11-1224 (BLCK)`.►
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
—�1
Application Number: <11-00001224, —
Property Address: 52580 EISENHOWER DR
APN: 773-301-004-20 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 1407
Ti,4t 4 4 Q"
Applicant: Architect or Engineer:
l uy
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRA TOR'S DECLARATION
I hereby affirm under penalty of perjury that icensed u provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine rofessi ode, and my License is in full force and effect.
LicenseClass: B cense No.: 675800
ate: Co ctor:
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury 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 1$5001.:
1 _ 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.).
(_) 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:
ALEXA GOBEL
52580 EISENHOWER DR
LA QUINTA, CA 92253
Contractor:
CASTLE CONSTRUCTION
68670 LOS GATOS
CATHEDRAL CITY, CA 92234
(760)272-4191
Lic. No.: 675800
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/11
N,01V i 4 2011
CITY OF I—A QUINTA
F11o1 N1'.E OEPT..-
------------------
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.
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 STATE FUND Policy Number 1863381
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any maAORKER
become subject to the workers' compensation laws of California,
and agree that, ime su ' o the workers' compensation provisions of Section
/ 3700 of th Labfort comply with those provisions.
ate: �1 r plicant:
WARNING: FAILUR(TO SECURCOMPENSATION 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 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 a lication and state that the a formati orrect. I agree to comply with all
city and county ordinances d state laws relating to buil ' strugo hereby authorize representatives
oft Wa� a/nter u n the above-mentioned grope inspectio r se .
Date:1 ignature (Applicant or Agent):
l
LQPERMIT
Application Number . . . . . 11-00001224
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 35.00 Plan Check Fee
..00
Issue Date . . . . Valuation . . .
. 1407
Expiration Date 5/12/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
20.00
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Special Notes and Comments
65 L.F. 5' GARDEN WALL TO CREATE FRONT
COURTYARD, CITY STANDARD. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 35.00 .00' .00
35.00•
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 36.00 .00 .00
36.00
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
------ 7 -By --------
71.360 Aurora Rd. Desert Hot Springs, CA 92241
(760) 251-2337 Phone (760) 251-2338 Fax
License # 675800
52580 Eisenhower Remodel
1. Install block wall across the front of the house, Approx 65 lin. feet 5 foot tall per La
Quinta specs.
2. Drywall patch, texture to match existing, and two tone paint scheme. As per owner .
PAYMENT: $7500.00
ACCEPTED BY:
S WILS ,OWNER DATE:
Bin # '....
City Of La Q[uinta .
Building 81: Safety- Division
P.O. Box 1504, 78-495 Calle Tampico '
La'Qldnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Z
Project Address: • 5 Z ,� f h� . 0(L -
Owner's Name: EL.
A. P. Number:
Address: Z i v iL
Legal Description:
City, ST, Zip: LQ, -,-A4 -
Contractor: e
Telephone
Address:
'Project Description:
City, ST, Zip:
Telephone:
City Lie. #.-
State Lie. # :
Arch., Engr.,' Designer:
Address:
City, ST, Zip:
Telephone:
:
, ;:�<._fi>�Ah�,^�^`F;tsay>y�"
Construction Type: Occupancy:
State Lie. #:
pro'ect 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 UNE
#
Submittal
Req'd
Recd
TRACICIIVG
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.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correction&gwue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'a Review, ready for correctionsrmue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P..P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees