06-1647 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
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: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 ($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 contractor(s) licensed
pursuant to the Contractors' State License LaW.I ,
(_) I am exempt under Sec. , B.&P.C. for this as n A
Date:
Owner:
CONSTRUCTION LEN NG AGENCY
I hereby affirm under penalty of perjury that there is a constructiofr I ding agency for the performance of the
work for which this permit is.issued ISec. 3097, Civ. C.1. I
Lender's Name:
Lender's Address: MIA
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/26/06
Owner:
WADE WILLARD J
53-745 EISENHOWER DR.
LA QUINTA, CA 92253
----------------
a �
Contractor: D
Owner
APR 2 '� X05
--------------- -- -----
CITY
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the -following declarations:
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 Policy Number
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 becom s bject to the workers' compensation laws of California,
and agree that, if I should become su ec to the ork.rs' compensation provisions of Section
/3790 of the Labor Code, I shall f rth ithompl ith t se isions.
01
Date: �pplicant:
—Loll
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND I IL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF PENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND A TORNEY'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 informENn is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructBild reb authorize representatives
of this count toe er upon the above-mentioned property for inspe is.
Date: nature (Applicant or Agent): V
Application Number:
06-00001647
Property Address:
53745 EISENHOWER DR
. APN:
774 -125 -023 -12 -000.000 -
`r1
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3375
c&ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
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: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 ($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 contractor(s) licensed
pursuant to the Contractors' State License LaW.I ,
(_) I am exempt under Sec. , B.&P.C. for this as n A
Date:
Owner:
CONSTRUCTION LEN NG AGENCY
I hereby affirm under penalty of perjury that there is a constructiofr I ding agency for the performance of the
work for which this permit is.issued ISec. 3097, Civ. C.1. I
Lender's Name:
Lender's Address: MIA
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/26/06
Owner:
WADE WILLARD J
53-745 EISENHOWER DR.
LA QUINTA, CA 92253
----------------
a �
Contractor: D
Owner
APR 2 '� X05
--------------- -- -----
CITY
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the -following declarations:
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 Policy Number
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 becom s bject to the workers' compensation laws of California,
and agree that, if I should become su ec to the ork.rs' compensation provisions of Section
/3790 of the Labor Code, I shall f rth ithompl ith t se isions.
01
Date: �pplicant:
—Loll
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND I IL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF PENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND A TORNEY'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 informENn is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructBild reb authorize representatives
of this count toe er upon the above-mentioned property for inspe is.
Date: nature (Applicant or Agent): V
LQPERDIIT
Application Number . . . . . 06-0000'1647-
6-00001647Permit
Permit. . . WALL/FENCE PERMIT
INV FEE
Additional desc
Permit Fee . . . . 126.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 3375
Expiration Date 10/23/06
Qty Unit Charge Per
Extension
BASE FEE
90.00
2.00 18.0000 THOU BLDG 2.,001-25,000
.36.00
------
Special Notes and Comments
--------
135 L.F. OF COMBO WALL 41RETAINING TO
2' RETAINING WITH GARDEN WALL ON TOP.
PER ORCO DETAIL.ENCROACHMENT PERMIT #
4551 ON FILE.WALL LOCATED ALONG CALLS
ARROYBA TO SOUTH SIDE OF DRIVEWAY ON
EISENHOWER DR. ONLY. SEPARATE PERMIT
WILL BE ISSUED FOR WALL ALONG
EISENHOWER DR. NORTH OF DRIVEWAY TO
PROPERTY LINE.INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM
ADMINISTRATIVE CODE §304.5 FOR WORK
BEGUN WITHOUT BUILDING PERMIT.
Fee summary Charged Paid
.-------------------------------------
•Credited
--------------------
Due
Permit Fee Total 126.00
.00 .00
126.00.
Plan Check -Total .00
.00 .00
.00
Grand Total 126.00
.00 .00
126.00
X
x
X
Bin #
City of La Quinta
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6 ng 81 Safery Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinca, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Shee
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06- & 47
Protect Address — 65�AJ 6o cJZZ— IX
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A. P. Number:
Address: 5,5— 7 f11'N&r_rJ e2 OvO
Legal Description:
OeCity. ST. Zip: „N Jy� �' ff 92z.:!�_3
Contractor: S
FTelephone:
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TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and These risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
'
DEPT. OF BUILDING AND.SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 777
wo-v—
OWT4—EVS SI TU��E
PROPERTY ADDRESS
PERMIT NUMBER(S)
Tdf 4 4auArw
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
December 29, 2006
Mr. Will Wade
53745 Eisenhower Drive
La Quinta, CA 92253
BUILDING & SAFETY DEPARTMENT
RE: Building Permit Extension Request — 53745 Eisenhower Drive.
Dear Mr. Wade:
(760) 777-7012
FAX (760) 777-7011
have reviewed your letter dated December 29, 2006, requesting a time
extension for the combination retaining/garden walls being constructed at the
above address under Building Permit #06-1647. Our records indicate .the
following status on this project.
Inspection status:
Permit issued: 4/27/06
Last successful inspection: NONE
180 -day expiration date: 10/24/06
180 -day extension date: 4/23/07
Under the provisions of California Building Code Section 106.4.4, your request
is hereby granted.
Because the Building Code specifies that "no permit shall be extended more than
once," please be advised that unless the. project passes its next required
inspection on or before Monday, April 23, 2007, your building permit will expire
automatically.
Yours truly,
Building & Safety Manager