07-3226 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00003226
Property Address:
77320 CALLE DURANGO
APN:
773-161-011-13-000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3500
Td4t 4 4 Qu&&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HENDLER DOLORES
LEE SANDER
Contractor:
Applicant: Architect or Engineer: PRUDEAUX MASONRY, D
57861 JOSHUA LANE
YUCCA VALLEY, CA 92
pJA(760)272-0072
`NN�� Lic. No.: 510555
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p licensed under t ions of Chapter 9 (commencing with
Section 7000) of Division 3 oft Business an rofessional70,1y d my Lyge is in full force and effect.
License Class: C29 i In. 5 5
L
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
any applicant 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, 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 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: ITN/, 7, .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/28/07
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.
VI 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 STATE FUND Policy Number 1863620
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 the workers' compensation laws of California,
and agree that, if u d e me subject the orkers' comp nsation provisions of Section
00 of the La or Code shal forth o with those ovisions.
te: cant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER GE ISUNLAWFUL, 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 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 Quints, 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 appli ion a�relatingjstate that the ab m rmation is rect. I agree to comply with all
city and county ordinances a state to build' g co ruction, h eby authorize representatives
of this co my to nter upon e a v meond grope inspection rpo s.
e:-1-517
ure 1 ant or Ag
LQPERMIT
Application Number . . . . . 07-00003226
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 63.00
Plan Check
Fee
.00
Issue Date . .
Valuation
. . .
. 3500
Expiration Date . . 6/25/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.0000 THOU BLDG
----------------------------------------------------------------------------
2,001-25,000
1.8.00
Special Notes and Comments
140 L.F. 5'-6' GARDEN WALL, CITY
STANDARD
Fee summary Charged
Paid Credited
Due
Permit Fee Total 63.00
.00
.00
63.00
Plan Check Total .00
.00
.00
.00
Grand Total 63.00
.00
.00
63.00
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
Permit #
Box 1504, 78-495 Calle Tampico
toP.O.
La Quinta, CA 92253 - (760) 777-7012
I
Building Permit Application and Tracking Sheet
Project Address: r 2 6 C 4! e Urc, ,�qi Owner's Name:
A. P. Number:
Address: 3
Legal Description:
City, ST, Zip:
Contractor: �✓ G �Q Telephone:
� G a n g ���'-�f•` �;_'�` r
Address: r 0 k
Project Description:
City, ST, Zip: ,, Y,,1/-Q
IY
Telephone: '��� - k7 — �r Z -
'
State Lic. # S- 5Sf.
City Lic. #: ,
Arch., Engr., Designer: G 5 C, r.
Address: 2 1 2 L/I
City, ST, Zip: /7VqC ILL J,-41
'Z? C S
Telephone: CKl -, 2 2 S S
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
C
JWSq. Ft : # Stories: #Units:
Telephone # of Contact Person: —
Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready for corrections/issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
�" Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees