06-3539 (BLCK)P.O. BOX 1504'-.^� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 ,
BUILDING PERMIT
r O Date: 10/04/06
Application Number:. 06-00003539 Owner: f 4
Property Address: 50325 VISTA MONTANA HAMMOND DANIEL E q .
APN: 772-260-004 - - 50325 VISTA MONTANA n O
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: VERY LOW DENSITY RES
Application valuation: 5125
Contractor:
Applicant: Architect or Engineer: JIMENEZ CONSTRUCTION
26900 DOLLAR ROAD
DESERT HOT SPRINGS, CA 92241
n (760)342-7881
IIY' Lic • No. 776632
-------------------------------------------------------------------------------------------------
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 fallowing declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and 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: C29 License No.: 776632 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: - Contractor: _ 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
OWNER -BUILDER DECLARATION insurance carrier, and policy number are:
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier STATE FUND Policy Number 1795093-06 -
following reason (Sec.'7031 .5, Business and Professions Code: Any city or county that requires a permit to 1 certify that, in the perfo rice 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 mann so as o becomes ect 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 [hat, if 1 hould be ome sub' ct o the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700ofthe Labor ode, I s all forth if comply with those pro ns.
that he or she is exempt therefrom and the basis for the. alleged exemption. Any violation of Section 7031 .5 by �C/.,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Ov cant:
�4 (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work; and 000
the structure is not intended or offered for sale ISec. 7044; Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE S 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 ($100,000). IN ADDITION TO THE 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 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
11, 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 .
7044, Business and Professions Coder The Contractors' State. License Law does not apply to an owner of conditions and restrictions set forth on this application. -
property who builds or improv ereon, and who contracts for 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' tate ense Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, -
(_) J am exem t under Sec. , B.& C. for thi ason 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.thework 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 h permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY - permit to cancellation.
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 t at the bove inform nis correct. I agree to comp) ith all
work for which this permit is issued ISec. 3097, Civ. C.): - city and county ordinances and state laws relating o build- g constru and hereby authorize repress a ves
- of this c to nter upon the above-mentioned r pe for inspe ion urpo as.
Lender's Name: -
_ ..at 7 � nature (Applicant or Agen
Lender's Address:
LQPERAIIT -11 7
Application Number 06-00003539
Permit . . . WALL/FENCE PERMIT
" Additional desc .
Permit Fee • . . . . 81..00
Plan,Check
Fee
.00
Issue. Date
Valuation
. . .
. 5125
Expiration Date 4/02/07
_
Qty Unit Charge Per
Extension
BASE FEE
45.00
4.00 9.0000 THOU .BLDG 2,001-25,000
36.00
- --- --------------------------------------------------
- Special Notes and Comments
APPROX. 18.3 L.F. COMBO BLOCK WALL AND
WROUGHT.IRON, WITH (11) 21X2' 6'
PILLARS AT 6' TALL, CITY STANDARD. WALL
HEIGHT APPROX. 513"
Fee,summary" Charged Paid
Credited
Due
-
Permit Fee Total 81.00
---------
.00
--------
00
-
81:00
Plan Check Total 00
.00
.00
.00
Grand Total 81.00
.00
.00
51.00
LQPERMIT
WC %
Bill 9
City of La Quinta
Building U Safety Divis'ion
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Perimit Application and Tracking'Sheet.
Permit # n
3
Project Address: 5 0 3d --S (777rjY4aqt
Owner's Name: j)a V) I 'IE L IM V0 6
A. P. Number:
Address: S03ig-S VlAc, AAoY')4eAv)6-,
Legal Description:
Contractor: M e- Y-) e, _Z_ VI UC+ 0- Y'-)
City, ST, Zip: C -3
ielephone.� � 0 3,�- 3
Address:. CM0 o 0 Y,
Project Description: FY, 0 r)4- 13L-0ck- W0_
City, i L_LJ ST, Zip:
H
hplo-v V93 PT ffiaSOf%" "(I
Telephone:( w o . (7 3 4 V City Lic. #-
State Lic. #
Arch., Engr., Designer:
Address:
City,. -ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic.
Project type (circle one): New -Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft:
i Stories-
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Reqld.:
Rec.1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Rcviewed,.readY for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
.Grading,plan,
2"' Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted.
Grading
IN HOUSE:-
Review, ready for. corrections/issueDe
'
vcloper Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees....'.
0
elevation notes
#O REFERENCE NOTE ON PLAN TYPICAL
1O CEMENT PLASTER TO MATCH EXISTING HOUSE PLASTER
2O BRICK CAP TO MATCH EXISTING
O WROUGHT IRON. FINAL DESIGN PER OWNER
O WROUGHT IRON SLIDING GATE. FINAL DESIGN PER OWNER.
SO PILLAR W/ LIGHT
6O CEMENT PLASTER PILLAR TO MATCH EXISTING HOUSE PLASTER
- rper Ca�'y -
...-+- w
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
�nw t uwa tnrv�ov�-
TO REMAIN
SITE PLAN
SCALE: 1/8"=1'-0"
�i
FEW
10,
PARTIAL FLOOR PLAN
SCALE: 1/4"m1'-0"
r>rn
PARTIAL FRONT ELEVATION
SCALE: 1/4"w1'-0"
FRONT ELEVATION
SCALE: 1/8"s1'-0"
_"GA"EN WALL STANDARD
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ELAVATION
Sheet number
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Date: SEPTEMBER12512006
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ELAVATION
Sheet number
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Date: SEPTEMBER12512006