07-2966 (BLCK) Wall/Fence__V
P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07 -0000296.6 -
Property Address:
47795 DUNE PALMS RD
APN:
60A-020-0307 -.
Application description:
WALL/FENCE
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
62800
Applicant: Architect or.Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING
soot s z t+vr
v
1 hereby affirm under penalty of perjury that. ['am licensed under provisions,of 'Chapter,9, (commencing with
Section TOGO) of Division r3 of the Business and'Professionals Code; and'.my License.. is in,full-force and effect:.
License Class: B Li` No.: 396120
Date: th & Contractor:
OWNER=BUILDER: DECLARATION
I hereby affirm under penalty of perjury that I.am exempt from the Contractor's.State License Low -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'anystructure, prior to,its issuance, also requires the.applicant-for'the_
permitsto 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 otthe BusinessandProfessions Code) or
that he•or she, is.exempt therefrom and,the basis for the alleged exemption. Any violation of Section 7031 .5.by
anyapplicant for a permit subjects the applicant to a civil penalty of'not more.than five hundred dollars ($5001.:
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:orherself through his or he,ownemployees, 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 _ 1 l,, 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 applyto 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.).
y _) I am exempt under Sec. , B.&P:C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under -penalty of perjurythat:there,is a..construction lending agency for the performance of the
workforwhich this permit is issued ISec. 3097, Civ. C.),
Lender's Name:
Lender's Address:
LQPERMTf
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/16/08
Owner:
COACHELLA VALLEY
a45701 MONROE ST
INDIO, CA 92201
HOUSING COALI
1-G
Contractor:
BROWN CONSTRUCTION., INC.
PO BOX 9.8'07'00
WEST'SARAMENTO, CA 957.98
(916)373-930,0
Lic.. No.: 396120
WORKER'S COMPENSATION' DECLARATION
I hereby affirm under penalty of perjury one of the4ollowing'declarations: .
I have and will maintain -.a certificate of consent to:se[Mnsure.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:insurence, 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 AMER INC Policy.Number 3424:477
_ I certify that, ircthe performance of the work forwhich this permit is,issuad, 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
3700 of!the de�1 a1»4' rthwith cam I w' : hose provisions.
Dater Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES,AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO'THE'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION3708.OF THELABORCODE; 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,wany..permit issuedas aresult of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless.the City
of La Quint&, its officers, agents and employees for anyact or omission related to the work being
performed under or following issuance of this permit.
2. Anypermit'issued as result of this application becomes null and void if work isnot commenced
within'180 days from date, of,issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
l,certify thatl have read this, applicationandstate that:the above.information.is correct. I agree to comply with all
city and county ordinances andlstate laws relating to b4jWieg•eene ion„ewd-p- uthorize.representatives
,of this county to.enter upon the -above mentio ,Inspection ores.
Date;-_ %1110olt Signature, (Applicant or Agent)- — -
3
Application Number . . . . . 07-00002966
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 473.00 Plan Check
Fee
00
Issue Date . . Valuation
62.800
Expiration Date 7/14/08
Qty Unit Charge Per
Extension
BASE FEE
414.50
13.00 4.5000 THOU BLDG 50,001-100,000
58.50
------------------------------------------------------------------
Special Notes and Comments•
PERIMETER+WELL SITE WALLS [ORCO SPEC]
WALL HEIGHTS SHALL NOT EXCEED APPROVED
SITE DEVELOPMENT REQUIREMENTS. 2001 CBC.
THIS PERMIT DOES NOT INCLUDE INTERIOR
SITE WALLS, TRASH ENCLOSURES OR MONUMENT
SIGNS.•
January 9, 2008 9:41:21 AM AORTEGA
Fee summary Charged Paid Credited
Due
---------- ----------
Permit Fee Total 473.00 .00.
----------
.00
473.00
Plan Check Total .00 .00
00
:00
Grand Total 473.00 .00
.00
473.00
LQMRMIT
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FEB.-25-2008(NON) 08:26 SOUTHERN CR SOIL 4 TESTIN6 (FAX)760 775 8362 P.013/034
.'" '4N "` SOUTIMR v c�o� s0�. & TEs�Q INC.'55306
6240 RWHROALL STRMT. BAN DIEGO. CA 92120 a Phrm.(019) 2110.4331 Fax (619) 280.4717
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(FRx,)760 775 8362 _ _ P.017/020
`°n """'°' "` SOUTHERN CALIFORNIA SOIL & TESTINGS, INC. 55,312
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0 I� 6280 RIVERDALE STREET,' SAN',DIEGO, CA 92120 • Phone (619) 2804321 Fax (619) 2804717
S 83-740 CITRUS AVENUE, • SUITE Q INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362
SCS&T FILE NO._ 01220 04?
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FIELD INSPECTION' REPORT FOR: ❑ REINFORCED CONCRETE REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING
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LOCATION OF WORK INSPECTED:
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RE. REVIEW:
UBC I hereby certify #vat I have Inspected the above reported work. Unless noted otherwise,
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the work inspected'is to the best of my knowledge In compliance with.the;approved plaits,,
the governing building laws.
specifications and applic2F_0'0�
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Inspector IriHials'
INSPE
RS SSNATURE REGISTRATION NO.
DSA I hereby certify that I have Inspected the above reported work in,accordance wtth the
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requUements of DSA approved documents. Sampling and testing were conducted In
accordance with'the requirements of the DSA approved doc4pafft: The Wolk Inspected
PWMINTENDE11111S
WjkTURE DATE
compiles with the >pog6d documents
Yes: hlo• ~Inspector Initlals:
SMI zos REV 2)06
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83-740 CITRUS AVENUE; SUITE G, INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 '/
SCS&T FILE NO. T
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PROJECT TITLE:
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LOCATION OF WORK INSPECTED'
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DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: a ,
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RE. REVIEW:
'UDC I hereby certify that I have Inspected the above reported wail Unless noted otherwise,
the work Inspected Into the best of mV knowledge in compliance with the approved, plans,
specifications and applof the governing building laws:
Inspector Initials r%
IN S TUBE REGISTRATION NO.
DSA I hereby certify that I have Inspected jhe above reported work In,accordance Ilth the
_
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requirements of DSA approved documents. Sampling and testing were conducted in
accordance WIIII the -fegU Of the,DSA approved doCU IS. 'Thework:inspected
PERINTEN SIGNA E DATE
compiles With the DSA documents. -
•argnuhue wnlorrzes
Yes: Inspector lniMais:
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'SOIL ° """° "` SOUTHERN CALIFORNIA SOIL & TESTINGS INC. '55321
6280 RIVERDALE STREET, SAN DIEGO, CA 92120 •Phone (619) 2804321 Fax (619) 280-4717
83-740 CITRUS AVENUE, SUITE CA INDIO, CA 92201 • Phone,(760) 775-5983 Fax (760) 775-8362 Qy' f
SCS&T FILE NO.: 0 o v?'ZO j
P.O. NO. -
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FIELD INSPECTION REPORT FOR: []'REINFORCED CONCRETE REINFORCED MASONRY ElWELDING E]FIREPROOFING
Fj Q. C. CONCRETE ❑ ROOFING /WATERPROOFING ❑ P.T. CONCRETE [STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING ❑
PROJECT TRLE:
PHASE #:
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PROJECT ADDRESS /
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ARCHITECT:.
ENGINEER:
GENERAL CONTRACTOR:
SUB CONTRACTOR:
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LOCATION OF WORK INSPECTED:
MATERIAL CLASSIFICATION:� /y� p►c
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DATE
DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED:S"^4
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P.E. REVIEW:
UBC I hereby certify mat I have Inspected the above reported work. Unless noted otherwise,
the work,lnspected Is to the best.of.myknowledge In.compllance wfm the approved plans,
speclficatians and applicable ihe.governing building laws.
7 �/ R`► j ,
Inspector Inma1S
INSPECTS SIG T REGISTRATION NO.
DSA I hereby certify that'I have Inspected the above reported work In accordance with the
Sampling
b 0 p
y
requirements of DSA approved uments and testing ., conducted In
accordancem.1th the req nts of the DSA approved docum The work Inspected.
•S DAiE
complies with the documents
Yes: Inspector. Initials:
ovl►iorizes rhe abae wak
srser zos REV 2106