05-2808 (BLCK)4r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00002808
Property Address:
5444-4 AVENIDA HERRERA
APN:
774-251-028- - -
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2165
Applicant: - Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Licen No.: 550498
Dat Y Contractor:----
OWN ILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exem 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, 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 contractors) 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:
Lender's Address:
LQPERMIT
Owner:
TORRES JACOB A
Contractor:
TORRES CONSTRUCTION, A.
81301 AVENUE 50
INDIO, CA 92201
(760)772-2848
Lic. No.: 550498
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7%08/05
------------------
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 Section3700of 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 SUPERIOR INS Policy Number 9369780
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
y 3700 of the Labor Code, all forthwith co ply with those provisions.
-Dat O Applicant:_
WARNING: FAILURE TO SECURE WORKERS' CNSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS J$1 00,000). 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 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 prope f inspecttinion purp es.
'Da Signature (Applicant or Agentl: v
Application Number . . . . . 05-00002808
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 54.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 2165
Expiration Date 1/04/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
100 LF 5' BLOCK WALL PER CITY STANDARD
ALONG FRONT P/L.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 54.00
00
.00
54.00
Plan Check Total .00
.00
.00
.00
Grand Total 54.00
.00
.00
54.00
LQPERMIT
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: 5(4_g44 Ao. i4g agi5aA
Owner's Name:
A. P. Number:
Address: 5 — Z� Zfo
V
Legal. Description:
City, ST, Zip: LA Ockj&yrg�ZZ�3
Contractor:
Telephone:
Address:
Project Description: �O O
City, ST, Zip:
Telephone:
. -
State Lie. # :
City Lie. #.
Arch., Engr., Designer:
Address:
.City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo'
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated"Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'.d
Reed
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
1.2111 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:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
PM
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
INSPECTION REQUEST LINE
(760) 777-7153
Owner JOR MC GOWAN
Contractor OWNER - BITIL,DER
Permit Number COXA ESY JOB CARD
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54-444 AVENIDA HFRRF.RA
COURTESY INSPECTIONS FOR FOOTINGS ON
APROX. 50 L.F. 2' PLANTER WALL, CITY
STANDARD
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
HUUF NAIL / PHt-HUUF
OKAY TO WRAP
FRAMING COMBINATION
RCN 1r.H FI Fr.TR[r
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
'JIG PLUMBING
J/G GAS
JIG ELECTRICAL
'RE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
FEMP. USE OF PERMANENT POWE
LECTRICAL
'LUMBING
AECHANICAL
'UBLIC WORKS DEPARTMENT
,OMMUNITY DEVELOPMENT DEPT.
:INAL J JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING