06-1115 (BLCK)P.O. BOX 1504 ,. VOICE (760) 777=7012
' 78-495 CALL&TAMPICO - FAX (760) 777-701:1
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT. INSPECTIONS (760) 777-7153
BUILDING .PERMIT
Date; 3/17/06
Application Number: L06 00001115 `?, Owner.
Property Address: 81244 VICTORIA -'LN . : HUMPHREYS R. C.
D
APN: 764-270-999-137 300234- 81244 VICTORIA LANE
Application description: '' WALL/FENCE LA QUINTA, CA -92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 706
1
Contractor:" �?®®
Applicant:' Aichitect or Engineer:. TOPMAN BUILDERS
P.O. BOX 10202
PALM DESERT, ''CA 92255
(760)772-7296
!" Lic. No.: 455121
-----------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
'I 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 Busine d P sionals Code, and my License is in full force and effect. - f have and will maintain a certificate of consent to self -insure for workers' compensation, as provided "
License Class: B C29 C53 License No.: 455121 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
_ . issued. -
ate: ract r. - I have and will maintain workers' compensation insurance, as required by -Section 3700 of the Labor - �nessrofessions
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATIONinsurance carrier and policy number are:I hereby affirm under penalty of perjm exempt from the Contractor's State License Law for the Carrier CLARENDON Policy Number OlICR-0030-842
following reason (Sec. 7031.5, BusCode: 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 to be c�Zth
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 sh uId be on ect 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 Co , I s Il fo 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 ($500).:.ate: '� h • n -
( -) 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: FAIL E TO S RE-WORKE '.COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of prope y who builds or improves thereon, - SUBJECT AN EMPLOYER TO INALPE LTIES 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 ADDITI 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 OFTHELABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of provingMt he or she did not build or - - -
improve for the purpose of sale.). \ APPLICANT ACKNOWLEDGEMENT -
f _ 1 I, 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 doe' 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, -
(_ 1 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 he I certify that I have read this application and state that the a ov infor a ion, 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 buildin con�tru do , and hereby authorize representatives
of t ' county to enter upon a above-mentioned propertyfo in a ion purpo - -
TAW
- Lender's Name. -•
• - .. • Datet nature (Applicant or' ent): -
Lender's Address: - ,� -
"-LQPERMIT'
~.. Application. Number: 06-0000.1115
' Permit .. WALL/FENCE PERMIT'
Additional'desc:
.Permit*Fed 21.00 Plan Check Fee
.00
Issue.Date Valuation.
706'
Expiration.Date 9/13/06'
:Qty- Unit Cha rge Per
Extension
BASE FEE
15.00
3":06 2.0000.HND BLDG 501-2,0,00 .
6.00.
------------------------------------------
Special Notes and 'Comments
--
.28 L:F. 5' BLOCK WALL,AT FRONT
COURTYARD AND POOL EQUIPMENT SCREEN
WALL, 4 L. F. 6' STEP-UP WALL AT ..
COURTYARD; ALL CITY STANDARD
Fee summary Charged Paid. Credited
Due ...
---------------------------------
Permit Fee Total 21.00 .00 00 :
.21:00
Plan Check Total .00 ".00:
Grand Total : 21.00 .00. .00
21.00•
Bin
City of La Quints
- Building a Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-70'12.:'
Building Permit Application and Tracking Sheet.
Permit:#P.O.
Project Address: p ?sly G� h ►
Owner's Name: T , C Iv M S
A. P. Number:*
Address: LP
Legal Description:
City, ST, Zip: l h b� t N l 0p • -L-L's 3
Contractor: -� N t.
Telephone: 76L X15 '13 S 1"
r ,
Address:'? I 2��
IA
Project Description:
.�
City, ST, Zip: � 4221\
1 0 t axy( PFS z
Telephone:
State Lic. #
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip: '
Telepfione:
a,
,` '
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter.: Repair Demo
Name of Contact Person: YA
Sq. Ft.:
# Stories:
#.Units
Telephone # of Contact Person: 1 . • -:5
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 Cates.
Reviewed, ready for corrections
Plan -Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy. Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2nd Review, ready for corrections/i§sue
Electrical
Subcontactor List
Called'Contact Person
Plumbing
Grant Deed
f
Plans picked lip
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading '
IN HOUSE:-
7rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P. r
Pub. Wks. Appr
Date of permit issue
1,.School Fees.
Total Permit Fees
7-1
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.ENTRY COURTYARD PSALL,:' V H1GH. `
ORCO BLOCK, STUCCOED AND: ; -
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'5' HIGH ORGO BLOCK
_
f' EQUIPMENT BLIND 'WALL,
ICDD
- TYP. (5EE ORGO BLOCK
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DETAIL)'
D SPA AT +16" WITH CONCRETE
STACKED STONE SPILLWAY -AND • ..•
WITH TWO 24" WIDE .SHEER DESCENT__:
.E FIN15H j , . WATERFALLS ,
P . PROPERTY LINE
1-
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+ ' 5TUCCO FACE
5�u FACE
FA
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, TANNING
` SHELF WITH PB
UMBRELLA t
.. SLEEVE - -
PB I -
ADD DOOR ALARMS TO ALL
PB .REAR ACCESS DOORS PRIOR " -
' t TO ENCAPSULATION
. � I PB'
RESI NCE ,i