05-4763 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA, QUINTA, CALIFORNIA 92253
Application Number:
G 50_0iU_A° 763
Property Address:
48795--VISTA'ESTRELLA
APN:
•649-570-024- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
625
Applicant: Architect or Engin)
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D
. r'T 2 5 2005
CITY®FLA ®HINT®
LICENSE NTRACT R' DECLA TIO
I hereby affi m under. p natty of perju that I am) can ed under ' ovi ions of hapt 9 (commencing with
Section 700 1 of Divi on 3 of the B iness and of sionalsCf de, nd my icens is in full force and effect.
License Clas B Li ' se 7 679
/ Dater ,Z Contractor:
WNER$ ILDERDECLAR T�1 ION
hereby affirm under penalty of perjury that I ' exemp+[from the Contract State License Law for the.
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires 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 signed statement 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).: -
(_ 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 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.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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.). '
(_) I 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.).
I Lender's Name:
i
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/24/05
Owner:
MCPHERSON MICHAEL E
2231 WANANAKEU RD
TOPEKA, KS 66614
Contractor:
HOWARD CONSTR DON DBA CHEROKEE
73180 HIGHWAY 111
PALM DESERT, CA 92260 "
(760)341-0920
Lic. No.: 706794
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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.
1-I'have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the w for which this permit is issued. M rkers' compensation
insurance carrier and policy nu er ar '
Cairier STATE FUND Pp
lim 31276
I ce tify that, in the performa a of k for hi h his permit is i ued, I s'all not employ any
erson in any manner so s to beubject thworkers' co pensati laws of California,
nd agree that, if I shou� becomt tot wo ers' com nsation ovisions of Section
7 the Labor Co , I shall fh com ly wi those ovisions.
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERA E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEI`JVLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, Y.AMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, 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 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 fp ny a or omission related to the work being
. performed under or following issuance of this rmit.
2. Any permit issued as a. result of this applica ' n becomes nu I d void i wo i not commenced
180 days from date of issuance of uch permit, or sation of k for 180 days will su act
permit o cancellation.
I certify th't I have ead this application and state th t the above infor anon is co
ct. I ag a to comp) with all
city and c unty ord nances and state laws relating to building constru ion, and h eby autho ize repre natives
of this co my to e t port the above-mentioned pro y for inspe -_ioq purpos
f (A�. / /
ate 'u v Signature (Applicant or Agent):
Application Number . . . . . 05-00004763
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 19.00 Plan Check
Fee
.00
Issue Date . . . Valuation
. .
. 625
Expiration Date 4/22/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 2.0000 HND BLDG 501-2,000
4:00
------------------- ------------------------ --------------------------------
- -----------------------------------------------------
Special
Special Notes and Comments
25 LF 6' GARDEN BLOCK WALL, CITY
STANDARD AT ENTRY AND SIDE YARD RETURNS. -
Fee summary Charged Paid Credited
Due
Permit Fee Total 19.00 .00
.00
19.00
Plan Check Total .00 .00
.00
.00
Grand Total 19.00 .00
A0
19.00
LQPERMIT
Bin #
City of La Quinta
Building 8Z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0�.A 41 (o3
Project Address:7
' �l�/1 �
Owner's Name:
A. P. Number:
Address: r "95 A,),aeL-7
Legal Description:
Contractor: l' .� f
City, ST, Zip:
Telephone: ,
Proje escription:
Address: 3` l g b i Z° �/ t
City, ST, Zip: ;)"A� /�-YIT
b
Tele hone:
City Lic. #:
/
State Lic. # :
Arch., Engr., Designer:
-14 d
Address:�-7
J l�
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construc ' e.- upancy:
Project type (circle one): New 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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees