05-4130 (BLCK).l
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
,,05-00004130
47625 VIA MONTIGO
643-120-030-258 -26152.-
WALL/FENCE
LOW DENSITY RESIDENTIAL
1600
Architect or Engineer:
4^' VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/15/05"
Owner:
HANDLER FRANKLIN
47625 VIA MONTIGQ D n
LA QUINTA, CA 92253 /rte a
(
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 Business and Professionals Code, and my License is in full force and effect.
License Cla s: 'C2 _ Lice seNo.: 608806
Date: Contractor:
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
License Law (Chapter 9 (commencing with Section 7000) 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).:
(_) 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 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 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"-
SEP 151005
Contractor:
HASTE MASONRY, RON CITY OF QUINTA
P.O. BOX 655FINANCE DEPT
DESERT HOT SPRINGS, CA 92241
(760)251-1975
Lic. No.: 608806
-----------------------------------------------
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 EXEMPT Policy Number EXEMPT
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 as to become subject to the workers' compensation laws of California,
and agree that, if. I.should become subject to the workers' compensation provisions of Section
*3&70f the Labor �eshalll fo�hcowith those provisions.
Date: pplicant:
W NING: 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 purs6ant 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
perfomed 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 constructi ,and hereby authorize representatives
of my enter upon the above-mentioned prope for inSpel, io purposes.
be Signature (Applicant or Agerit): tV�
Application Number . . . 05-00004130
,
Permit . .' WALL/FENCE PERMIT
Additional desc .
Permit Fee 37.00 Plan Check
Fee
.00
Issue Date Valuation
. ..
. 1600
Expiration'Date 3/14/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
11.00 2.0000 HND BLDG 501=2,00.0
22.00.
Special.Notes and Comments
100 LF 44lf RETAININC WALL ALON4 REAR
P/L. 70 LF' 24"GARDEN WALL. CITY
STANDARD. HOA APPROVAL RECEIVED.
CONCRETE'FLATWORK DOES NOT REQUIRE
PERMIT.
Fee summary Charged- Paid .Credited
Due
% Permit Fee Total 37.00 .00
..00
37.00
Plan Check Total 00 .00
.00
.00
Grand Total 37.00 .00.
00
37.00
LQPERMIT
Bin #
r'
1City of La Quintal
l
-Building-&-Safety-Division —• _
----
Permit #;
'P.O..ox :1564, 78=495 Calle TpiCo
am s ='
I ,
La Quinta, CA 9225-3 - (i64)"777-70111.
Building Permit Application and 'Tracking Sheet
_
Project Address:"� +
Owner's Name:
; '
A. P. Number. _
..
Address.f. 2,< A c
Legal Description: . .
ST, Zip: C1 cwl V\JTPi�.
Contractor: Q
Telephone:' .
Address
Project Description:
City, ST, Zip: j-'� /5�
Alf
Telephone
State Lic. # :. City Lic. #:
Arch., Engr., Designer:
.
Address
fi
City, ST Zrp:. ;
Telephone: "
Construction Type: ccupancy:
y_
State Lic.* ` ,•
Project type (circle one):. New . Add'n Alter Repair Demo
Name of Contact Person: , "t .' y
Sq. Ft.:
# Sfoiies:.
# Unrts:
Telephone # of Contact Person:
Estimated Value of Prqjegl
APPLICANT: DO NOT, WRITE BELOW, THIS LINE
#, •
Submittal
Req'd
Recd,.
" TRACKING__
PERMIT FEES
•
Plan Sets
4'
Plan Check'iubmitted a
Item}
Amount
'
Structural Caks:
Reviewed, ready. for corrections
Plan Check Deposit
'
Truss Calcis. ' (e•
Called Contact Person
Plan C:iecfi Balance
s+
o
Energy Calcs. 1
Plans picked up, _
s
Constriction
A
Flood plaimplan;
`'
Plans resubmitted • -
Mecha aicaL
Grading plane`, ^'
2"" Re_view, ready for corrections/issue
Electrical
pl
SubcontactorList
Called'Contact,Person
Plumbing.
y ..
Grant Deed.
Plans picked u
H.O:A: Approval
Plans resubmitted..
Grading '
IN HOUSE:-. •
''d Review, ready for corrections/issue
Developer Impact Fee -:
-
Planning Approval
Called Contact Person
.I.
Pub. Wks. Appr ,
'Date ofpermit issue
School Fees.
., t
'
Total Permit Fees
Post.Off-ice Box 1398
Palm nese- rA 9" 261
' ;'3-320 El Pasco
P41m Desert, CA 92260
011--lake-La
. .
1 s ociao®
May 31; 2005
Frank & Fran Handler.
4762-1, Via f��ontigc;
La Quinta, CA 9225
Dear. Mr. & Mrs. Handler
Thank. you for your Architectural request. (?n behalf
of The. I.,akc t.aQuij,ta Architectural
Control Committee your request"for an extended patio has been.appi--jved as per your
dravvi.ng sub�nittccf. You are solely responsible for all pertinent perrms and.registrati'ons. Of
course, you are also responsible for any necessary maintenance.
Please retain this copy for your records. If I may be of any further assistance please don't
hesitate to cal!.
On behalf of the. Arch*
tect"I'a1 Committee and the hoard of Directors.. \
Sincerely,
1.ony iv/^?a,ztno, AivlS, CC.:Aiv.1
Comr tnity Manager
Dake i -a Q11nita HOA
cc. fi lC