07-2719 (BLCK)P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA`92253
'c&ty/ 4'4 Q"
Application Number:
07-00002719
7 --------- =----------------------------
WORKER'S COMPENSATION DECLARATION
Property Address:
52939 VIA DONA
.:I.hereby affirm under penalty of perjury one of the following declarations: '
APN'-
772-410-999-52
-298944-
Application description:
WALL/FENCE
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:
10517
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
�`C6ntr-
Applicant:
' OWNER -BUILDER DE RATION
Architect or Engineer:
C
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STANCHFIELD RESIDENCE
52939' VIA DONA
LA QUINTA, CA 9225
r
Contractor: U
SUN VISTA DEVELOP E
P.O. BOX 1144
LA'QUINTA, CA 92 47
(760)771-4722
LiC. No.: 744091
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/08/07
� Y
0
COST 0 91007
CITY Dp LA Otufuv,
----------------------------------------- -----------------
LICENSED CONTRACTOR'S DECLARATION
7 --------- =----------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
; 1
.: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.: 744091
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued..
Date e:✓� —9-07 arctor:
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
�`C6ntr-
Code, for the performance of the work for which this permit is issued. My workers' compensation
' OWNER -BUILDER DE RATION
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 170546206
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,
. 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 1 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
3,700 the Labor Code, I shall 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 (55001.:
(_ 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—) 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 contractorls) licensed
pursuant to the Contractors', State License Law.).
1 _ 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
WARNING: FAILURE TO:SECURE WORKERS' COMPENSATION COVERAVq IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER -TO CRIMINAL PENALTIES AND CIVIL FINES Up
0 ONE HUNDRED THOUSAND
'DOLLARS IS100,0001'. 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection pur oses.
Date/41'07 Signature (Applicant or Agent): I
.,..�;
OL
Application Number 07-00002719
Permit . . . WALL/FENCE ,PERMIT
Additional desc•.
. Permit Fee 126.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. -10517
Expiration Date 4/05%08
Qty Unit. Charge Per
Extension
BASE'FEE
45.00
9.00 9.0000 THOU BLDG,2,001-25,000
81.00.
--------------------------------------- ------------------------------------
Special Notes and Comments F
103LN-FT RET WALL/W 6' GARDEN WALL
147LNFT X6.8 GARDENWALL 104 X 6 GARDEN
WALL'77LN FT X"5 GARDEN WALL PER ORCO .
STANDARDS& APPROVED PLANS
Fee summary Charged Paid
Credited
Due
------- ----------
Permit Fee Total 126.00
----------
.00
----------
.00
126.00
Plan Check Total .00
.00
.00
.0.0
Grand Total 126.00.
.00.
.00
126.00
LQPERMIT -
-
Bin #
City of La' Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta,;C,-9r2,C2-.-(760)777-7012 Building Permitpptl and Tracking. Sheet
Permit .#
� 1
Project Address: ' 2
I 4 0
wner's Name:
er:
A ss.
L ription:
City, ST, Zip:
Contractor:
(�
Te one:
roject Description:/d /t7C W Q //s
City, ST, Zip:
Telephone:
I
City Lic. #:
State Lic. # :
°
/y� �' to •`b
Arch., Engr., Designer:
D
Address:
77
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New . Add'n Alter .. Repair
Sq. Ft.:.. #Stories: #Units:
Demo
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project,10,0 0 O O 1
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING. r
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-
2"" Review, ready for correctionsfissue
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
HIGH ORCO WALL SYSTEM-SITE-ALL�
FOR 80 MPH WIND @ EXPOSURE C
OPrn7N4L RAT G1P
J L
- DESTGV CRr7EWA:
L ALLOWABLESVM RE40YUPREIRSM-15W W-
2 ALLOWME LA 7ERAL
SP2ALLOWABLELA7ERAL PA99W PREY-g4ZE= 150 PO=
ORCO6816, 6616, OR 6618 3CaVOW7WMOUrSnt&iGTH n 2000 PSF®28 LAaYS-
OW GROUTED Ohl Y®VERT AREWAROWSTL$:GUM40FOR i4B4RSAVDSMALLER
SME GRADE 60 FOR 05 AND LARGi•7T
S: SSC -ZONE 4, Z+ AONNQ0/4 TYPEASOURC�
G 15WPSTNAS17NRYCi7MPREi'4:7fUS/R6YG7}/
HUFSTRESSL:S LSW - NO-91ECUL ASRE 770NWD,
NVO7E PROVIDE 04 DOWS &
Of DROP X W AT FACH
3WEOFCON7ROL JOINT Mom.
L CONtREm BLOCXSHALL CO7Vfmv TOL csm 714.ORCD
sm. 'PREasm,sS urmci;RLwiv,ORWaGBOOCSLOCY
MAYBELMD
2 CONOZETE FOR FOanNG MALL 6'F l PART CE14WT TIO 2-0
PAR73'S4N0 703112 PAR75GPA VU. .:WnHA KUMM OF'1-W
GWDWS OF WA PBZ S40C POR:?AND CENNT'57 FALL CDNft7RM
b TOASM C150TYPS'XV Pt=2W PS7
3RENFORMG VER E 40 EOR LL DEFORKM
R AND CONORM 70
6 GRAD
. - 04 V&T DROP-IN SO � ` OSAND LARG9L PROVIDE 40 a4R DiAAMFIFR LAP FoR GR4D 40
�O 24' O/C(36'O/CMR 18' i REB4RAND 48848 DIAME7ER LAPA7R GRADE50-
LONGOW) .
4. REBAR SH4U BECBVYHP®IN 7Nr CONQtE7EBLOJCCELL DV
{ WN OUT IS LOCOED.
46STDJODVT
A&fiURCBNL�VT'@24- IC 5 CONaRE7EBLOCXS AUBELAVEDINARUN96WS-3kV
(3 PLACES) PS? UBCSm • PA77BW WITH VLR77C4L LO 7=TfYOF7HE CELS UNO-
21-Ill LSE 05STD. FOR
SUMP &OCC; G ALL BLOCr az r s CONTA mvG VERTIG9L REM SHILL BLESOLID
GROWER.
59170WQ 924'O/C 7. LLSEOBPTYPESMORTARPROPChQTIONEDl&WM�U6CTABLENO.
(18' O/C MR IOWAG OWO 21,x1 1 PART MENT TO 1/Z PART LIME 70 4-1/2 W -W DAMP,
LOOSESAND.
8.GROUr
. Lam- ' - .: = ... : ; .
'fORCONCRE7FN.=70PZI PART ODWE r7O3
26' - PAR TSS4W(GWUrNAYCOWAN 2PAM WPFA MAVEE IF
W697mOONDIria-vsAREFAVOR4nEANDBLOOCLQ'm 7RLcTED
e CEU'-UW1SSL07.7L U70ALLOW(;OWGROUrFLonWA7ER
giALL BEAD[ M TO PRODU:EGOOD GROUT FEoW WI7Mff
S GiRE-4)70NOF7HECGA&7ZBM
9. B(OCXSM4MAYBE WET-5bT1- 12"'BVM7HEfOO7INGWMLE
THECOACJPE7EI5'PLAS77C, OO►S7HNNAYBEPLAO-V70
L]THBZ LDGEOFTHE 7RENQf TYAEFOOTING.
LEWEG7?AOIE'B07'HSL#S` ' - 10.monAfGmL6ToEPCXIAfoONORRDV70UNDLMRgM
v C NATURAL SG'IL OR ON COLNPACAD FJ (. WrrHA IMIU MUM
— I I I-�— , I ..• t': p: �;' .'��., t LOMPACTIONOF90% .
11. FDLSTBODEC'TION70 BEAFTBL rVTM7PINalESARE
REWYMRCONCRE7EAWALLREQ .MSTM JSTHD INPLACE ,
— SECOW BMEC77ON TO HE WHEN 7HERElQ(ZUD VFR77CAL LSDV
_. PLACY: AAv 7HEBLOCX WALL ZSRFADY7OGROUT.
� ?4 HORZCOIVT." -
y�i,+12M UNUM COMM JODVTSPAC111G.•40'O/COR20'O/CIF7HE
WALL IS 70zz
-Z"
BE TBi�
/ v�/.+�
2'-8"CONT.: �•� s �jgZ� j''::
JO
v ►r^ �r� J
ORCO 6 'HIGH WALL W/ 2RETAINNG
FOR 80 MPH WIND @u EXPOSURE C
FIAT CAP
DE57W OUTEM7A: -
1. SO21 BEAR1hiG'PRESSURE- l5W PSF. EQVAAfBYTR(/ID
PRESSURE= 3S05F
L ALLOWABLE LATERAL PASS EPAESSW -150 F CFMW
Ida%U 7WGitO(lrM MG.71a10010M028DAM
4.14emozCFMG%57E$ : GRAL1640 FOR 04 8AF5 AAV 9%UL6t 8
GRADE 60 RJR OS AAD LARGE?
5.SEISP FC-MM4,SA74fR-WTYPEA ORB.WURGE
6 I= PSI M4S0)MRYCCI'M:SWMSTRSVWT r-
MALFS7RESSES L15t3) - ALO SM.iZ4L DYSPEcnv/1 REQD.
` I N1 ; 1 -
04 HOW COW.
LEYLA&RGE W/
NOC+f
05 DOM @32'O/C
(ZT grCFOR 184CMYGt?Q/J
Lam'
IB'
Am7�
L 211RFE7FS'�r:'1L4f1 CU�1fii4M 7a t SCSM. 21-f 0=
SMR MOSM S V'rrAM SVMFW, a: ro6Xa f MDM
MRrfiru"
2 Q7YOPiTER)Rfa r1AG'S7LALt BE! Fri 7rCBM8vrro2•�
AWMS4W 7V 3-0 MMQ VR M77h'A K4t7MMQRl-y2
GULOW OF WA78t 191 MM PU rL440 X"Vr"U ComgXM
TOA57M CIM TYPE.r/V. A:-2MVFS7
R RfDWt ACMSYMI9M SED& W EDAROCDR V MTV
AS7MA61S(RAD -M ORFfSWAIDS"LM GiPtWWFCR
ISMDIARCULFW,7..DE49MR014HEI t40R7 GMX40
R!$II t MD � 844, OJL¢78t UV fOP Q+s'CF 6Q
amaysmaSEC ylBUDDVRELL711[lDFrcAMCSLEV
M &NIMBLOG176.
I C Mi RMSE'S&SwtLBELAMiDDVAl98W4W#LMD
PA77HMWWM977B?1 CVNTBI7MF77E(iL.r uva
S ALCM CRI sa NrADDXG M9tTM 4BWSMU VEMW
GRou7L31.
7. MOW TYPES PV MAR RWFQUiO 13MM TAREM
21-A 1 AWTW*Nr 'O w R4?rLDE ro 4-v o Rmaw,
LoosEsane
tL QIOUT RW C3VCX 7FMEM ro LLE1 Ps Rr CS49ir703
PAMSVID62ZOUrl'°raa'rIM�!2•PNT'3*?IV AMan B=
WE4"'CtCP401TP2!K YtErs1YTXM(LEAM'E LY"().Vtl[67RLr_7®
Cgcs>ffLSStR=rrTVAUOWODD,LRanROM IMM
57t4SL'BFADOS'roA'.tJOLCFGt70DC,W.*p 1YI77A7rJr
�f7XWCrRE :'t716TiL6UlS
ABLDOCST MPAYOf :tET•SPT1-WfirR.)7hFA7OAMi *ME
77EL27r4ow ELs PLA'.7x eLoorsmmpm rBEIL.4czv ro
ffDMR 8)GE0F RE 7RffdW TWFMaMWZ
td F00nW AWrdE.4"M CN CW WD TOMLOM
AWWW Sad OR CN ( CMLOACYW AML MM rA MMMM
C PF)K77C0VCFSCSI.
11. FDt5Tfit0WC73DV'-0LrFNMA7O7LVt: iROWNWARE
REVYMW CDIK WW. MALL AMM S ER 671IDBr PLACE
SBDROBf9EL770Y 7' SF M7/ N RFRZ�LWEV 18177i -AL. JFPV
PLAMAAo RECWa BALL 6RSLOrro 2VVr.
12 MAMMct?iM.0WSFACMl4V,VCOR2VQCY7HE
MALL 6 ro Sf Si7A= r2 MlM
�•� 4'DIAMR35AWPP W/ZOF
414" GR4VU - SEME 7D DR4W. WA7W.. ZOOF
54CXSIDEOFWALL W/08P'WA7E3T57 '
ol
6"
ol 2r -4M10
..
OFE::S)0 1
7. Y4z
04 HORZ WhT.
loo
�7
(3 TOTAL) � j�1 �y
I Gj �� y
ui tii m
D: s L- rn T
C31 � ?5
EXP. 12 -J% -2C04
���4 C / V 1 �' a�P
ORC06l.HIGH'ALLN121REirAINING
FOR 80 MPH WIND @u EXPOSURE C 1:MEM
REm 1500P57 Ez�unrv�rr7ium
PRES�=MMW
L ALLOWASLELA7ERAL PAWVEPtEMPE = ISO PCFM X
RATCVICnA0.?WYWGZO(ffSTR6MG.71Q2OWP5F@IB DaYI
t RE71YfQRtMSMM: GW1640FOR 04BVISAND 9WLER&
GRADE 60 RVR 05 AAV LARM
S• SM MIIC' -ZOAE 4, S AN PR 7M TYPEA 014 8: A7(/RCE
6ISM P57M4S07VRYCOiMPRE:sm mS7)zsVw7r-
M&FS7RE'SSU MED - NOSPKT& B%5VEC77VI1 D.
ORCO 6816, 6616, OR 6618 CMU
GWf W aVLY® VERTS7M Av1Q
. .. L O>lIOtE7FBtQC1C: FAU CORFU V 7D L BC57D 211.ORW
STV. FREGY a'c sscrr(Z SUMM,.a: rAMCc=fiZ=
2 OMt *7FMRM TTDR M4LLAEI FAZTaWW70Al/L .
j #4 xnvsw@7. /C vaa7ssvmrvsl/�ma7seuvt[wmrAwi+ara�resl-yz
f G4LGN6LKWA7BZIUt MR]R7TADMWffgwLeVAqiRfr
eF0YT 18• LONG CPR/) . 77AS7W c15V rM.7/V. ft- 200DPM
A A fcl'L PAMUMMOW
r .. J c. tea` , `. ,'• - I REWWWOWS7ffi PALL BEDGqCWW0AND CpMU W 70
AFMA6/SAPADEI( Ciit{BWAlivswALMGpALFQDfm
t;t d657DADVrflrZNR7RCbPIHVT OSAwuxGMFRaME vMRVZV Mw ;mmw4o
®24'O/t•(3PL)P9W(/BC Rl$ARANDt8e4am.a�E7atLevfatGjubE6a
Q it .S,1D- 21-10• &W 0557D. RSR
• b" ' �" �y ,- 4k'Ht9RAwLLBEQS'18P1�D1iREQ71x.�BtaOC�LL�
_ r':..'.a•_:�(/MPBCOOC - WfavlITSLOCw76.
. x,.? � - S. QM�7t7FBC�SYILLAEUY®AIAf7h�KAVGBCMD
`�.�.:;'. iATlHdY110IHi6t7P?1[CCW7LMdlYQF'i7£CBLSLIM2
. � SAfLA1000LQIS(71'YfABImYGYH2TSFlAr�9R.9AlL'BESLBID
7. &W0W7MsMV'4Ti7RRMFOUJUNT D3a1G,l6CTIME /N0' .
. -Zl�1FART�6rr101/lRVT7'LIME7,7t.1/2J+AR75DAiiP,
LCOSESAMa.
.. A. GROWRW C3vM?EAM 7D AEl M N, -Cg rr 773
. .. iAR75SVID(lita!%rI'eyg3YlA81!2.PAA•3'?�8•�GfAYB.F
M'r47M CDC17P.M- WF FAVQY AFI'a=(/.�tffi7RV.7W
csL_ssa:a.a TMAU.0WG ,(3MTRm "T--
.. 'ANlL'AEAOgEC 70R'.OpR�Gi7baGJtOf/,'P.OII'WSThgf%l
' �rITIDWp�ild::"pApTIL®VIS
A AIDOt57@IIDIrAf':/Fr�T'1-si!'A'7t.� TWMOnM *ME
04 HM CONT IMC77ROMMYRA-iX A MSWf M rAERA® 70
B7wa)WcFi7E7RBYOl717ifL1 nvz
la R3O7Dir'AWTAEV6RLD0N0tWM 120W UW
LEVEE LL W/ , Aan9M SM CR ON c(WA7m ML WI, to MWINN
'VO SilRCtWIWC� CUMMC77DW CF W I&
11.fIILSf016PECTRW'JAFA�fi7C7rLM7iR9Y0EiARE
REIDYARCLi1YRE/E.L1DAfLSF3a77®DVPIACE
_ sezivniass�r7pv r:: eF M7revTfERtRx 7F7� rRTnGu am
{Q� RACEMD7TEaom%pLLzjwwTo,2v ..
MUS 7V Wfi= CWM
. 5 � I i _, _ u,t4>9MfA,L�'f/�lAA'T.S7A�AYi�Cp7mC�ff7f<E
05 DOM 0 01 n
y, (2TC�Cfa1Q18'YLriGCPR/) ,
.R3'
4 b 18'
N J
4-D1A. SDR35AERFPPEW/1 M
V4' GRAVEL - SLOPE 70 DRAW WA7ERP2OOF
BAIXSIDEOFWAU W/OIBP'WA79WS7M: j
OFE!;s /
• !4 Booz, Q71PL ON4`
N (3.70TAL)
� v n
ui N m
xs •, �, ERP. 12 -vi. -2006
OF
2r2-4"