE _
fi
EXLSTING BLOCK WALL
GARAGE
EX. WALL
WAND 5'
NEW BLOCK WALL, 12'
DRIVEWAY
4'W STEEL GATE 121 611.
EX. BLOCK WALL @ 5'
DESERT LANDSCAPE- --
h
Bln.#
A.
G�}r Of QuInta
Building &r Safety Division "
P.O. Box 1504,78-495 Calle Tampico
[A.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application'and Tracking Sheet
Permit # `
Project Address:
Owner's Name:.
A. P. Number. N/ ��' �, �'I
Address: .
Legal Description: r
CORtr'actOC ._
City, ST, Zip:
n �''g��sa8i�,
Telephone: 7 s � ;
Address: j r �a
Project Description:
City, ST, Zip: 1,620d
s<-114MIr
Telephone:76 (—
K,K.M.
State Lie. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: .7 :.�^
State Lic. #: ,% »
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. FL:
# Stories:
#Units
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rec'd
TRAgMG
PERMIT FEES"
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
V Review, ready for correctionshssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN MUSE:-
'"° Rgvlew',ready for correetionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A,LP•P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees