07-2932 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253,
Application Number: 07-00002932
Property Address: 44355 VIA CORONADO
APN: •604-211-015-36 -23971
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1299 ~
Applicant: Architect or Engineer: '
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner.
GOODRICH.WAYNE
44355 VIA,CORONADO"
LA QUINTA, CA 92253
Contractor:.
FLORES BUILDERS CONSTR,
` 61125 PIERSON'
WHITE WATER, CA 92282
(760)272-8306
Lic. No.: 516625
VOICE (760) 777-7012
FAX (760) 777-7011
'INSPECTIONS�(760) 777-7153
Date: 11/13/07
' :r
NOV 0 0 2007
(�41f5r't9I- LA cl1iwm
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION '
' I 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 Business and Professionals Code,, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 516625
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date: Contractor:
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
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 ' 1640796
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, 1 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,
. 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 subject to the workers' compensation provisions of Section
" License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lab*Codl forthwith 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).:
ate: pplicant:
1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNI G: FAILURE TO SECUR, COMPENSATION 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
I, 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
_
-
- within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTIONS LENDING AGENCY ,
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the'performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.I. -
city and county ordinances and state laws relating to building construction, and hereby authorize representatives'
of this county to enter upon t above-mentioned property for inspection purposes. '
Lender's Name:
ature (Applicant or Agent):
Lender's Address: -
LQPERMIT
Application Number . . . . . 07-00002932
"
Permit WALL/FENCE PERMIT'
Additional desc .
Permit -Fee. 31.00
Plan Check
Fee
.00
Issue.Date"
Valuation
1299
Expiration Date 5/11/08
QtyUnit Charge Per
Extension
BASE
FEE
15.00
' 8..00 2.0000 HND BLDG
501-2,000
16.00
Special Notes and Comments'
60 L.F. 418" RETAINING WALL, ORCO
SYSTEM
Fee summary Charged:-
Paid Credited-
Due
Permit Fee Total 31.00
.00
.00
31.00
Plan Check Total .00
.00
.00
.00
Grand Total 31.00
.00
.00
31.00
LQPERMIT -
.
Big #
City of La Quinta
i 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 #
Project Address:
Owner's Name: t VW C� I
A. P. Number:
Address:y U1
Legal Description:
Contractor:
City, ST, Zip: Qu fz'` 3
Telephone: JIME
Address:
Project Description:
City, ST, Zip:
//
3 'e- l �21v7 li��` ! R�i�' CEJ t,
Telephone:
State Lic. # : 14, 0.z 5
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
- �'
Construction Type: Dccupancy:
State Lic. #:
Project type (circle one): New Adc'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 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 Cheek Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
. Mechanic:l
Grading plan'
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" 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
PODOMMUM MM M AOL
_ S
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.ort
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PODOMMUM MM M AOL
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P.O.. ROX 1504:
.LA, OUINTAi CALIFORNIA 92*247-1.504 COMMUNIT.Y S/VF.ETY`PlVrl,SlON
-78!.495. CALLE TANITIC-0 (700) 77,7=:705;0
:LA QVIN.T?N, q.A.LiFORNIA.92253- i7AX-4.740.) 77T77014
Prospective: Buyer/Owner's'.Agreement
L)
.... ...... ay of between.' he-City:of La Quint d
d' *'h*
e:on:t is: --q aan
Jos0h:Arsantb and Rebekah ArsanI t I prospective.ow ne'rs,of�44.355'Via'.Cor.on6doi-La.Quint4i.CA,'92253.-
o. a -viola ions. -
n your'agreementtoIjke fulIxesponsibilit
y.�o:correct,thexode
lifte tiviii 6uvedowne* greement�. This letter' vide
Oin:the-Prospec es,A' ofagreeirnein'tpro s.two ways to.
resolve solve -the:.coclOvi6lations to the saiisfac"flowof the City of La Quintzi.
I hereby agre.ejo:
f 6' ri-Omhio ty.owner muzacquirez, demo permit.ancl:.remove,
'a) :Wi.thiIn6q:days:o. W the proper
the two .unpermitted-storage s.heds'.in violation of and side yard setbacks-, La Quinta
Municipal.Cod.ei%66.050 Storage, and other accessory buildings. An inspection.by'a City
I :Code C'O'riioliaht'eOfficer iseequiredfor.verification.and release..
p.:p.rppe, ow.... ..pj5ns:' d' 'f
b):. Within...6.0 dayS::of:oWneqhjp,:th .11.1 . owner m6st..'6r6id6' L and engineering. or -
Y.. .... . ..
66 curr6htl 'tomtructM Unp
y :ermitted: wooden patio structure .:ora -demo .-pe.rmit;to: r M., ov.
ihe ste.uciur.e...'L'a"q6i'nt'a.Mu-nicip-a,I.C.od6.8'.Ol.'O4O.P6emit. required. and 9.60.040,Patio
'covers,-. decks_ andp lay,equipMent. An inspection bya,City t6detompliance.Officer is,
requiir6d for:v6eificatidn*ari�'relea.ite.
ithih 60:dqys, ofcwriership,: the. prop"
c W own e r must acq u ire. a permit .for..'thefree:
'd iri' 'errriii t'femovo the.Wucture; LaQUjnta;MunicipalCbde.
:mnclih I e 0: P. 0
I a-
M,pa apa*.pr.
.9.'60 -040 Patio.covers, decks a equipment. bia'City'Cbd :Compliance
eck and y e,
y
pl
Officer: s required for.verification-and release.
,
dy :Within 60,days-':of'oWnershijp, the,property owner must,acquire.:P'permit-fo r. th eu n per mitted .
outdoor barbeqqej sink and counter area. La'Quinta Municipal .C6de.:9.60.045..86rbeques,-
wateefallsjo.untains, fireplaces. and simila r structures.
C16se.6f.escro.w.date: