08-0091 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINT A, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00000097:
Property Address: 56205 VILLAGE' DR
APN: 764-030-017- - -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5150
5" Applicant: - Architect or Engineer:
v
VOICE (760) 777-7012
FAX (760) 777'701
INSPECTIONS (760) 777=7153 -
Date: 1/09/08
Owner:
MAKS TOM & MARSHA
56205 VILLAGE DRIV
LA QUINTA,-CA 9225, D
(541)953-2199 rA
Contractor: JAN
BOVENZI HOMES Q,'J�►
56078 PALMS DRIV Fli ()FIA
LA QUINTA, CA 92253
(760)564-8424
Lic. No.: 710230
- LICENSED CONTRA TOR'S DECLARATION -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am "cens r 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 Business and P f o s Codelond my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation; as provided
. License Class: B License No.: 710230
_
for by Section 3700 of the Labor Code, for the performance•of the work for which this permit is
issued.
-----Date: g -g -o Contractor:
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
`Im
Code, for the performance of the work for which this is issued. My workers' compensation
` OWNER -BUILDER DECLARATION
_permit
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT
' following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requites a permit to -
I certify that, in the performance of the work for which this permitis 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 so as to becom u ject 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 uld become s je , o orkers' compensation provisions of Section
L License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions -Code) or
3700 of the Labor , I wi ompl 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).:
J -Date:' / Applican '
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: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 Is 100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, howevei, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
1, 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
704'4, Business and Professions Code: The Contractors' State License Law doesnotapply 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 rk for 180 days will subjects
CONSTRUCTION LENDING AGENCY
permit to cancellation. ,
-. I hereby affirm under,penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have.read this application and state that the above infor tion is ect. I agree to comply with all
- 'work for which this permit is issued (Sec. 3097, Civ. C.1: - '�, -., -
_
city and county ordinances and state laws relatineto*,ngc�oslr t n, a e by authorize represematives
Name:Date:..
of this co ty to enter upon the above-mentionedti n p poseLender's
Signature (ApplicantorAge
Lender's Address:
LQPERMIT
_ Application Number . . . . . 08-00000091
Permit WALL/FENCE
PERMIT
Additional desc .
Permit.Fee 81.00
-_
Plan Check
Fee
.00 '
Issue Date
Valuation
5150
Expiration Date 7/07/08
Qty" Unit Charge Per
Extension
BASE
FEE
45.00
44.'00 •. 9.0000 THOU BLDG
2,001-25,000
36-M: .
---------------------------------
Special Notes and Comments
------------------------------
" 206 LN FT X 6FT HT GARDEN WALLS
PER CITY
STANDARDS AND APPROVED PLANS
Fee summary Charged
'Paid
Credited
Due
- ------- ----------
Permit Fee Total 81.00
----------
.0.0
----------
.00
81.00
Plan Check Total .00
.00
.00
.00
Grand Total 81.00
.00
.00
81.00
r_
LQPERMIT o ..
..
Bin #'
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 = (760) 777-7012
Building Permit Application and Tracking Sheet _
Permit #
Project Address: (Mea
Owner's Name: 'T-
A. P. Number: (030
Address:, i
City, ST; Zip:
3
Telephone: — " -
Project Description: +
Legal Description:'11T_C-�XC�j'
3
Contractor:.
• _
Address: _
City, ST, Zip:
Telephone: 3
State Lic. # : " 10 >O
City Lic: #:
ti
(;
Arch., Engr., Designer: PFJ e
..Address:
City, ST, Zip:
G L J
Telephone:
Constrgdion Type: Occupancy:
State Lic. #:
Project.type (circle one) New . Add'n Alter Repair Demo
Name of Contact Person:. SO_C�L
V S ��t�
Sq. Ft::#Stories:
# Units:
Telephone # of Contact Person:.
i
Y%
•
Estimated Value of Project:
APPLICANT:. DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING _
PERMIT FEES
Plan Sets
Plan Check submitted .
Item'
Amount
Structural Calcs.
'Reviewed, ready for corrections .
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Constructian
Flood plain plan
Plans resubmitted'
Mechanical]
r
Grading plan
2i° Review, ready for correctionsfissue
Electrical
Subcontactor List '
Called Contact Person
Plumbing "
Grant Deed
Plans picked up
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.LP.P
Pub. Wks. Appr
Date of permit issue
School Fees
Total PermitFees
SITE KEYNOTES
01 COLORED CONCRETE SLAB W1 TV FINISH SMOOTH BAND
0.
UZ rL "a I UNE SLAD rLkJk-JM 4
03 CONCRETE STEPS . . . . . . . . . . .
04 FLAGSTONE STEP STONES
05 3X 7'WOOD / W.I. CATE W/ ROU N D TOP.
Santamaria
06 18" RISED CMU PLANTER WALL
07 18" HT. PRE -CAST CONC. COPING Design Associate
08 GAS METER
Desi. S i t e P I a n n i n 9
09 6'HIGH PLASTERED C.M.U. WALL
21 PLASTERE COLUMNS.
22 WATER FEATURE
23 SEWER LINE
24 AUTOMATICALLY ILLUMINATED BUILDING ADRESS NUMBERS
25 2" MTL. FLOOR DRAIN 1% SLOPE
NOTE: Z1_\
1. MECHANICAL AND/OR POOL EQUIPMENT SHALL NOT BE
LOCATED WITHIN A REQUIRED FIVE-FOOT SIDEYARD SETBACK
(LQMC & 9.60.070.B.2).
17
1 09
10 11
-PR—QPERTJ_yA_1UE
5PUN ffE_ PROPERTY LINE
S02039'07"W
If 04
14
P
- — -- — -- — -- — PROPERTYLINE
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
&SETBACK LINE /'13
— — — — — — — — — — — —
. . .......
----------------
..........
21
W�x
...........................
Cascade
71 2 . ......
F 51
07
a gmm 41%
, V -m 1W �
NO
Pool 71
Bar
Swimming pool
5'X28' Nil
14
— — — — — --- — — — — C:k
JI
................. Pool De(lk
CL>
:>
J
M. 35'6"
18
Terrace
�n U
[EJ
LU 400�
LL.J
t 202
+�6 Covereed Patio
toe' 0 C:50
_C1
ry
C3
5
18
. . . . . . . . . . . . .
07
%N0100
.... .......
A 36040'14 CL>
-01 �5. 00 - Y -'O �7 >,,
A
ge-ach Pool
—1 8.10 CN4
1810 — — — — — — 4
0/ MA 15.73'
Z
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37
CD 21 ENTRY
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18.50'
-- --------
n, -- - - - - - - - - - - - - - - - - - - - - - -
08
MOTOR COUR
10.
..........
oil
/15� 7 F
Foil
�12 I _C�
A MM 5
L
L — — — — — — — — — — — — — — — — — — — — —
MEMO t
rl Project No.
7 — — — — — — — — — — —
09 4'-7" 4026 MAKS RESIDENCE
5' SETBACK C11N_E — — — — — — — — — — — — — — — — — —
27
W — — — — — — — --- J
Date
239
.22'
— — — — — — — — P1 ................ [-1
.......... September, 2006
PROPERTYL ... . ..... . . .
z 17 18 — — — — — — —
05
r, 71
05 Drawn BY
EXISTING C 1 0 FLA WIN] TA aff
St
BLOCK WALL EUILDING & SAFETY DEPT.
PPROVED
1 (55.92 BM FOR CONSTRUCTIO
Scale:
ALSO- SITE'BENCHMARK As Noted
SITE PLAN DATEILf -69�, By
L1=7
12 METERS AREA (TEL.,CABLE, ELECTRICAL)
J
13 MAILBOX
14 GAS BARBECUE GRILL
19
15 TRASH AREA
16 N/A
17 CONCRETE APPROACH PER CITY STANDARDS
75-153 Merle Drive. Suite B
18 GROUND PLANTER
Palm Desert. CA 92211
Phone 760.568-3838
19 MAIN ENTRY GATE
Fax 760.836-0856
e-mail smariiadesign000l.com
20 COOL DECK FINISH
21 PLASTERE COLUMNS.
22 WATER FEATURE
23 SEWER LINE
24 AUTOMATICALLY ILLUMINATED BUILDING ADRESS NUMBERS
25 2" MTL. FLOOR DRAIN 1% SLOPE
NOTE: Z1_\
1. MECHANICAL AND/OR POOL EQUIPMENT SHALL NOT BE
LOCATED WITHIN A REQUIRED FIVE-FOOT SIDEYARD SETBACK
(LQMC & 9.60.070.B.2).
17
1 09
10 11
-PR—QPERTJ_yA_1UE
5PUN ffE_ PROPERTY LINE
S02039'07"W
If 04
14
P
- — -- — -- — -- — PROPERTYLINE
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
&SETBACK LINE /'13
— — — — — — — — — — — —
. . .......
----------------
..........
21
W�x
...........................
Cascade
71 2 . ......
F 51
07
a gmm 41%
, V -m 1W �
NO
Pool 71
Bar
Swimming pool
5'X28' Nil
14
— — — — — --- — — — — C:k
JI
................. Pool De(lk
CL>
:>
J
M. 35'6"
18
Terrace
�n U
[EJ
LU 400�
LL.J
t 202
+�6 Covereed Patio
toe' 0 C:50
_C1
ry
C3
5
18
. . . . . . . . . . . . .
07
%N0100
.... .......
A 36040'14 CL>
-01 �5. 00 - Y -'O �7 >,,
A
ge-ach Pool
—1 8.10 CN4
1810 — — — — — — 4
0/ MA 15.73'
Z
P11
V. .................
K: . . . . . ......
IM: LLJ
37
CD 21 ENTRY
1bNC. . . ... -
gED iF.11!1501 i I
Co 11 .1,111 1 Z DRIVEWAy
A C
0/ TERI
Fo
CO a, _J
N,
.... . .... . .
... . . ... .
21
-7
2 oil
(n
MIX.;
spi M
�� 2,f
V
> ED,
z
"let
0
z
21
M
.......... 4
13
...........
_:K
N
18-34'
OR
EL t -A
LLI
.j
18.50'
-- --------
n, -- - - - - - - - - - - - - - - - - - - - - - -
08
MOTOR COUR
10.
..........
oil
/15� 7 F
Foil
�12 I _C�
A MM 5
L
L — — — — — — — — — — — — — — — — — — — — —
MEMO t
rl Project No.
7 — — — — — — — — — — —
09 4'-7" 4026 MAKS RESIDENCE
5' SETBACK C11N_E — — — — — — — — — — — — — — — — — —
27
W — — — — — — — --- J
Date
239
.22'
— — — — — — — — P1 ................ [-1
.......... September, 2006
PROPERTYL ... . ..... . . .
z 17 18 — — — — — — —
05
r, 71
05 Drawn BY
EXISTING C 1 0 FLA WIN] TA aff
St
BLOCK WALL EUILDING & SAFETY DEPT.
PPROVED
1 (55.92 BM FOR CONSTRUCTIO
Scale:
ALSO- SITE'BENCHMARK As Noted
SITE PLAN DATEILf -69�, By
L1=7
19