04-5809 (BLCK)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 922.53 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . 04-00005809 Date 8/03/04
Property Address . . . . . . 52925 AVENIDA HERRERA
APN: 773-324-022-9 -000000-
Application description WALL/FENCE
Property -Zoning . . . . . . COVE RESIDENTIAL
Application valuation . . . . 6616
Owner .-Contractor
------------------------ ----------------------=-
GRADY RITA C GRADY CONSTRUCTION COMPANY
1915 MORENA BLV 1915 MORENA BLVD
SAN DIEGO CA 92110 SAN DIEGO CA 92110
(619) 276-6271
WCC: STATE FUND
WC:- 1608004 10/01/04
CSLB: 560606 03/31/05
CCC: B
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Permit WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 90.00 Plan Check Fee .00
Issue Date . . . . Valuation 6616
Qty Unit Charge Per Extension
BASE FEE 45.00
5.00 9.0000 THOU BLDG 2,001-25,000 45.00
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Special Notes and Comments
50 L.F. 6' GARDEN WALL, 180 L.F. COMBO
WALL, 2' RETAINING, 4' GARDEN, 10 L.F.
5' GARDEN WALL, 30 L.F 5' BLOCK WALL,
.PROPANE ENCLOSURE, ALL CITY STANDARD
Fee summary Charged
----------------- ----------
Permit Fee Total 90.00
Plan Check Total .00
Grand Total 90.00
Paid Credited Due
-------- - - ---------- ----------
.00 .00 90.00
.00 .00 .00
.00 .0. 90.00
P.O. Box 1504 • ��I�� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 044- 0 Date: S-3104
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
C9de, and my Licensttri full force and effect. � I 'Iv
License Class I� Lic se No LA
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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 performanoe
of the work for which this permit is issued.
have and will maintain workers' compensation in rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
S 4ss e_My worke_is' ompensation irl a carrier an polic EMT: Camer tt�r 1" i Number t (> "1
_ 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 tha if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisionan /I n , A
�'�_v4
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE )S UNLAWFUL, AfWSHALL 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.
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
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, indemnity and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this pernit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 160 days from date of issuance of such permit, of
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 relatihg to building
construction, and hereby authorize representatives of this county to ent u on abov ntio property r ins on purposes.
i
ate 3'� ignature (Applicant or Agent): C
2004 08:11 9702432430 LJ LINDAUI_R PAGE 04
STRUCTURAL ENGINEER5
Leland J. Lindauer
Prinicpal
Jeffrey A. Dunn
Principal
July 21, 2004
City ofLa Qty -� I
P.O. Banc 1504
La Qr inW CA. 92253-1504
Attn: KA Kirkland
Subject: Lot 9 Rio Rojo
La Quirsta, CA 92253
U. Undeuer, Inc. Job # 00.169
Dear Mr. Kirkbnd
A professioW wsla r that was delegated by our firm has pei forrned a structural observation
of the wall and mof limning at the above -motioned address iti accordance with Section 1702
of the 2000 I.B.C.
The wall and roof $arcing were found to be in accordance with the structural drawings.
If you have any 9• pease do not hesitate to call.
Sincerely,
L. J. LiNDAUER, W.
A-4-� -
Alan J. Dews
Reviewed.By
Lel . Iand■ w, MS., P.E.
802 Rood Avenue • Grand Junction, Colora Jo 81501
970.241.0900. 970.243,2430 Fax • www.lilindauer.com