06-0258 (BLCK)I
P.O. BOX 1504 4 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
r BUILDING PERMIT
Date: 1/17/06
Application Number: 0-6=00000258--i Owner:
Property Address: 53443—VIA-MALLORCA ONARCH HOMES INC.
APN: 772-420-999-46 -298943- 0 3290 EL PASEO #4
Application description: WALL/FENCE D EWPORT BEACH, CA 92660
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6722 AN 2 5 2006
f ; COY ®F L
----------- UINTS ontractor:
Applicant: Architect or Engineer: �INIi�RIC�nVOT ONARCH HOMES DESERT DIV, INC.
73290 EL PASEO, SUITE#4
PALM DESERT, CA 92260
(760)568-3905
/X Lic. No.: 457228
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing_ with
Section 7000) of Division 3 of the B siness and P ofessionals Code, and my License is in full force and effect.
1_7ice Class: B License No.: 457228
ate w � ntraotor.
OWNER -BUILDER DECLARATION '
I hereby affirm under penalty of perjury that I 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
p License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or
i 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 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,
Land 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, 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.).
I—) I am exempt under Sec. , B.&P.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
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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. '
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 DILLARD INS Policy Number 900314
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manne so as to become subject to the workers' compensation laws of California, • ,
and agree that, if I hould be s bject to the workers' compensation provisions of Section
3700 of the Labor ode shall f ' h with these provisions.
naro,/�/-,.Ov AP t
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 t e above information is correct. I agree to comply with all
city and county ordinances and state laws relating to b ildin n tr tion, and hereby authorize representatives
of thi/s_counttyy to enter upon the bove-mentioned prop or in es.
D/ate: i pplicant or Agent): -
4� Z
,.
Application Number . . . . . 06-00000258
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 90.00
Plan Check
Fee
.00"
Issue Date . . . .
Valuation
6722
Expiration Date 7/16/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
5.00 9.0000 THOU BLDG
2,001-25,000
45.00
�.
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Special Notes and Comments
242 L.F.'6' GARDEN WALL, 42 L.F.
3'6"
GARDEN WALL, BOTH ORCO SYSTEM
Fee summary Charged
Paid
Credited
Due
---- ---- - ---------------
Permit Fee Total 90.00
----------
.00
----------
.00.
90.00
Plan Check Total. .00
.00
.00
.00'
Grand Total 90.00
00
.00
90.00
kllf
- LQPERMIT
.
01/17%2006 15:26 FAX 7 3946 AiARCH HOBS 001
s - C,
Bin #
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City Quinta.��
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Building U Safety Division
Permit #
P.O. Box 1504, 78495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name4/4Vk,Ga�
u L
A. P. Number: Address:
Legal Description: 't.t9't' u G.
City. ST, Zip: a,--oc ��-� Q s. "L Co O
Contractor:. t�Aq-c,(J- J&e��
C x)G Tele hone: '� — 3 9 0 f -
P "� �
Address; -Z,7•19 .6k— P&4
EO Project Description:
City, ST, .Zip:
Telephone .S{p 6,9 Q
'
iLic5-/StateLic-#: ty f ••-- �
Arch, Engr., Designer:
Address;
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #;
Project type (circle onc): New Add'n Alter Repair Demo
Name of Contact Person: e Sq. Ft-: # Stories: # Units:
Telephone # of Contact Person: 5--79 01Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Reed TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Coles.
Called Contact Person Plan Check Balance
Energy Cales.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Crading plan
218 Review, ready for correcdonslissuc Electrical
Subeontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up STYLI.
Ii.0.4• Approval
Plans resubmitted Grading
IN HOUSE,:-
'"' Revicw, ready for correctionslissue Developer ImpactFee
Planning Approval
Cnlled Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Dees
.c,