08-1646 (BLCK)P.O. BOX 1504
.78-495 CALLE TAMPICO
s- LA QUINTA, CALIFORNIA 92253
T-iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
08-00001646
Property Address:
53095 --VIA CHIANTE
APN:
772-550-011- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5250
Applicant, ,� - Architect or Engineer:
Owner:
HIDEAWAY JFC 197 LLC
53095 VIA CHIANTE
LA QUINTA, CA 92253
Contractor:
COAST & DESERT DE
78365 HIGHWAY 111 S
LA QUINTA,, CA 92
(760)567-2026
D,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
R� p ZO��
F QUIIyT,q
Date: 9/30/08
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
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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin c on, and hereby uthorize representatives
of this cou ty t9 enter upon the above-mentioned property r inspection purposes.
Date: Signature (Applicant or Agent):
LlC., No.: 801142
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
LICENSED CONTRACTOR'S DECLARATION,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ — _ _ — — _ _ _. _ _ — 1 _ _ _ — . .
WORKER'S COMPENSATION DECLARATION -
hereby. affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: #
Section 7000) of Division 3 of the Busines and ofessionals Code, and my License is in full force and effect.
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided '
License Class: B License No.: 801142
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Daie: C r:
_ 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
OWNER -BUILDER DECLARATION -
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 3015925-2008 s
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall. not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the -
person in any manner so as to become subject to.the workers' compensation laws of California,
r permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
• and agree that, if I should become su .ect to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) of
3700 of the Labor Code, I all f w h comply with those provisions.
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)::
�))��////mo�oo,
Dat4, Applicant:
(_) 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
WARNING: FAILURE TO SECURE WO KER OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND '
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE,. INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application,is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
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.
Date: Owner:
2. Any permit issued as a result of this application becomes null and void if work is not commenced
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
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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin c on, and hereby uthorize representatives
of this cou ty t9 enter upon the above-mentioned property r inspection purposes.
Date: Signature (Applicant or Agent):
LQPERMIT ...
Application Number 08-00001646
Permit WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . 81.00
Plan Check
Fee
.00
Issue Date . . .
Valuation
. . .
. 5250
Expiration Date 3/29/09
Qty Unit Charge Per
Extension
BASE
FEE
45.00
4.00 9.0000 THOU BLDG
2,001-25,000
36.00 .
-------- - - --------------
Special Notes and Comments
------------------------------------
210 LN FT X 6 FT HT GARDEN BLOCK
WALL
PER CITY STANDARDS AND APPROVED,PLANS
PER J.J.
Fee summary Charged`
Paid
Credited
Due
Permit Fee Total 81.00
.00
.00 -
81.00
Plan Check Total .00
.00 ..00
.00
Grand Total '81.00
.00
.00
81.0.0
J
LQPERMIT ...
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
WLA�
Project Address: C „(--t
Owner's Name:Ac COZ4'L'�V LLC
A. P. Number:
Address: y�,e_ ��
Legal Description:
City, ST, Zip:
Contractor: o�
Telephone:
Addres
(�1
Project Description:
City, ST, Zip:La
Telephone:` (167 ZLzc
City Lic. #:
State Lic. # : [
Arch., Engr., Designer: ==
Address:
City, ST, Zip:
EEO
Telephone: `"4a
State Lic. #: - � � '
'
Name of Contact Person:
Construction Type: Occupancy:
'
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
T-9 Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
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
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.1%'LL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
L I
Total Permit Fees
APPRGV F . ITYING, �P ANNING AND ZON� G C MPLIANCEt
OF C UINTA sT1A �.\ �
- DATE DOUGLAS R. VANS DATE
r
R A D I N 0 A N�' -- i017;-- -�, / z AND SAFETY D RE�[]R COMMUNITY DSVEL❑ MENT DIRECTOR
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CC�y PALMDESERLCA 92260
N G I N EE RI NG (760) 340.5597 OFFICE
(760)340 i i21 VAX
NC.
CIVIL AND STRUCTURAL ENGINEERING - PLANNING • SURVEYING
JOHNSON RESIDENCE
DESIGN: DRAFT:
J.M.B. J.M.B.
CHECK: DATE:
ESS) JULY 07
PRECISE GRADING PLAN
'� T
HIDEWAY v AY LOT 19"7
TRACT 29894--2M.B. 359/58--82
�
POR71ON OF SECTION 9. T.6S., R.7E.,' SRB&M
DATE':
ESFANDIAR SHAHANDEH DATE:
RCE N0. 47834 EXP. BATE 12/31/2007
APPROVED BY:
•
DWG No, PG 1 3840
Gl
CITY OF LA QUINTA
DATE:
RCE N0. EXP. DATEW.