05-3507 (BLCK)f
%P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00003507
Property Address: 4-434"5—VILLETA DR
APN: 604-174-016-181 -23269
Application description: WALL/FENCE
Property Zoning: 'LOW DENSITY RESIDENTIAL
Application valuation: 1675
Applicant: Architect or Engi
4.- 91�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KING LACEY
44345 VILLETA DR
LA QUINTA, CA 92253
(760)360-5267
Contractor: '
Owner
AUG 0 9.2005 11.
!:!�,,-o--FcL-A-(a-u-1-NTA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing'with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: - License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION '
I hereby affirm under penalty of perjury that I 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
. a y pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
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 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 a. contractor(s) licensed
pursuant to the Contractors' State License Law.). '
(—) I am exemgt under Sec. , B.&PX) for Vis/eason
Date: er:
Vea-,onstruction
RUCTION LEN IN AGENCY
I hereby affirm under penalty of perjury the le ' gagency for the performance of the
work for which this permit is issued (Sec. 3.).
Lender's Name:
Lender's Address: -
LQPERMTT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: - 8/09/05
=----------------------------------------------
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 are: -
Carrier - - - -------------- - - - - -- Policy Number
I certify that, in the performance of the work -for which this permit is issued, I shall not employ any
person in any "manner so as to become subject to the workers' compensation laws of California,
and agree that, if I It 1 c e ubject to thg workers' compensation provisions of Section
.I w _3700 of the L� ode fxwith comply with those provisions.
WARNING: 1=AILURE TO SECUR RK RS' OMPENS TION OVERAGE IS UNLAWFUL, -AND SHALL
SUBJECT AN EMPLOYER TO CRI ALTIES AND IVIL INES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF C017PENSATION, 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 Quinta, 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 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 - -
permit to cancellation.
I certify that I have read this application and state the h ab ve information is correct. I agree to comply with all
city and u y ordinances and state laws relating to construction, and hereby authorize representatives
o/f thN�/s� t o enter port above-mentioned o ins i rp�ses.
Date. �gnature (Applicant o ent):
Application Number 05-00003507
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee.....' 39.00 Plan Check
Fee
.00
Issue Date Valuation -..
1675
Expiration Date 2/05/06
-- - -- --- - - - --- ---------- -- Qty---- --Unit--Charge---Per ---- --- —,_ _ ..:-----=--
- - -
- --Extension-
Extension -BASE
BASE .FEE
15.00
12.00 2.0000 HND ; BLDG 501-'2,000
24:'00
Special Notes and Comments
41-L.F. COMBO WALL, 2' RETAINING,. 51'4"
GARDEN, 30 L.F. 5' GARDEN WALL, BOTH.
ORCO SYSTEM
Fee summary .Charged Paid Credited
Due
Permit Fee Total 39.00 .00•
00
39.00
Plan Check -Total,. .00 .00
.00
.00'
' Grand Total 39.00 - .00
.00•
39.00
LQPERMIT
0
F�
OF 78-495 CALLE'TAMPICO — LA QUINTA,.CALIFORNIA 922534 -
'I'1�'
4 TELEPHONE (760) 777-7012: FAX (760) 777-7011.
OWNER/BUILDER INFORMATION ;
Dear Property Owner:
An application for a building permit has been submitted- in your name listing yourself as the builder of the property
improvements specified.
For your'protection you, should be aware that as "Owner/Builder" you are the responsible party .of record on such a
permit. Building permits are not required to be signed by property owners, unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from- the City or County. They are also required_by law tb put their license number on"all permits, for which they
a apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be -
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the, entire project ,,and such persons are. not licensed as contractors or
subcontractors, then you may be an employer. ,
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security .taj es, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are•especially serious with
respect to worker's compensation- insurance.
For more specific, information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific_ information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale; property owners who are not licensed. contracts are allowed to perform their '
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her. own labor and material personally.
Building permits are not required to be. signed by property owners unless they„are performing their own work
personally.
Information about licensed contractors.may be obtained by contacting the Contractors' State'License Board -in your
community or at i020 N. Street, Sacramento, California 95814.'
i
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
# these matters. The building permit Jvill not be -issued until the verification is returned.
Very, truly yours, ;
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico -
La Quinta, CA 92253
(760) 7 7-7012 '
FAX: ( ) 77 7011
O R'S IGNATU ATE,'
e Qu y l
PROPERTY ADDRESS
PERMIT NUMBER(S) t
CITY OF LA UINTA �--
BUILDING
APPROVED
FORS RUCTION '
S
y�
y
Bin #
1f
X
x
X
-K
Permit f{
3
Project Address: Liq3L
A. P. Number:
Leval Description:
Contractor.
Address:
City, ST. Zip:
Telephone-,
%C
State Lic. #
Arch., Engr., Designer:
Address:
Cite. ST. Zip:
X
X
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
p Submittal
Plan Sets
Structural Cala.
Truss Cates.
Energy Cala.
Flood plain plan
Grading plan
Subcootactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr .
School Fees
City of La Quinta
Building S Safery Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 .
Building Permit Application and Tracking Sheet +-
I e,� Owner's Name: 1
Addrcss: I
a Cin•. ST. Zip: ' 922nd
F Telephone:
Project Description:
Citv Lic. #:
P2
Co
nsttvction
Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
2 Sq. Ft.: # Stories: N Units:
27 stimated Value of Proiec
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING
Plan Check submirted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2' Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
'"- Review•, ready for correctionstissue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S. M.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount
= M E T R O S CAN P R 0—PER TY PR O' F I L E _
Riverside (CA)
*
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<<< OWNERSHIP INFORMATION >>> tR: aj(A 1� fAx Fca.
*
Parcel Number :604 174 016 S:'T:
*
Ref Parcel # :000 000 000 Pos Interest:
*
Owner Name :Blohm Bill i
*
Co0_wn_er : King Lacey _
'Address --: 44-345-Vlleta Dr La ua
Qnta 92253
*
Mai-I:=Address -- : 44345-V-i-lletaJ`Dr"La Quin ta Ca 92253
* .
*
Telephone :Owner: Tenant:
*
*
*
<<< SALES AND LOAN INFORMATION >>>
_________________________
*
Transferred :04/2.9/2005-4• Loan Amount :$100,000
*
Document # :340034 Lender :Ditech Come
*
Sale Price }Loan --Type .:Equity Mortgage
*
Deed Type :Quit Claim Interest Rate, :-Fixed
*
Owned :100. Vesting"fly`pe:Married Persons
*
*
*
<<< ASSESSMENT AND TAX INFORMATION >>>
*
Land :$41,343 Exempt Type
*
Structure :$146,467 Exempt Amount
*
Other Tax Rate Area :20-035
*
Total :$187,810 - <Taxe`s :$`2,,50.5.,90_ �}
*
Improved :'78
*
<<< PROPERTY DESCRIPTION >>>
*
*
*
Map Grid :819 G7,
*
Census : Tract : 452.05 Block 2; t� i'y
*
Land Use :R01 Res,Single Family Residences
*
Legal :LOT 181 MB 205/086 TR 232.69.
*
Sub/Plat :Tr 23269
*
_ Book; :205 Page:86 '.
*
«<.PROPERTY CHARACTERISTICS »>'
*
Bedrooms :4 f Stories :1 YearBuilt:1994' AgPreserve
*
BathFull :2 Units :1 Misclmprv:No
*
Bath3Qtr :1 Bldg SgFt:2,010 Street :Paved ADDITIONAL
*
BathHalf Gar SgFt :504 Waterfrnt:
*
Fireplce :Yes Gar Type :Attached Elect Svc:Developed RmAddtns :Yes
*
Cntrl Ht :Yes Lot Acres:.19 Gas Svc :Developed RmAddSF
*
Cntr1A/C :Yes Lot SgFt :8,276 WaterSrce:Developed AddGarType
*
Pool :Yes s Roof Type:CompositionSewerType:Developed" OthrPkng,
Information compiled from various sources. Real Estate Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
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14�2005 13:'28 7605640344 LA QUINTA •PALMS, PAGE : 01 ,
1
FACSIMILE TRANSMI'T'TAL SHEET
. TQ: PRU�t •
Greg Butler. Laccy'Kisig J
<'(lMl'ANY: 1JATE
,.' 9/14/2005
.' .. -1'O'('q'T. NC). OFCA��S iNCL,I)I�1NG COVF?R:
777-701.9 , 1
PIIONI Ni.;\1Ht.R: SM.NUER'S Rr•h'i:RENfP. D3
NUR.ER;
RG: YOIJa Rr•.•rBRENrr•• NUiMBER?
❑ IJP.Gli.�1'T;„ FOR RLQT.r•UC ❑ Pi.liiASl CC7�IMLiv'r D N.RASTL l(I'PT•.Y" ❑ r1,F+;.,1S.Ir; RF+.Cyf._I fi
r N0T'1''.5/CQ'INIr.N'.I'Si -
Greg,
I think .tha.t'the rneasuxements will be different from the sketch the concfetc to
the'op of the wall. is. 5'7 ao the date will .»or. be� taller thea .tI nteri�r ofthe
wall.
Ifyou have atly gttesti.o.ns, Please Call mc.7.60/564-4104.
Th.a yov.
1
L ey Ding
-a Uinta Palms Realty
sInD1 E181+,N'F1nWL•R DRIVE r�
-'LA QUINTA. CA 92253
161)/564-,1104
r•aX 76(1 564-o344