06-4401 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00004401
Property Address:
53307 VIA STRADA
APN:
772 -520 -051 -
Application description:
WALL/FENCE
Property Zoning:
LOW-DENSITY RESIDENTIAL.
Application valuation:
8375
Tiht
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
.r
Applicant: Architect or Engineer:
+~ 111►
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LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines, rrtl Professionals Code, and my License is in full force and effect.
License%Class:: B License No.: 820066
DatO. / Contrac or:
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).:
�C (_ 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
L 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, ani 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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
Owner:
BRYCE PERRY
77-955 LAREDO CT.
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/29/06
Contractor: U "11 IJ
ALPHA OMEGA COMMUNICA S INC
42829 COOK STREET SUI 04 JAN 1 20
PALM DESERT,.CA 92211 07
(760)568-1712
Lic. No.: 820066 C��OF�QUINTn
----------------------=------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 AON RISK Policy Number 1488491
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 peeorne subject to the workers' compensation laws of California,
and agree that, if I should ome subject to the workers' compensation provisions of Section
3700 of the Labor s II forthwith comply with those provisions.
1r
Dat :/ Applica :
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 1$100,0001. 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 i � mation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi ruction, and hereby authorize representatives
of this dounty to enter upon the above-mentioned pr i spection purposes.
Da, i�Signature (Applicant or A nt):
Jk
Application Number . . . . . 06-00004401
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . 108.00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 8375
Expiration Date . . 6/27/07
Qty Unit Charge Per Extension
BASE FEE 45.00
7.00 9.0000 THOU BLDG 2,001-25,000 63.00
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Special Notes and Comments
BLOCK WALL PERMIT, GARDEN WALL 335
L.F.X 6' CITY STANDARD.
Fee summary Charged
---------------------------
;� Permit Fee Total 108.00
Plan Check Total .00
Grand Total 108.00
LQPERMIT
Paid Credited Due
---------- ---------- ----------
.00 .00 108.00
.00 .00 .00
.00 .00 108.00
Bin #
City Of La Quinta
Building 8r Safety Division .
Permit # P -O. Box 1504, 78-495 Calle Tampico
O , 'i l " 1 La Quinti, CA 92253 (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 5__�� 7 V 14 Jt lV P4 Owner's Name: X
P57 F�-
A. P. Number: %%Z "-45ZO Address: X —7-7 — 11 �55
Legal Descriptio rt� Cr Lam• Lam+
Contractor: X n
Address:
City. ST, Zip: icfAI "f �7',✓�ZC /?i�`�`
City, ST, Zip"
Telephone: 5Jd —739-4o_i90
Tele h n � PVtS
ate Lic.Name
"1,53(ol
of Contact Person:
Construction T ype:c. Oc cuP ancv:
Telephone # of Contact Person
�
Estimated Value of Project: y,
APPLICANT: DO. NOT W
# Submittal Req'd
. Ree'd Tom,
Plan Sets
Plan Check submitted
Structural Cala.
Reviewed, ready -for Corr
Truss Cala.
Called Contact Person
Title 24 Cala.
Plans picked up
Flood plain plan
'Plans resubmitted
Grading plan
2"d Review, ready for con
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
IN HOUSE:-
'^' Review, ready for cora
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date.of permit issue
School Fees
Plumbing
City. ST, Zip:
Telephone: 5Jd —739-4o_i90
Project Description: +x \,( A -L .
Or"dL : AA -5 L, i" _
Construction T ype:c. Oc cuP ancv:
Pro'ect type (circle one) NcN Add -n Alter Repair Demo
Sq. Ft.: : 4 # Stories: #Units:
Estimated Value of Project: y,
RITE BELOW THIS LINE
KING .PERMIT FEES
Item
Amount
actions
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
•ectionslissue
Electrical
Plumbing
S.M.I.
Grading
:ctionsfissue
Developer Impact Fee
A.I.P.P.
Total Permit Fees
/O oo __