08-1953 (BLCK)P.O. BOX 1504 VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
' BUILDING PERMIT
Date: 12/30/08
Application Number: IC -08-0000195 Owner:
Property Address: 53571 .VIA MALLORCA HIDEAWAY DESERT HOMES, LLC.
APN: 772-420-999-50 298943- "326901AGOURA RD. 4180
Application description: WALL/FENCE AGOURA HILLS, CA 91301
Property Zoning: LOW DENSITY RESIDENTIAL (818) 076-3300
Application valuation: 5750 D
Contractor. G
Applicant: Architect or Engineer: G K L INC: ((;,�.//�� n
2 6901 AGOURA ROAD S T 4 fi6c 3 O_ 1 D.
AGOURA HILLS, 'CA 91 0
' (818)676-3313 y
Lib. No. 313667
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` LICENSED CONTRACTOR'S DECLARATION '.. - - `` - WORKER'S COMPENSATION DECLARATION- f
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.: 31366 7 - for by Section 3700, of the Labor Code, for the performance of the work for which this permit is
7 - - issued.'.,
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y 'Da
_ i '�JD Q"I0�Contractor: 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: - - -
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the _Carrier ACE; AMERICAN*IN Policy Number .045602874 -
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 sny 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 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 ($5001::—Date:l`Z<,v �•v� —,_ plicant: -
+ (_ 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 WARNING: FAILURE TO SECURE WORKERS' 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 `
(_ 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,
(_ I 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. - • -
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.). • _ ' 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 purposes. -
Lender's Name:_ -
DaafeVL'3O' 0�igna�"'_" _ ��
ture (Applicant or Ag Agent
Lender's Address:
LQPERMIT
Application Number . . . . . 08-00001953
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 81.00
Plan Check•Fee
.00
Issue Date . . .
Valuation
5750
Expiration Date 6/10/09
Qty .Unit Charge Per
Extension
BASE .FEE
45.00 -
4.00 9.0000 THOU BLDG 2,001-25,000
36.00
---------------
Special Notes and Comments
------------------
---------------
230 LN FT X 6 FT GARDEN WALL PER PROTO
II TYPE AND APPROVED PLANS & 30"HT X
111LN FT PER AJ & ST
Fee summary Charged Paid
Credited
Due`
Permit Fee Total 81.00.
.00 00
81.00
Plan Check Total 00
.00 .00
.00
Grand Total 81.00
_00 .00
81:00
LQPERMIT
Bin #
City of U Quinl;Q
' "Buildin9,8r Safety.Division
P.O. Box 1504,78-4,95 Calle Tampico
La Quinn,..CA-9225'3(760)- '777-7012
Building Permit Application and Tracking Sheet`
Permit #
ProjectAddressi ',53571 VIA. MALLORCA
Owner's Name: HIDEAWAY DESERT HOMES', LLC.
A. P. Number: 777-390-011
Address: 26901 AGOURA RD. #180
Legal -Description; LOT 5 0 C TRACT 29894-3
.Contractor:676-3300''k
PRECISION MASONRY
.City; ST„Zip; CALABASAS , 'CA. 913 01
Tdle hone: 818 ”>`•>
Address: PO BOX 3938
Project Description: BLOCK WALLS'
City, ST, Zip: PALM DESERT., CA. 92261
APPROXIMATELY 230 LFT . OF 6 FT . WALL
ne•(
Telephone: ho 760 7 7:9- 5100
State Lic. # :. 472843
City. Lica
Arch., Engr., Designer:
-
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: CHAD FARRELL
Construction. Type: YP Occupancy:
Project:type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units.:
Telephone # of.Contact Person: (76:0) 404-8803
Estimated Value of Project:
APPLICANT:,DO NOT WRITE BELOW THI tINE-
#
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 Check Balance
Title 24 Calcs.
`
.Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/iss.ue.
Electrical
Subcontactor List
Called.ContactTerso.n
: Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans, resubmitted
Grading
IN HOUSE:-
3"Rcyiew, ready for corrections/issue:
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date.of permitUsue
School Fees
Total Permit Fees
_I
+
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EXISTING ONI N
ZONING
OW
_ L DEN51t1r5 Nt1A
RE D E !_
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LOT A A
L RE
6 2
b
{
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LIVABLE FLOOR AREA,
K
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NO.S STORIES t 15``
a
4
.:
FRONT YARD SETBACK
20_ 0
{
y
511�E` YARD SETBACK 'S t ACK'
_ _6 GRADE
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p
A
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EXISTING ONI N
ZONING
OW
_ L DEN51t1r5 Nt1A
RE D E !_
t
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LOT A A
L RE
6 2
b
{
LIVABLE FLOOR AREA,
5 65 8F.
;
NO.S STORIES t 15``
2
4
.:
FRONT YARD SETBACK
20_ 0
511�E` YARD SETBACK 'S t ACK'
_ _6 GRADE
�
,.
:>
REAR YARD SETBACK
34_ '3/8II
-
LOT COVERAGE
35 q
i