08-1103 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-0000.1:103_------,
Property Address: 049435 VISTA LUNA
APN: 602-180-999-2 -294574-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5250
T d -4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
Owner:
T D DESERT DEV
P O BOX 1716
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.Date: 6/27/08
r
Contractor: J�� yV
Applicant: Architect or Engineer: BARAJAS MASONRY INC
42901 LIMA HALL ROAD L'/
BERMUDA
ER D45DUNES, CA 92203
3912
Lic. No.: 863760
------------- 11 --------------=-----------------=-------------------------------- ------.-=------------
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 following declarations: ,
Section 7000) of Division 3 of the Business and P fe ierte de ense is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License & 29 a No • 760 for by Section 3700 of the Labor Code, for the performance of the work for which this permit js
/cG issued.
ate: fw ontractor: r - 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 -B l D R DECLARATION insurance carrier and policy number are: '
1 hereby affirm under penalty of perjury that I am exempt from a Contractor's State License Law for the Carrier ZENITH INS Policy Number Z069532601
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance 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 manner so as to become subject 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 should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Code,.l shh co wi ovisions.
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).: ate: scant:
(_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATICOVERAGE 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 IL 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
(_) 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 Code: The Contractors' State License Law does not apply 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 contractorls) 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 _ 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 work for 180 days will subject
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 information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and co my ordinances and state laws relating to building co tryye d hereby au 'ze representatives
of I o enter upon th above-mentioned property fo €ct n pur ores
Lender's Name:
Date: /S nature (Applicant or Agent): '
Lender's Address:
LQPERMIT
LQPERMIT
Application Number 08-00001103
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 81.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
5250
Expiration Date 12/24/08
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
210 L.F. 6' GARDEN WALL, PROTO II
SYSTEM
- Fee summary' Charged
Paid Credited
Due
Permit •Fee Total 81.00
.00
.00
81.00
Plan Check Total eoo
00
.00
.00
Grand Total 81.00 -
.00
.00
81.00
LQPERMIT
Aug 08 2008 11:04 HP LASERJET FAX p.3
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at:
49-435 Vista Luna, Lot 2, Montanas Project, La Quinta; California
CEILINGS:
TYPE: BATTS MANUFACTURER: CERTAINTEED Thickness: R-38
WALLS:
TYPE:8ATTS MANUFACTURER: CERTAINTEED Thickness: R-13
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED Thickness: R-19
GENERAL CONTRACTOR: T.D. DESERT DEVELOPMENT #.76 ZgP
c/o Spark Construction Inc.
BY: TITLE: �6J /�x—
MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE # 221517
(formerly known as Paragon Schmid Building Products)
BY: TITLE: OFFICE MANAGER DATE: 8/8!2008