06-3453 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00003453
Property Address: 52285 VIA CASTILE
APN: 772-410-998-12 -32453 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 866
Applicant:
Tay/ 4 4 Q"
Architect or Engineer:
PI
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LIC NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I him licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business fjRwessionats Code, and my License is in full force and effect.
License CI ss: C8 C27 C29 License No.: 656128
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I m exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business androfessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair a y structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she 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 _ 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-buitder 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( I 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: ,nit
Lender's Address: iJ1�' `
LQPERMIT
Owner:
ND LA QUINTA PARTNERS
375 N FRONT ST STE 200
COLUMBUS, OH 43215
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
C-ACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/26/06
D D
SEP 2': 2006
CITY OF LA QUINTA
FINANCE DEPT.
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 SEABRIGHT Policy Number BB1060510
_ I certify that, in the performance o the work for which this permit is issued, I shall not employ any
person in any manner so as to come subject to the workers' compensation laws of California,
and agree that, if I should bject to the workers' compensation provisions of Section
37 of th abor Code sh I rth 'th comply with those provisions.
aD te: %5/ Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE CO T 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 per it, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I ha read this application and state that thea mation is correct. 1 agree to comply with all
city and co y ordinances and sta aws relating to buil g co structs , and hereby authorize representatives
of this my to eyter upon th ove-mentioned prope y ection p poses.
(Applicant or Agent):
Application Number . . . . . 06-00003453
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 23.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 866
Expiration Date . . 3/25/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
4.00 2..0000 HND BLDG
501-2,000
8.00
---- ------
Special Notes and Comments
40 L.F. COMBO WALL, 3- RETAINING
& 2'
GARDEN, CITY STANDARD
Fee summary Charged
Paid
Credited
----------
Due
----------------- -------- - ----------
Permit Fee Total 23.00
------=---
.00
.00
23.00
Plan Check Total .00
.00
.00
.00
Grand Total 23.00
.00
.00
23.00
LQPERMIT
Bin #
City 'of. La Quinta
-
Building U Safety Division
-
Permit #
P.O. Box 1504, 78-495 Calle Tampico
✓� o5
La Quints, CA 92253 - (760) 777-7012
,J
Building Permit Application and Tracking Sheet
Project Address: p
2
Owner's Name: (`
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor,`;
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Telephone:
Address. -Po. Z CP
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ProjedDescription: f,��•�•.- W�L.I�
City, ST, Zip C,
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Telephone: 3q,?- ZZ Z
State Lic. # :
City Lic. #:
G
Arch., Engr., Designer:
Address:..
City, ST, Zip:
Telephone:
Construction Type: Occu an
P cy:
State Lic. #:
project type (circle one): dW AddisAlter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # 6f Contact Person: 61Y2
S-
Estimated Value of Project:.
:',`� APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd •
RWd
TRACMG
PERMIT FEES
Plan Sets
P1an.Check submitted
Item
Amount
Structural Calcs.
Reviewed,- ready for corrections
Plan Check Deposit
Truss Calcs,
Called Contact Person.
Plan Chedc Balance
Energy Cales.
Plans picked up
Construct:on
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2" Review, ready for correctionstissue
Electrical
Sdbcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
E .O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
''' 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 1