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13-0781 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: (-14TAA,Lr(Ae ----------------- 13-00000781 51735 AVENIDA OBREGON 773-123-029-8 -000000- WALL/FENCE COVE RESIDENTIAL 1550 Tiht 4�� ILI�I/ �� VOICE (760) 777-7012 } FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/24/13 Owner: FOREMOST HOMES LLC 70600 COUNTRY CLUB DR RANCHO MIRAGE, CA 92270 Architect or Engineer: Iu LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: B 1 License No.: 926128 %(Date: 6-2 J 'j Contractor: OCy� t��t� o�"lS�t� Cob's "-LL CA -c v� 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).: I _ 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business andProfessionsCode: 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. , BAP.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: LQPERM IT Contractor: DANTOR MARTINEZ CONSTRUC'. 81057 AVENIDA ROMERO INDIO, CA 92201 (760)702-6209 Lic. No.: 926128 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 STATE FUND INS Policy Number 1960997 _ 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 should become subject to the workers' compensation provisions of Section 3700 of the Lab. r Code, I shall forthwith comply with those provisions. Date: —7-4— Plicant: �L YL1- 20 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 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 forany actor 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 that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building const?uction, nd hereby authorize representatives of this county to enter upon the above-mentioned prop for inspection p poses. Date: 6 Signature (Applicant or Agent): Application Number . . . . . 13-00000781 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . . Permit Fee . . . . 61.49 Plan Check Fee .00 Issue Date . . . . Valuation 1550 Expiration Date 12/21/13 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 1.00 14.3000 EA MISC WALL, ADDL 50 LF 14.30 ---------------------------------------------------------------------------- Special Notes and Comments 25LF OF 6' GARDEN WALL AT SOUTH SIDE YARD, 3LF OF 6' GARDEN WALL WITH 5' WIDE GATE AT NORTH SIDE YARD AND 100LF OF 6' WOOD FENCING AT NORTH PROPERTY LINE [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES. June 24, 2013 2:44:10 PM AORTEGA _ ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 61.49 .00 .00 61.49 Plan Check Total .00 .00 .00 .00 Other Fee Total 61.06 .00 .00 61.06 Grand Total 122.55 .00 -.00 122.55 LQPERMIT Bin # City of La- Q.uinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit -Application and Tracking Sheet Permit # 13 -o'ta� Project Address: s' % s. Owner's Name: j A. P. Number: Address: Legal Description: Contractor:°:? City, ST, Zip: :�:`:<::xr: >?z<:c':.;:•. . Telephone :r:'NiKCz{' Address: 010K7 Avewlin Project Description: City, ST, Zip: o — Telephone: 766 702--b 2z 41 3 n <s: .....::... State Lic. # City Lic. #: L - 7 L sF Arch., Engr., Designer: Address: City., ST, Zip: 4a^,--fr Q GU 4 Telephone: P State Lic. #: ;;:.;.. �:<::f>�a;?�:<:•;;�;:<:Y;s' Type:Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: . - # Units: Telephone # of Contact Person: Estimated Value of Project.# (i,2_ 0 Q �l 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 Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. H.O.A.,Approval Plans resubmitted Grading IN HOUSE:- ''d 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 k.. r-. SCOPE OF WORK 10OLF OF 6' HIGHMOOD" FENCI�NG:AT NORTH PROPERTY LINE �j 25LF OF 6' HIGH PRECISION BLOCK WALL.(ORCO SPECIFICATIONS) AT SOUTH PROPERTY LINE G 3LF OF 6' HIGH PRECISION BLOCK' WALL (ORCO SPECIFICATIONS) WITH 5' WIDE GATE AT SIDE YARD