04-5953 (BLCK)Td4f 4 4 a"
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 04-00005953
Property Address . . . . . . 78691 AVENIDA TORRES
APN: 770-172-003-160 -000
Application description . . . WALL/FENCE
Property Zoning . . . . . . . LOW DENSITY RESIDENT
Application valuation . . . . 2275
Owner
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PERALES MIGUEL A
43681 SMURR ST
INDIO CA 92201
Date� 8/17/04
AUG 1 7 2004
CITY OF LA QUINTA
Contractor FINANCE DEFT,
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OWNER
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Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 54.00 Plan Check Fee .00
Issue Date . . . . Valuation 2275
Qty Unit Charge Per Extension
BASE FEE 45.00
1.00 9.0000 THOU BLDG 2,001-25,000 9.00
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Special Notes and Comments
91 LF 6' BLOCK WALL CITY STANDARD AT
REAR P/L.
Fee summary Charged Paid Credited Due
Permit Fee Total 54.00 .00 .00 54.00
Plan Check Total .00 .00 .00 .00
Grand Total 54.00 .00 .00 54.00
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: QL ~ � 95-3 1 Date:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or En gin r s dress:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 U is in full force and effect.
License CI en se No.
ate Contra
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perury Thal I am exempt. from the Contractors' 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 Fla a signed
statement that ha or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and P fessions Code) or that he ar she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
e pplicant to a civil penally of not more than five hundred dollars ($5OO),):
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 sate (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 harselI or 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 bulid or improve for the purpose of sate.).
U I, as owner of the properly, am exclusivefy dbntracting 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 con lractor(s) licensed pursuant to
the Contractors' Stale License Law.).
U I am exempt under Sec. , BA P for this rea n
Date Owner
WORKERS' 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
T I certify that, in the performance of rk for which this pe �iissued. I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califs and a ree that, if I s d becarhe subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with thos revisions.
Jate Applicant
WARNING: FAILURE TO SECURE WORKERS' 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 ATTORNi_Y'S FEES.
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
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 al whose request and for whose benefit work is periarmed 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 Clty of La Qulnta, 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 IN application becomes n u I t 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 that the above information is cored. I agree to comply with all city and county ordinances and stale laws relating to building
con structio , and ereby authorize representatives of this county to enter upon Bove•mentioned pr arty for inspection purposes.
rr L
_ i� ,
Date f 7 Signature (Applicant or Agent}:
6" C.M.U.
f m— '1350psi, Fr 40000psi
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N4 O 32" Horiz
OPTIONAL
10-11/16' 30"LAP ALTERNATE
I
3" CLEAR I ENDS
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2.—p.
GARDEN WALL
Scale: 3/8"
f 6" C.M.U.
f'm= 1350psi. Fy= 40000psi
#4 O 24" Vert O CL
t /4 O 32" Horiz
I f
in
m
OPTIONAL
10-11/16' 30"LAP
ALTERNATE
3" CLEAR BENDS
j4 HORIZ. AS SHOWN T
CITY OF LA QUINTA
BUILDING AND SAFETY DEPORTMENT
GARDEN WALL STANDARD
6" C.M.U.
f'm= 1350psi. Fy= 40000psi
#4 O 24" Vert O CL
#4 O 32" Horiz
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in
v
6 1/4"
`4
ALTERNATE
3" CLEAR BENDS
#4 HORIZ. AS SHOWN T al
I m 16" 6" C.M.U.
f m= 1350psi, Fy= 40000psi
#4 O 24" Vert O CL
/4 O 32." Horiz
1 cc 10
GARDEN WALL `
Scale: 3/8" 1'-0"
a
3" CLEAR
0
#4 HORIZ. AS SHOWN T
v
�5 GARDFN WAI I
Scale: 3/8" = 1'-0"
6" C.M.U.
f -6 1350psi. Fr 40000psi
#4 0 24" Vert ® CL
04 O 32" Horiz
3" CLEAR 1
04 HORIZ. AS SHOWN T
(P GARDEN WALL
Scale- 3/B" = 1'-0" -
N
Scale: 3/8" = 1'-0"