08-1105 (BLCK)Y c
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
Date: 6/27/08
Application Number: X08-00001105 Owner,
Property Address: 49515 VISTA LUNA T D DESERT DEV
APN: 602-180-999-.4 -29457 - P O BOX 1716.
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL WN
Application valuation: - 5250Contractor:Applicant:' Architect or Engineer: ` BARAJAS MASONRY,INC42901 LIMA HALLROADBERMUDA DUNES, CA 92203 760 345-. 912 LiC. No.: 863760'
• 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 theBusiness a Is Code
s, 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 CIVs:
9 e"No.:' 863760 - ° - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
isslJ ��
ontracd.
to `I havvee aannd will maintain workers' compensation insurance, as required by Section 3700 of the Labor.
"Code, for the performance of the work forwhich this permit is. issued. My workers' compensation
OWNER- DER DECLARATION - insurance carrier and policy number are: - _ -
I hereby affirm under penalty of perjury that I am exam m the 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 ;heprovisionsof the Contractor's State - and gree that, if I should ' become u ct workers' compensation provisions of Section,
License Law (Chapter 9 (commencing with Section. 7000) of Division 3 of the Business and Professions Code) or.. 3 0 of the Labor Code, I sh o i, o I h those provisions.
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).: te: l5licant:
(_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATI OVERAGE 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 Cl 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 I, 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 contractor(s) 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 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 -
r work for which this permit is issued (Sec. 3097, Civ. C.). - city and cou y ordinances and state laws relating to building con u ion d hereby authorize representatives "
of is cou y to ter u n the above-mentioned property fo p
- Lender's Name:
Date: Signature (Applicant or Agent):
Lender's Address: - -
LQPERMIT - '
Application Number . . . . . 08-00001105
.
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 .00
.00
00
.00
Grand Total 81.00
00
.00
81.00
LQPERMIT
Rug 08 2008 11:04 HP LASERJET FAX p.`
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:
49-515 Vista Luna, Lot 4, Montanas Project, La Quinta, California
CEILINGS:
TYPE:,BATTS MANUFACTURER: CERTAINTEED Thickness: R-38 .
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED Thickness: R-13
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED Thickness: R-19
,GENERAL CONTRACT T.D. DESERT DEVELOPMENT LICENSE #74,?
7
c/o ark Construction Inc.
BY:
MASCO CONTRACTOR SERVICES OF CALIFORNIA, INC. LICENSE # 221517
(formerly known as Paragon Schmid Building Products
BY: TITLE: OFFICE MANAGER DATE: 8/8112008