06-4403 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00004403
Property Address: 53101 VIA DONA
APN: 772-410-999-49 -298944-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY .RESIDENTIAL
Application valuation: 9100
Tit!t 4 4 Q"
Applicant: ArchitectorEngineer:
5 0
_ �a
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensedunder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business • _ essionals Code, and my License is in full force and effect.
Lice a Class: B License No.: 820066
C:S IF:. Contracto
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 70001 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.).
(_ I
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 toan'owner of
property who builds or improves thereon, and who contracts for•the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
(_1 I am exempt under Sec. B.&P.C. for this reason
Date: Owner: -
CONSTRUCTION LENDING AGENCY'
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
Owner:
AL GOOD
501 RICH GR
RICH GROVE,
Contractor:
ALPHA OMEGA
42829 COOK
PALM DESERT
(760)568-17__
Lic. No.: 820066
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/29/06
------------------
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 AON RISK Policy Number 1488491
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 asto b e subject to the workers' compensation laws of California,
and agree that, if I should orae bject to the workers' compensation provisions of Section
3700 of the Labor C a I rt comply wit�those visions.
D t Applica
WARNING: FAILURE TO S URE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CR MINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST 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 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 b �dH�i g construction�, and hereby authorize representatives
of
this county to enter upon the above-mentio d-goourW for inspec ' rt"purposes.
Signature"(ApplicaAgent
Application Number 06-00004403
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . 117.00
Plan Check Fee
.00
Issue Date . . . .
Valuation
9100 .
Expiration. Date 6/27/07
Qty Unit Charge" Per
Extension
BASE FEE
45.00"
-
8.00 9.0000 THOU BLDG 2,001-25,000-
.72.00
r
�.
_____
Special Notes and Comments
BLOCK WALL PERMIT,GARDEN WALL 364
L.F.X6' CITY STANDARD.
Fee summary Charged Paid
Credited
Due -
Permit Fee Total 117.00
.00 00
117.00
Plan Check Total .00
.00 .00
.00
Grand Total. 117.00
.00 .00
117.00
-
• r
LQPERMIT
.
Bin #
Permit #
Project Address:
A. P. Number: ��Z _ 0Ciq
Legal DescriptiorLij—
Contractor: x
Address:
City. ST, Zip: )4 ALM c 1
Telephone:
State Lic. # City
Arch., Engr.. Designe r/y
Addre���Q ` ,—
City, ST, Zi*IU_ Ttle
Teleph n J—/7)1 --
State
/7)1 --State Lic.
Name of Contact Person: ie
Telephone # of Contact Person: k,_710
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
'd
City of La Quinta
Building 8t Safety Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253,- (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: x AL 6
— Address: X
Z-7Z-�
APPLICANT: DO NOT'
TF
Plan Check submitted
Reviewed, ready -for ca
Called Contact Person
Plans picked up
Plans resubmitted
2"d Review, ready for a
Called Contact Person
Plans picked up
Plans resubmitted
Review, ready for cc
Called Contact Person
Date.of permit issue
City-, ST, Zip: K r46,W&9DV0 CA
Telephone: L�&%
Project Description:��
3Co4 b ,
-------------
Construction Typ Occupancy:
�.
Project type (circle one): AddtinA Alter Repair Demo
Sq. Ft.: �` 0 # Stories: #Units:
Estimated Value of Project: �oco•, C)do
NRITE BELOW THIS LINE
ACKING PERMIT FEES
Item Amount
rrections Plan Chick. Deposit
Plan Check Balance
Construction
Mechanical
irrections/issue
Electrical
Plumbing
S.M.I.
Grading
rectionsfissue
Developer Impact Fee
A.I.P.P.
Total Permit Fees
F S 1 yC Cv T1UR L L• QiL. _ i r', •i. =+, E�Dv+:....
-- E3._�La€�,JZ3'..caa� z�`S•.�r1?.:�.i-�zCt-.3�'r. Ca. '1Y?
.1-. s•`St)� �1ift� �F tom'\�'w,
ld
RA
26, 2-010
GORDON-Ross
4-1-8-29 -COOK ST_ SUITE 10
PATAI DE -SER. T_ C k 922 1
h-. 'GAR - I KMARD
Re_. THE GOOD RESIbENC:E
THE..! TD- E-_ VNl.AY_. LOT 5"149
5-3-1.01 ' IA DONNA
LA t WNITA, CA.
POLLOW-b-P T(3".WALK. TBROUGH
JOB NO.: 4455
DEAR aARY
_ ws LETTER`AD I4.E5 TFLaT INE HAVE OBSERVED TBE STRUCTL R -\L
REQUIREMENTS THAT F.E. .WBLE DtMENG. CO\STRLTCTT(_?l` : a.T TIL I -LE Tl IF. OF
OUM SITE VISIT.
iVEE BELIEXrE TllikttliE AS -BUILT CONNSTRUCTIONN AT THE THME OF OUR VISIT TS
IN GENERAL C ONKP TUNIA\CE WITH OLTR STMUCTUR-M. PLANS AND RELEVANT
'CORRE.SPONDEti.0 E ISSLI,E.Ez B'Y° :t�L';R OFFICE.
V,cX O.BSER\-ED-BL7IL DINT"[tT ITS FR.A. %,IED COZ°DIT7O\ PRIOR TO
I N, Sll-ALLATION 0 ALL AND ST'LIC:CO VVE OBSERVED'_FHE ` I'z,,U k . AND
aCCE,SSIBLE STRLMjRr-�L IZ€QUHREIAEt TS +T.XCLI SIO\S. ARE ITEMS Sl1LII S_.
FOOTING SIZE ._tfD RE.ENIFORCENIE\T, TOP PLGkTE SPLICES.. ROOF SBEATHINQ
T) AN -Y STRAPS A90 -VE THE ROOF SHEATH 6\G:.;;i:
RESPECTFLiLLi' S€=IIT FED
i Lr
ZE a`.i�13 F ATH, PE: .1