08-0032 (BLCK)P.O. BO 1504
78-495 CA LE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000032 _
Property Address: 53435 FREMONT WY
APN: 767-200-998-90 -330762-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5750
Applicant:
1 hereby affirm underpenalty of perjury that I
Section 7000) of Division 3 of the Business t
License Class: B
ate:/" Contractor
T-`dh4t 4 . 4Q" -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
AZOFF FAMILY TRUS
620 N. ALMONT DRI
LOS ANGELES, CA 9
Contractor: /
Architect or Engineer: .BRADSHAW, MARK
46248 ROUDEL LN
LA QUINTA, CA 92253
(760)347-4246
Lic. No.: 848057
TRACTOR'S DECLARATION
under provisions of Chapter 9 (commencing with
ials Code, and my License is in full force and effect.
License No.: 848057
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur 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
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 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
LQPERn11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/14/08
SAN 1 g 2008 ID
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 E EMPT. . Policy Number EXEMPT
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 come subject to the workers' compensation laws of California,
and agree that, if I should be me subject to the workers' compensation provisions of Section
` 3700 of the Labor Code, I all forthwith comply with those provisions.
ata? e:/�'� licant:
WARNING: FAIL RE TO SECURE W RKERS' 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 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 and void if work is not commenced
within 180 days from date of issuance of such permit, essation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov ormation is correct. I agree to comply with all
city and unty ordinances and state laws relating to building ruction, and hereby authorize representatives
of th'=ounTty to enter upon thea ve-mentioned property fo spectian purposes.
ate: IJ—O Sig re (Applicant or Agent):
Q, Application Number . . . . . 08-00000032
Permit . . . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 81.00
Plan Check
Fee
.00
Issue Date.
Valuation
5750
Expiration Date 7/12/08
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
----------
230 L.F. GARDEN WALLS WITH A MAXIMUM
OF
5' RETAINING AND MAXIMUM OVERALL
7', PER
ORCO SYSTEM
Fee summary Charged
---------------------------
Paid
Credited
Due
-------==-
Permit Fee Total 81.00
----------
.00
----------
.00
81.00
Plan Check Total .00
.00
.00
.00
Grand Total 81.00
.00
.00
81.00
w
LQPERAfIT
,53 �i35 CITY OF LA QUINTA SUB -CONT ACTOR. LIST
JOB ADDRESS PERMIT NUMBER OS OWNER �_ BUILDER C�a�
This form shall be posted on the job with the Building Insnection Card at all times in a conspicuous place. n persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Company Name Classification License Number Ex Date Carrier Name
P P•
(e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) I .(e.g. State Fund, CalComp)
Policy Number Exp. Date License Number Exp. Date
(Format Varies) I (xx/xx/xx) I I (xx/xx/xx)
NR9l,>::>:::<:>::>:;::::<::::I .Y07% /y(� 3071J'K 13 55 3 3 Z Z•'� I �: 2 zoo OZ �o �8 3 ' 1 '0 8 �f 847 I S 31 oS
*. »>
City of L uin
Building afety Division
Permit # /� P.O. Box 150 , 78-495 Calle Tampico
La Quinta, 92253 - (760) 777-7012
00 Building Permit pplication and Tracking Sheet
Project Address: C✓?� . H3S�ON-� (� Owner's Name:
A. P. Number: Address:
LegatDescription: City, ST; Zip:
Contractor:.a.-,( Telephone:
Address: yb_Zyg .44^04,L, (,,o,kC• Project Description:
a IF
City, ST,-ZiP M+Kr G4+ 9ZZS�
Telephone: �(o� aE l — y Zy-�'►4►(ti467
State Lic. #' %%Aq o S-7 . City Lic:
Arch., Engr., Designer: M"C4,4100 4 iASs .
r' Address: Z*4'94 1 14. S'AM FCA,44.� go. �► 2,og
�.
City, ST, Zip:1Ar`AM
Telephone: (0(ot.7s9929.<- Construction Type: Occupancy: '
State Lic. #: .� 33 Project.type (circle one): New . Add'n Alter Repair Demo
Name of Contact Person:. r1Q,K,r, "[4QQtt.� Sq. Ft : # Stories: #Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT:. DO NOT WRITE BELOW THIS LINE
# Submittal Rey'd Reed 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 Cheek Balance
' Energy Cales. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan V Review, ready for corrections/issue Electrical 00)
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
II.O.A. Approval. Plans resubmitted Grading
IN HOUSE:- 7rd Review, ready for correctionsrssue Developer pact e
Planning Approval Called Contact Person
Pub. Wks. Appr Date of permit issue
School Fees
0 1 Permit Fees
BASEMENTI
SCALE7�
BASEMENT2
SCALE 118' a V -O"
R
le PLLWRPLAN
FIRSFLOOR PLAN
SCALE 118" c T-0" --
AI
13
m
7:771 --2-#4 CONT.
NEARLY Ir
LEVEL v
GRADE
0 x
- I <
C'4 :2
INDICATES CRITICAL
DIMENSION TO BE
MAINTAINED AT DOWELS
.... . ........ . ... . ... . ...... .
AND VERT. REBARS
....... ... ..... ....................
SPECIAL INSPECTION
...... ........ . . . .... ..........
NOT REQUIRED
2
CVR
#6 VERT @16" O.C.
n
OR
#5 VERT. @8" O.C.
CMU WALL x
-"�SOLID
GROUTED
............
(fm= 1500psi) -0
3/4 GRAVEL PER
.......... .
SOIL REPORT
--tev
—#4 HO RIZ. X16 O.C.;
L ... .....
4"0 PERFORATED .PVC- 'e
r :5 ....! -! 0� "Q.
PIPE PER SOIL : �-
W,
.......... . ... � , ,
REPORT/,QIVI.L, DWG'§,. v
0"
r. -FIN. GRADE
Z
#5 @18" Qfi' ...
O.C.0
X
... . ....
. .. .........
................. . ................
I
.......
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... ...... . 2
................. . ...... . . ..... . .....
! a Lo
.... ...... ... . 7djzj
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4
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41
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I.: .wl I ...... ..... ...
z
............. ................... ------
. . ...................
3"
??�OFESS/0',V
CVR..............
m
................... ... ........
7
90 ti�
DOWELS
TO
MATCH
WALL
No S4331 m
VERT.
REINF.
roF Exp. 6/30/03
#5 @12"1
O.C.
4'-0"
JAN 3 - 2008
PROJECT:
SHEET TITLE:
AZOFF RESIDENCE
SITE RETAINING WALL
SECTION
THE MADISON CLUB LOT
LA QUINTA, CA
AERCADO STRUCTURAr-ENGINEER -S-EXPRESSLY RESERVES ALL COMMON LAW
PROJECT No.
SHEET:
,OPYRIGHT AND PROPERTIES RIGHTS IN THESE DRAWINGS. THESE
MERCADO ASSOCIATES
06088
DATE:
)RAWINGS ARE NOT TO BE REPRODUCED, CHANGED OR COPIED IN ANY
STRUCTURAL ENGINEERS
6
-ORM OR MANNER WHATSOEVER, NOR ARE THEY TO BE ASSIGNED TO ANY
THIRD PARTY WITHOUT FIRST
24881 N. SAN FERNANDO RD., STE. 203
SANTA CLARITA CALIFORNIA 91321
U661-753-9298
01 -03-0E
SK- 1
DRAWN:
OBTAINING THE EXPRESS WRITTEN PERMISSION
661-753-9295 � AX
[AND CONCENT OF MERCADO STRUCTURAL ENGINEERS.