06-2501 (BLCK)t'_�
"1!
016.1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
j`_06-00002501 -
Property Address:
49045 VISTA ESTRELLA
APN:
649=580-023- - -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
950
Tdy/ 4 4 Qu &
Applicant: Architect or Engineer:
W
J
LIEENSEDIP;I ACTOR'b DECLARATIO
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm nder p nalty of perjury t I amFressional
seV,andmyLi
Ch r9 (commencing with
Section 7000 of Divi on 3 of the Busi ss and i a is in full force and effect.License C s B n 94Date: 2ti ntractor:
OWNE -ON
I hereby affirm under penalty of perjury that am exempt from the Contractor's 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 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 -
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 (Seo.
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 -
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:
Lender's Address:
LQPERMIT
Owner:
LARY HIGBY
49045 VISTA ESTRELLA
LA QUINTA, CA 92253
Contractor:
HOWARD CONSTR DON
73180 HIGHWAY 111
PALM DESERT, CA 92
(760)341-0920
Lic. No.: 706794.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/06
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 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 a
Carrier STATE FUND P cy Nu er_.,,IA276
I certify that, in the performance the work hich t is permit is issu , I all not employ any
pers in any manner so as become s ect to the o kers' com s on laws of California,
and gree that, if I shoul ecome subj to the w k s' compe ti provisions of Section .
37 0'o/o''f the Labor Co , I shall forth ith comp) it those pr isi s.
Date (r plicant:
WARN G: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES 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 Quima, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit. '
2. Any permit issued as a result of this application become d void if work is 7n9oarimenced
within�180 days from date of issuanceof such per ' , or cess do work for dyswllsubject
permit to cancellation.
I certify that I have read this application and state that the ove inform is corre t. I' a comply ith all
city and co my o dinances and state laws relating to build' g constru io and her y'ut orize repre atives
of thio rly to/cnter upon the above-mentioned propert for inspe io purposes
Date ` 6 gnature (Applicant or Agent):
Application Number . . . . . 06-00002501
-
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee 25.00 Plan Check
Fee
.00
Issue Date Valuation
.. . .
. 950
Expiration Date 12/20/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HIND BLDG 501-2,000
10.00
20
---------------------------------------------------------------------------
Special•Notes and Comments
38 LF 6' BLOCK WALL PER CITY.STANDARD
Fee summary Charged Paid Credited
Due
Permit Fee Total 25.00 ..00
.00
25.00
Plan Check Total .00 .00
.00
.00
Grand Total 25.00 .00
.00
25.00
}
LQPERMIT
.
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504,.78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.#
I
Ll
Project Address: V/ / U L/SVtJ74 & ttcLy,
Owner's Name: A
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: G
Telephone;
Q
Project Description:
Address: - d �t j `�l
City, ST, Zip:, zzo.
Telephone:
State Lic. #
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
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
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading. plan
2" Review, ready for corrections/issue
Electrical
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked• up
S.M.I.
H.O.A. Approval:
Plans resubmitted
Grading .
IN HOUSE:-
''" Review, ready for correctionslssue.
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees