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09-1120 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001120 Property Address: 80248 VIA TESORO APN: 772-250-019-44 -30357 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1325 T44�v 4 4 Q" Applicant: Architect or Engineer: 4� IPS BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ,r -------------------------------------------------- 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 Class: B ^�� License No.: 777699 ate:,)/ TO 0 .mr.ctor: �/ X11 i 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 ($500)•: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor($) 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: 1 TOLL CA V C/O KEVIN D 8901'E MOUN SCOTTSDALE, Contractor: TOLL BROS, INC. 50400 JEFFERSON STREET LA QUINTA, CA 92253 (760) 564 - 993 0 LiC. No.: 777699 61x09 ------------------ WORKER'S COMPENSATION DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 'TIONS (760) 777-7153 Date: 10/22/09 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. 0. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 7-' Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ZURICH AMERICAN Policy Number WC3878213-03 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 3700 oft -Labor C deCh forthw h comply with those provisions. // \ ate:`(L Applicant: WARNING: FAILURE TO SECURE WORKERS' 0 PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN ES 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 ur 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ofthi ounty to enter up he above-mentioned property for inspectio purposes. aD te: LAignature (Applicant or Agent): Application Number . . . . . 09-00001120 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee. 33.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1325 Expiration Date . . 4/20/10 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 2.0000 HND BLDG 501-2,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 43 L.F. 6' GARDEN WALL FOR TRASH ENCLOSURE & 10 L.F. 6' GARDEN WALL BETWEEN BUILDINGS, BOTH CITY STANDARD. 2007 CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 34.00 .00 .00 34.00 LQPERMIT Oct. 23. 2009 7:51AMCity Of La Quin� ho. 3616 P. 2 Building a SaPery Dat Wan Permit # P.O. BOX 1504, 78-49S Calle Tampko - La Qulnta, CA 9, 253 - (7'60) 777.7012 _11 Building Permit Application and Racking Sheet Project Addtess: O " Q C .� Owncr's'Neme: dI I lUl � A. P. Number: Addraw: Legal Description: City, St Zip, Contractor: Address: City, ST, zip: Telcphone0)S�tl State Lic. # rp Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name, of Contact person; Telephone # of Contact IN to 3ubmledl Plan Sets Structural CGIa, Truss Cala, 'NHe 24 Calla. Piood plain plan Grading plan Subcontactor hist Grant Deed H.O.A. Approval IN HOUM. Planning Approuai Pub. Wks. Appr School Fees �':<Y.'.pi:i$���: �.': )'n'J,b• �3�i�f:N t..: r:..:>�i:�nj TO/TO 3DVcl ld3G 9G-19 VINIiln t1-1 Total Permit Fees TTOLLLL09L OS:ST 6006/7,0/60 CopsCvctjon Type: Occupancy: Project type (zhrle one): New Add'u Alter Repair Demo Mac Ee Sy. I. # Stories: 9Units: T% ` = 0 mom-- Fstimn[ed VedtleofProject: APPLICANT; DO NOT WRITE BELOW THIS LINE 'd Rcs'd TRAC)(CING PERMIT FEES plan Check subtalt0ed Item Amount tlovtetred, ready for corrtctlons Plan ;hcck Deposit Called Contact Peen Pha Check BAIRO t. Plans picked up Coussuetlon ' Ptans resubtolttad Mer! anlcat lievicw, ready for correettawbsuc Elocsalcxl Called Contact person Plumbing I'lans plckcd up S•Ma. Plans resubmitted Graileg ''" Reytew) ready Ibr come 'dons/lsaue Dev*.]oper Impact Fee Called Contact Person A,E�. p. Date, of portals issue TO/TO 3DVcl ld3G 9G-19 VINIiln t1-1 Total Permit Fees TTOLLLL09L OS:ST 6006/7,0/60 TIT `80-2 ------- -- - C9 4' 5 .......... . . N. 37.06 FS 36 9 4 'E S F M-1 T = Fq N W, IT -113— 36.94 37 FS 1694 24- F� Ro .. ........ ------- . II tis;...... .. ...... . ...... CL ..... ........ . FF- = 37.10 PAD 36.6 1 B ......... . ro 36.56 FS 36.56 5' FS : GF:=36.60 5 1 5" GF= L J 60.. A4 T. K6 ty ... ........ A LL. u') co a., 2�, q;;j MH" LL 0 U. 7 4A '01 cl f.o • .0, 37.06 FS co LL. 37.06 W., 3• TF �_ _L —J-06 1,6 1V .jl . . . . . . GD . . . . �O K. pe) 2. el 36.56 to FS QR U - GF: 36.60 CID LLI LA_ CL C/3 3 .0 6 2 "fa 36.2e. "Tc 36.1 a -Ta- 6 FS36.16 TQ L %L Tc�l 5.50.- TC. �5.50. F8 -S' 061 5.66 '58 TC: 11.�v 35j 6 F 0 FS 5,. 34. Tc .1J% -35. FS s7i- 08 ps 2 Rr 3 cq FL -- .00 !;:3' u_ 4 U- rn 00 _._._ - ---- ------------------- CITY TAN) OF LA QUINTA STD. 210 DETAIL ON SHEET 4 ALK (OMAHA TAN) .. ......... ..... ....... C-2 C-2 C-1 Q 12. J 60 �� G A .'' , 'A ,16 A- ILS. 60 �� G 13.3% 3 ... ... ... . . ... .................... ........... ... .. . ....... C.B. I L112 03 ........... l-..___... M) - ... ...oq ------ ............. rf gp n o ...... ...... VIA I ,:!_ SORO ADJUST MANHOLE TO GRADE AND INS ------------- TALL 18"X18" CONCRETE COLLAR AT MANHOLES PER CVWD DETAIL S—B (OMAHA TAN)9QREGRADE EXISTING GOLF COUR: ' )E EDGE 10 ET EI' OF SWALE FROM EXISTING GRADE To PROP ED SW ADJUST CLEANOUT TO GRADE AND INSTALL TX147 CONCRETE RESOD AS REQUIRED WITH PROJECT SOD PLACEMENT COLLAR AT CLEANOUTS PER CVWD DETAIL S-6 (OMAHA TAN) A .'' , 'A A- 13.3% 3 ... ... ... . . ... .................... ........... ... .. . ....... C.B. I L112 03 ........... l-..___... M) - ... ...oq ------ ............. rf gp n o ...... ...... VIA I ,:!_ SORO ADJUST MANHOLE TO GRADE AND INS ------------- TALL 18"X18" CONCRETE COLLAR AT MANHOLES PER CVWD DETAIL S—B (OMAHA TAN)9QREGRADE EXISTING GOLF COUR: ' )E EDGE 10 ET EI' OF SWALE FROM EXISTING GRADE To PROP ED SW ADJUST CLEANOUT TO GRADE AND INSTALL TX147 CONCRETE RESOD AS REQUIRED WITH PROJECT SOD PLACEMENT COLLAR AT CLEANOUTS PER CVWD DETAIL S-6 (OMAHA TAN)