05-5240 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING.& SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
05-00005240
Property Address:
56745 VILLAGE DR ..
AM:
764-050-00i- - -
Application description:
WALL/FENCE
Property Zoning:*
LOW DENSITY RESIDENTIAL
Application valuation:
450
Applicant: Architect or Engineer:
LICENSED CONT R 'S DECLARATION
I hereby affirm under penalty of rluryIs
hat I am Iii
censed u der ovi ' ns of Chapter.9 (commencing with
Section 7000) of Division 3 of t e Busin sand Professio Is de, n my License is in full force and effect.
licensnsigned
- - - - - - - - nse 814110
- DateContractor:NER ILDER DE LARATION
I hererpenalty o perjur that I am exempt from the Contractor's State License Law for the
followec. 7031 .5 Busi ss and Professions Code: Any city or countythat requires a permit to
constrprove, dem ish, r repair any structure, prior to its issuance, also requires the,applicant for the
permited statemen t 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, 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 town 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, 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.).
(_ 1 I am exempt under Sec. B.&P.C. for this reason
Dater 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,peimit is issued (Sec. 3097, Civ: C.).
Lender's Name:
L'ender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/12/05
Owner:
HOWARD ROBERT F
- 5228-LUBOA AVE
WOODLAND'HILLS, CA 91364
Contractor: D
SANTA ROSA BUILDERS, IN
52050 INDUSTRIAL WAY JA.NC
COACHELLA; CA 92236 O 6...2006
WCC: STATE FUND
L i c . No.: 814110CITY OF LA 45INTA
_ FINANCE DEPT.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 1770379 0 1 / 0 1 / 0 golicy Number B
I certify that, in the performance of the work for which this. permit is issued, I shall not employ any
person in any manner s as to become subjec o t7rorkcos'rcompensationlaws of California,
and agree that, if I shobecomesubjet to he smpensation provisions of Section
700 of the Labor Coe I shall fort ith c wthose provisions.
IDa� " Applicant:
WARNING: FAILURE TO SECURVIN
KERS' COMPEN TION CO ERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDIO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR 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 omthis 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 f611owing 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 ve information. is co t. I agree to comply with all
city and county ordinances ,and state laws relating to build' g onst,uction and ere thorize representatives
of this co�toter upon the above-mentioned propert fo inspec ' urp e
Date:.�ature. )Applicant or Agent):
Application Number 05.-00005240
Permit_ WALL/FENCE PERMIT
Additional desc
Permit Fee 15.00.
Plan Check Fee
.00
Issue Date
Valuation
450
Expiration Date.. 6/10/06
Qty ,Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
Equipment Well (181f 6' combination
retaining/garden wall) City Standard..
Plan red-lined'for compliance. Pool
equipment relocation..
----------------------------------------------------------------------------
Other: Fees . . . . . . . ... HOURLY 'PLAN
CHECK
35.00
Fee summary Charged, Paid
Credited
Due
Permit Fee Total 15.00'.
.00 .00
15.00 .
Plan Check.Total .00.
.00 .00
.00
�- Other Fee Total 35.00
.00 00
35.00
Grand Total 50.00
.00 .00
50.00
r!
- LQPERNIIT
Specs
Page 1 of 4
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Title
1/3 HP Submersible Sump/Effluent Pump'
Item Number'
506701
Model Number
6E -CIA -SFS
Horsepower
1/3
Flow
3000 GPH @ 5' of Head
Cord Length
25'
Shut Off
20'
Voltage
115
Hertz
60
Amps
10
Watts
750
Weight
28.5
Height
10.18
Width
8.39
Length
10.6
Flow Curve
http://www.lgpc.com/Product/Spees.aspx?ProductID=1268
{
11/16/2005
Specs Page 2 of 4
Specs
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S
3000
1.5
11356.2
10
2500
3.0
9463.5
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..City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico '
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Trackig S eet
Permity.5%
C
�J
Project Address: �'— S
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: f
0(�
Project Description: 0\ '
City, ST,Zip:ct�a (�21
Telephone: "6 C� S -7
State Lie. # : City Lie. #:Lrr
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Construction Type: Occupancy:,
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
S4. Ft.:'
# Stories:
#Units:
Telephone # of Contact a on:
1
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Re d
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item .
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Pla ' Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan'
2"" Review, ready for correctiontisu ,
Electrical
Subcontactor List
Called Conta�cfPerson._:.r—=-- - -
- ��
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
�w 04A
Total Permit Fees