10-0380 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000380
Property Address: 50475 VI_STA:.MONTANA
APN: 772-260-007- - -
Application description: WALL/FENCE
Property Zoning: VERY LOW DENSITY RES
Application valuation: ' 16000
Applicant: ' Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENS CO RACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am ceps under prov' ' s of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business. and rofes onals C , and my License is in full force and effect.
License Class: B CB C29 ense No.: 800402
- G•- dtractor. r
4..dof"essions
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjur exempt from the Contractor's State License Law for the
• following reason (Sec. 7031.5, B ess Code: Any.city or county that requiies 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 signedstatement 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).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot 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.).
( I 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 acontractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 1 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:
ti
Lender's Address:
LQPERMIT
Owner -
STACEY BALL
50475 VISTA MONTANA
LA QUINTA, CA 92253
Contractor:
UNITED BROTHERS CONCRETE
P.O BOX 756
THOUSAND PALMS, CA 92276
(760)343-2861
LiC. No.: 800402
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: -4/30/10
-----------------------------------------
WORKER'S COMPENSATION DECLARATION
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.
I have and will maintain workers' compensation' surance, as required by Section 3700 of the Labor
Code, for the performance of the work for w ch this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NORGUARD INS Policy um r UNWC102569
_ I certify that, in the performance of the w rk f which this permit i issued, I shall not employ any
person in any manner so as to become subj t to the wor compensation laws of California,
and agree that, if I should become sub ect t the wor ' compensation provisions of Section
3700 of the abor Code, I shall forth ith C mpl ith those provisions.
Da pplicar VI`n,
WARNING: FAILURE TO SECURE WORKERS' C SATION COVERAGE IS UNLAWFUL, AND SHALL ,
SUBJECT AN EMPLOYER TO CRIMINAL PEN AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR COD REST, 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 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 mission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becom s null nd void' if work is not commenced
within 180 days from date of issuance of such permi , or ce sation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above form ion is correct. I comply with all
city and county ordinances and state laws relating to building cc tructi , and her uthorize representatives
of thip county to enter upo he above-mentioned property for in pe i pur es.
ate:'4-C30-16—nature (Applicant or Agent):
Application Number 10-00000380
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee -171.00 Plan Check
Fee
.00
Issue Date Valuation
16000
Expiration Date 10/27/10
Qty Unit Charge Per.
Extension
BASE. FEE
45.00
14.00 9.0000 THOUBLDG 2,001-25,000
126.00
Special Notes and Comments
640 L.F. 6' GARDEN WALL ALONG SIDE &
- REAR P/L, ORCO SYSTEM. 2007 CODES.
--------------------------.---------------------------------------
Other Fees . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---
Due
----------------- ----------
Permit Fee Total 171.00 .00.
.00
171.00
Plan Check Total .00 .00
00
.00 .
Other Fee Total 1.00 ".00='
00
1.00 -
Grand Total 172.00 .00.
.00
172.00 .
rii Macey,
Here is what I can get from the title company. Do you need it for a landscaper? Shall I contact the seller to see if he has something
better you can use for the landscape architect?
Begin forwarded message:
1
From: "Duran, Greg (TRG)" <Greg.Duran Cc) equitOtle.com>
.Date: April 12, 2010 1:00:35 PM PDT
To: 'Lori Ebeling' <loriebeling@mac.com>
Subject: Map for 50475 Vista Montana - La Quinta.
Greg Duran
Equity Title
Customer Service
This electronic mail message transmission contains information which may be Confidential and/or Privileged. The information is
intended to be for the sole use of the individual or entity named above. If you are not the intended recipient, be aware that any
disclosure, copying, distribution or other use of the contents of this transmission is strictly prohibited.
If you have received this electronic mail transmission- in error, please notify the sender immediately.
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Qty Of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address:
Owner's Name:
A. P. Number:
Address: o /
Legal Description:
City, ST, Zip: ,
Contractor: sTelephone:
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Project Description:
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Telephone:
State Lic. # :
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Arch., Engr., Designer:
Address:
City, ST, Zip:
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Telephone: ' `.... >'
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type. (circle one): ew Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan2°.
Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionstissueDeveloper
Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees