06-1100 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001100
Property Address: 54725 AVENIDA HERRERA
APN: 774-282-022-11 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 1775
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTR OR' ECLARATION
I hereby affirm under penalty of perjury that I am licensed der p visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profe onals de, and my License is in full force and effect.
License Classs C29 cense No.: 806698
Date: '/� Co> c oc
17
I hereby affirm under penalty of perjury ttyfj,e6i exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busines d 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 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/17/06
Owner:
OWENS STEVEN W
54725 AVENIDA HERRERA D d
LA QUINTA, CA 92253
MAR
Contractor:
1 0 ?006
PENSANTI MASONRY, FRAN C —FLA
74041 EL CONTEQ WAY NAIVCEp� ZA
PALM DESERT, CA 92260
(760)346-0892
LiC. No.: 806698
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 EXEMPT Policy Number XEMPT
IC I certify that, in the performance of the work for i this permit is issued, I shall not employ any
person in any manner so as to become sub' o the workers' compensation laws of California,
and agree that, if I should become su ' t the workers' compensation provisions of Section
X3700 of the Labor Code, I shall w' comply with those provisions.
(' Applicant: /
WARNING: FAILURE TO SECURE WOR COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINIfnNALTIES 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, ihdemnify 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 noV.9mmenced
within 180 days from date of issuance of such permit, or cessation of work f days .will subject
permit to cancellation.
I certify that I have read this application and state that the above information is c ct. I ree to comply with all
city and county ordinances and state laws relating to building construction, a ereb uthorize representatives
of this county,tA ester upon the above-mentioned properly for inspection rposes
Da e: Signature (Applicant or Agent):
J
Application Number . . . . . 06-00001100
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee. . . .
. 41.00
Plan Check
Fee
00
Issue Date . .
Valuation
. . .
. 1775
Expiration Date
9/13/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
13.00 2.0000 HND BLDG
501-2,000
26.00
----------------------------------------------------------------------------
Special Notes and
Comments
71 L.F. 6' GARDEN
WALL ON SIDE YARD;
ORCO SYSTEM.
Fee summary
Charged
Paid Credited
Due
- -
Permit Fee Total
-
-41.00
- - -----
.00
• ----------
.00
41.00
Plan Check Total
.00
.00
.00
.00
Grand Total
41.00
.00
.00
41.00
LQPERMIT
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, M-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
D�.
Project Address:' ? of �e /`��
Owner's Name: f //c 0 (.,f n/
A. P. Number:
Address: f ori o2 f (7 ( 're , c—
Legal Description:
City, ST, Zip: Gfi Qc-,V? /"cam
Contractor: r�,� c,? Jy.7 f
Telephone:
Address:,,(� �� (U f �Y 2 L✓
Project Description:
//��
City, ST, Zip: I'7l//i`i 'Jf�t 1' Sot o� U
f At -h
Telephone: 3 L(D—o?��l
State Lic. # : o 6 6 City Lic. #:
Arch., Engr., Designer:
Address:
.
City, ST, Zip:
01,(o Sri ry
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �47 K r t,
G
Sq. Ft.:
#Stories:
#Units:
[
r�
Estimated Value of Project• r �{UU
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan'
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked Yip
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
d`d 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
Masonry
ID
ensanli
Ornate Stone * Black BricV
Serving the desert area
Lic. #806698 • 760.346.0892
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'71 croj-) .I4-n/9�,,�,1/
BUILDING USARETY DEPT'
CITY OF LA a..1,a
APPROVED
FOR CONSTRUCTION �
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