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09-0849 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0;90000084.9_ Property Address: 53443 ROSS AVE APN: 767-200-998-32 -330761- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: •%58` 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GOLBERG RESIDENCE 53443 ROSS AVENUE LA QUINTA, CA 9224 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/05/09 Contractor: O Applicant: Architect or Engineer: DIAZ LANDSCAPE MAINT FR IE 43 INDIO, CA0-360 AVE 92201 I�jryO� 0��0�9 (760)342-8124 LiC. No.: 781250 -------------------------------------------------------------------------------------------------— 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 Professionals Code, 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 Class: C27 License No.: 781250 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. pate: ��-Contractor: _ 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 -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1863181 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 beco subject to the workers' compensation prov ions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor e, I shal fo hwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 4=11 4 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.: •+Date:s = 1 Applicant: (_ 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' COMPENSATION COVERAGE 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 CIVIL 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.). (_) 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.). 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: LQPER 11T 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 apelication 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 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building con 'on, and hereby authorize representatives of this county to enter upon the above-mentioned proms for inspeaio oses. Dat` e Signature-IApplicant_or Agent): LQPERMIT Application Number . . . . . 09-00000849 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 21.00 Plan Check Fee .00 Issue Date Valuation . . . . 758 Expiration Date 2/01/10 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 6.00 u ----------------------------------------------------- Special Notes and Comments 5 FT HT X 35 LN FT RETAING BLOCK WALL PER CITY STANDARDS APPROVED BY A.J. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 21.00 .00 .00 21.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 22.00 .00 .00 22.00 LQPERMIT `Bin # - Y Permit # Project Address: A. P. Number: Legal Description: Contractor: Address: ��- City, ST, Zip:Lf Telephone:- State Lic. # Arch., Engr., Designer: Address: # Units: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: PERMIT FEES # Submittal lbq+d Item Plan Sets Reviewed, ready for corrections Structural Calcs. Plan Check Deposit Truss Calcs. Called Contact Person .Title 24 Calcs. Flood plain plan Construction Grading plan Plans resubmitted Subcontactor List Mechanical Grant Deed 2"a Review, ready for corrections/issue H.O.A. Approval IN HOUSE:- Plumbing Planning Approval Plans picked up. Pub. Wks. Appr S.M.1. School Fees Plans resubmitted Grading CrtY of La Qurnt . a Building &r Safety Division P.O. Box 1504, 78 -495 -Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name:.I— Address: City, ST, Zip: Telephone: s Project Description: �2� � S ' X -35 L `k Construction T e: Occupancy: Project type (circle one): New Add'n Alter Repair Demo : 01 City Lic. Sq. Ft.: # Stories: Total Permit v:: iY•''.: �:i:��;,;..i/.• i * i i'..'.v;�,� r;;`yrr. v +t l� fCir:+^::{�%•..�:ib"��.0:%{i(:ii:L•'r�'}(-{:`, ti•�.: ..fr�.n.ifi...vf �1%ir r% lr�1v r< �:: ;':;:ti,<:>:'.'.•.{rf;�%?' `��: Construction T e: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: APPLICANT: DO NOT WRITE. BELOW THIS LINE Rec'.d TRACMNG PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2"a Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up. S.M.1. Plans resubmitted Grading Review,.ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit 3'-b" HIGHS ST�� ` COLUMN WITH STO CAP co ca v co o1110 SPA DIMEN51c AND DETAILG LAWN b' *- RETAINING WALL. REFER TO ENGINEER'S PLAN. USE CITY OF LA QUINTA STANDARD DETAIL FOUNTAIN FOCAL POINT BY HOME OWNER PLANTING AR \ POTS TYPICAL ii n 3'-O" HIGH STUCCO —` WALL WITH STONE CAP CENTER WALLS ON COLUMNS LAWN NOTE: POOL AND SPA INTERIOR FIN15HED AND TILE SELECTION PER HOME OWNER. NOTE: USE CITY STANDARD DETAILS FOR SCREEN WALL5 AND COLUMNS. 401- UJ I '-b" Hi6HS STWrGO 3'-0" IGH STUCCO ' I3 I COLUMN WITH STONE WALL TH STONE 6 61-0" H16H 511X.0.0 GAP GAP L2.1 WALL WITH STONE 24' -CAP cc 1 � f OOL EGIUIPJ AG i . I,� _ o®�o 6,-0Ir.o. PLANTING G t^-! 2.1 WALK _�n +5 r — �.--------- ,) I SPA -_,_- 1 - ' j 5'-b" DECORATIVE "wc Ell] I ' Iz r . YR0UGHT IRON GATE ® FIR BA7S1 EIFI ! HIS MASTER BEDROOM I I: FOYER 2, I I EXERCISE ... HIS WA SETBACK k*l T/M2,77 T1,171,71 1 11 CD ..I o r LI p I ( HIS OFFICE co A[ 1AN f r------- _�� -----� F-1 ' I I 'moi I FcijNTAI OG m POW I I / co pEpTl !$t! _ TRAVERTINE PAVING N PAC CASA A5HLAR PATTERN co 16L?,D - - 1 _ GR--- i a I, 1-3 s 5" RAI l BOND BE km / mow;. = ' 1 0, 0 C) CL �-9-9 r , �M r � � r � LOCATE FACE OF COLUMNS ON r PROPERTY LINE. CENTER WALL AND z 64" DECORATIVE HWj&T IRON PANELS ON COLUMNS. , STEEL BACKED 6ATE L2.1 E s I I 324' 24' 5'-0• r I N C4 W o c bR. U ,�j• V-6. 6'-00 5'-0' 244 5'-0'r v y 34'-44= r I 24-1 cm mo 5. d Q L2J POOL EQUIP / AC EQUIP. - ` 1-6" 66-08 41-0" 4'-O' H16H STUGCA ► I + .. WALL WITH STONE GAP. /;op�PAr1EL -, l F J RETREAT I , BEDROOM I j l $ ► I I RDROBE - f I RETREAT HER WARDROBE I 1 I o 61-6 COLUMNS WITH 1 GAP. j OBMCE 2�' ! HALL _ /EAT ! ccc f I I 1 N ! RETREAT n cc co 1 I LIVING ROOM j* OD � GA� Y LIBRARY- I (- G + " I J Nof�TH MEDIA I WARDROBE I . L2.1 + b-0 HIGH 5 j N WITH 5 ONE STORAGE . �; I ... , . � r � I j r---------- STONE GLAD COLUMN DEGORA IVE STEEL I BENCHES '' �' "C WITH STONE GAP TO 4 ! ` VEHIGU R 6ATE5 P 1- - - - - ' • fv��IA - .. MATCH ARCHITECTURE. 1 '' , • . .. r''` • • . •. .. . ' • • ; . .. '. � 42' HIGH STUCCO FOYER ENTRY !^ WITH :STONE CAP -AND ENTRY • IKON PANEL.. �. i I • j N L------� POTS cl FOUN IN j PWDR iv 147. -ISOUTH !! Gn BEDROOM 1 TRAVERTINE PAVING - - - - - - - o BATH f� I f ASHLAR PATTERN - -r -L - - -� _ f'.' J > -� G :.. TRAVERTINE BANDS r ( J PAN Y • FOYER 3 BALZ.i r CIA x = _ _nAL49W 4- _ _ -----_ �` l V�8• � �8 �li J ' o aaa SOUTH HALL ENTRY FATHV4i FAMILY ROOM KITCHEN b'-0" HIGH STT O WALLS I —i .. _ TRAVERTINE PAVING 1 ► 1 ) 6 b' S1'000O WALL WITH STONE GAP - �� I _., r L_ _ . I WITH MARBLE INLAY TO MATCH ARCHITECTURE sl ISL r601Vr1A10_C Z4 , V-0" H16H STUCCO WALL WITH ' STONE GAP TO MATCH F 6p --^_.__., . �!' 1 North ARCHITECTURE TYP. S- L3 /-t G 5'-b' DEGORA ►7 6'-0" HIGH STUCCO --. p� �- �!L 1 t" . (iii �� WALL WITH STONE GAP b -8 51 W.G0 COLUMN f WITH STONE GAP TO + lob No. 1 1 -- _ MATCH ARCHITECTURE. -- r-__ 98-09-02 all