13-0628 (BLCK)-e
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO �� FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/17/13
Application Number:
Property Address:
APN:
Application description: .
Property Zoning:.
Application valuation:
Appl'c nt:
13-00000628
52645 AVENIDA OBREGON
773-284-019-6 -000000-
WALL/FENCE
COVE RESIDENTIAL
3717
An
LICENSED CONTRACTOK'S DECLARATION
I hereby affirm under penalty of. peri ry at I am licensed under pr 'isions Chapter 9 (commencing with
Section -7000) of Division 3 of the sin ss and: rofessionals C and m License is in full force and effect.
License Class: B Lice s No.: 9 6190
Dateontra '
OWNER -BUILDER DECLARATION.::.' ,
hereby affirm under penalty of perjury that I dam 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 1$500).:
1 _ j .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.). - -
( _) 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—) 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:
LQPERMIT
Owner:
RW REAL ESTATE, INC.
P.O. BOX 447
LA QUINTA, CA 92253
(760) 619-7611
Contractor:
HUITRON CONSTRUCTION
50427 RIGO COURT
COACHELLA, CA 92236
(760)39873227
Lic: No.: 926190
WORKER'S COMP ENSATIOWDECLARATION
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.
have and will maintain -workers' compensation insurance, as required by Section 3700 of:the Labor
Code, for the pTacef the work for which this permit is.issued. My workers' compensation
insurance carrie'umberare:,. Carrier STATE FUND;`Policy Number 0013718"2012I certify that, in tha of the work for which this permi is issued, I shall not employ any
person in any m -o becom subject to the worker compe anon lawsof California,
and agree that,b come su lectto theworke pensat' nprovisions of Section
3700ofthe Las allf- rth ith comply with h s provisi s. -
R
WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL
SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THECOSTOF 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 behalfthisapplication 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, indemnity and hold harmless the City
of La Quinta, its officers, agents and employees fo any act or omission' related to the work being
performed under or following issuance of thi per it.
2. Any permit issued as a result of this applica n. omes null and void if work is riot enced
within 180 days from date of issuance of C p rmit, or cess tion of work for 1 d s will s bject
permit to cancellation:
I certify that I have read this application and state tha h ab a informa ion is correct.' I a e omply ith all
city and county ordinances and state lawsrelatingto i ing onstructi n, and hereby au r' e r prese atives
of this county to enter upon the above-mentioned p p ty fo inspectio purposes.
Date:-/ ��_V?gdnatuure.(Applicant or Age
Application Number . . . . . 13-00000628
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 63.00
Plan Check Fee
.00
Issue Date . . ..
Valuation . . .
. 3717
Expiration Date . . 11/13/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
-----------------------------------7----------------------------------------
Special Notes and Comments
INSTALL 10 L.F. 5 FT. HIGH BLOCK WALL
AND 140 L.F. 6 FT. HIGH BLOCK WALL ON
WEST AND NORTH SIDES OF PROPERTY PER
APPROVED SITE PLAN AND ORCO BLOCK WALL
DETAIL. 2010 CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
i
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 63.00
.00 .00
63.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 1.00
.00 .00
1.00
Grand Total 64..00
:00 .00
64.00
LQPERMIT
Bin. #
n ' x
Cray of 'La Qurnta
Bullding 8r Safety Division
` P.O. Box 150.4, 78-495-Calle 7ampkco
La,.Quinta,. CA,92253 - (760) 777-7012
Building Permit.:Appr cation and Tracking Sheet
Permit #
Project Address:`Z 6 ,� Z ® i o ~
'Owner's Name:.
A P. Number. I` Uj
Legal Description:
;City, ST, Zip;
Contractor. GoL�o , .
Telephone:
Address:
ProectDescrip6on:7 •1.1 \q��
City, ST, Zip:pp c1J.1�
Telephone: b� y S7
''£r
'City Lia
State Lie. # :
Arch., Engr.; Designer.
�Q �• 'f iB(� S i
Address:
Ll e-eid
City, ST, Zip:
Telephone: Y Eons ction Type:. Occupancy:
.Y
State Lie. #: ;,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 Q
APPLICANT: DO NOT,WRITE BELOW; THIS LINE.:
#
Submittal
Req'd ,
Rec'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted '
Item , _ Amount
Stractural,'Cales.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss C.I..
..Called. ContactPersori'Pias
Check Balance
Title 24 Calcs.
Plans Ocke'd up
Coasiractloa
Flood plain plan'
Plans resubmitttd, :
Mecharilcal
Grading plan
2'! Review, ready for corrections/isaue
Electrical
Subeoatoctor IAst
Called Contact Person
=Plumbing
Grant Deed
Pians pieked up
H.O.A Approval
Plans resubmitted
Grading ,
IN HOUSE:-
1i6 Review; ready tor,eorrections/issue '
Developer Impact Fee
Plsaalug Approval
Called.Contaet Person
A.I.P.P.
Pub. Wks. App -Date
of permltlssue f
School Fees
Total Permit Fees
5�,6 4i5
1