13-0041 (BLCK)-iii BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1�13 _00000041
Property Address: 52385 VIA CASTILE
APN: 772-410-998-19 -32453
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation; 231 7
'fd4t 4
r -N_ _ VOICE (760) 777-7012
` FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT r INSPECTIONS (760) 777-7153
BUILDING PERMIT
Owner:
DUNHAM
52385 VIA CASTILE
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: DBCA INC
P.O. BOX 1482
LA QUINTA, CA 92247
(760) 393-5271
Lic. No.: 915336
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am IiIdun r provisions of Chapter 9 (commencing with
Section 7000) f Division 3 of the Business and Pr nal e, and my License is in full force and effect.
License I ss: ense 915336
Date:Contractor:
— ,
OWNEkom
ILDER DECLARATION
I hereby affirm under penalty of perjury that I am exe 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).:
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 _ 1 1, 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 _ 1 I am exempt under Sec. , BAP.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
Date: 1/10/13
WORKER'S COMPENSATION DECLARATION
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 TRAVELERS+.0
P )icy Number YJUB282D7797-12
I certify that, in ormance t e work for which this permit is issued, I shall nu[ employ any
person in anyr so as t me s 'ect to the workers' compensation laws of California,
and agree thaould bee subje t e workers' compensation provisions of Section
the de, I sh II o thwit comp with those provisions.
Date: 1 V ApplicaWARNING: FAILURE TO SEORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOAL PENA AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ATO THE T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABE, INTERES , 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 daysfrom 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 ab'for 'on is correct. I agree to comply with all
city and c unt ordinances and state laws relating to building o s u on, hereby authorize representatives
of this co ty o enter upon the above-mentioned property for n p c ' , purpo
Date: D Signature (Applicant or A
Application Number . . . . . 13-00000041
Permit
WALL/FENCE PERMIT
Additional desc .
.
Permit Fee . . .
. 54.00 Plan Check
Fee ..
.00
Issue Date . . .
. Valuation
. . .
. 2317
Expiration Date .
. 7/09/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
Special Notes and
T
Comments
GARDEN BLOCK WALL
APPROXIMATELY 102
LINEAR FEET 5 FT.
HIGH, (2) 16" X 16"
PILLARS. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid Credited
----------------------------------------
Due
Permit Fee Total
54.00 .00
.00
54.00
Plan Check Total
.00 .00
.00
.00
Other Fee Total
1.00 .00
.00
1.00
Grand Total
55.00 .00
.00
55.00
LQPERMIT
Bin.#
C►ty. Of Lel Who
BuAding a Safety DhWon
P.O. Box 1504,78-495 Caffe Tampico
(a..Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application aand Tracking Sheet
Permit g
Projux Address: -1i 85 I . 4C OtO a
Owner's Name:. W'
A. P. Numbs:
/�
Address: 2 -M 7
Legal Description:
Contractor. PAC*ING;
City. ST, Zip:
Telephone:
Address: �� / 7 0��. *7
Project Description: A4112A&V 0-Y104K
(city. ,ST. Zip: Z 4+ ftZS 7
QZ- L+F - 5 If 1611
Telephone:
State Lic. 4: City Lic. #;
Arch., Fatgr., Designer: a 401AWL
Address:
City, ST, Zip.
Telephone:Construction
Stan Lie. #:
Type: &j jDcmno'
Project type (circle one):ere-)Add'n Alter Repair
sq. Ft :# Stories: # unit;;
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project: or�Q
APPLICANT: DO NOT WRITE BELOW THIS UNE
Y Submittal Rcq'd Reed TRACMG PERMIT FEES
Plan Sett
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Cheek Deposit
'truss Catty.
Called Contact Paton
Plan Cheek Baiance
Tithe 24 Calm
Pians picked up
Contraction
Flood plain plan
Plans resubmitted'.
Mechanical
Ginding plan
2" Review, rudy for corrections/issue
Electrical
Subeoutattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for correetionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
Ad.P,P.
Pub. Wks. Appr
Date of permit Issue
School Feu
Total Permit Feu
BOX
MED. FAN PALMS
-34 -15 GAU.
WAXLEAF
PRIVITE
FRUIT TREE
Wall to be 2'
from patio edge
IP
H
3'6'
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PLAN FOR JJ DUDUM
52 - 385 VIA CASTILE
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