The URL can be used to link to this page

08-1024 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: '08=0.0001624= Property Address: 53347 VIA MALLORCA APN: 772-420-999-43 -298943- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4330 - c&t!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 760) 777-7153 Owner: I RON MOBLEY 53347 VIA MALLORCA LA QUINT% CA 92253 6/16/08 Contractor. Applicant: Architect or Engineer: CF3 LUXURY HOMES INC 122 N. 2ND ST, A-404. PHOENIX, AR 85004 (602)377-5102 LiC No. 874172 LICENSED CONTRACTOR'S DECLARATION 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 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 ass: B License No.: 874172 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - issued., . ate: ,� ntractor&L4 - 1-haand-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-BUILDE 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 ST. PAUL TRAVEL Policy Number 17859010 _ 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, n I sh"be subject to the workers' compensation provisions of SectionLicense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or- 3700 of the Labor with comply with th that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars.($ 500).: rale -401 A am 1 — 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code:- The WARNING: fAl URE TO SECURE ORKERS`COMPENSATI NCOVERAGE 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 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, '(. F 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 _ CONSTRUCTION LENDING AGENCY - permit to cancellation. - 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 theabove information is correct. I agree to comply with all .work for which this permit is issued (Sec. 3097, Civ. C.). - ,city and county ordinances and state laws relating to building co struction, and hereby authorize representatives " - - of this co my t enter upon the ab ve-mentioned operty for i pec ' purpo es - Lender's Name: � _ -- /y Date: i ure (Applicant or Ag :lender's Address: r` - - - LQPER.MIT Application Number . . . . . 08-00001024 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 72.00 Plan Check Fee .00 Issue Date Valuation . . 4330 Expiration Date 12/13/08 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9,.0000 THOU BLDG 2,001-25,000 27.00" --------------------- --- --------------------------------------------------- Special Notes and Comments 200 L.F. 5' GARDEN WALL: 2 A/C SCREEN WALLS, MOTOR COURT, & PROPERTY.DIVIDER WALL, ALL CITY STANDARD Fee summary Charged Paid Credited -------------------`----------------- ---------- Due. ---------- Permit Fee Total 72.00 .00 .00 72.0.0 Plan Check Total .00 .00 00 .00 Grand Total 72.00 .00 .00 72.00 LQPERMTT - 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 # Project Address:15% ► M4- V lir N O Owner's Name: ew •` �� A. P. Number: Address: Legal Description: Contractor:C3 City, ST, Zip: 'x Telephone: rt . 4T.r �C� A— � 64 Project Description:WO (� ( . D City, ST, Zip: f l g� LJr �j fA0JO &"w Telephone:Loo-Z .L9 .4'OCZ State Lic. # : City Lic. #: Arch., Engr., Designer: 2, �,t�, Z A C w�p� �V MXOL C LA S c2&w� Address: Zz N 2`�� i . 171 R� A -4o+. 1?qi iC_-4ftLJ D l Q t 1/ it_ City, ST, Zip: A!a <S5M+ TelephoneQ0Z • (, 5+. 4CO7, State Lic. #: Name of Contact Person: (4 T t ei-A Construction Type: Cca 4U Occupancy: Project type (circle one): 6> Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:woZ • w8f+** . l{-coz, Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person. Plan Check Balance Energy Calcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical 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:- 1,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 Total Permit Fees