The URL can be used to link to this page

12-0437 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-0 00004 3 Property Ad`dress:�5286-0 AVENIDA OBREGON 7 APN: 773-315-025-6 -000000.- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 1875 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 .icense is in full force and effect. License Class: B Licen No.: 9 128 Dat�vl ' 2-0') �ontr�.r OWNE BUILDER DECLARA ION I hereby affirm under penalty of perjury that I exempt from the ContractDr'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) ofDivision 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 withwagesas 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 pioving 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 contractors) licensed pursuant to the Contractors' State License Law.). " 1 _ 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/20/12 Owner: MILLER RESIDENCE 52860 AVENIDA OBREGON LA QUINTA, CA 92253 " a — Contractor: a ' DANTOR MARTI Z CONSPWC�IONo�� 81057 AVENID R ME 1 INDIO, CA 92 0 (760) 702-62 9 CI�OFL QUINITA Lic. No.: 9 FINAPit __ ----------------------------------------------- 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 work ers'ccompensation insurance carrier and'policy number are: Carrier STATE NTL INS Policy Number 19609972031 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 s o d become sub ec[ to thp ' co pensation provisions of Section 3700 oIthe Labor I wall orth it ompose rovisions. t WARNING: FAILURE TO SECURE W6KER 'COMP 4SAfION COVERAG IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U 0 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 [he Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application'. - 1 . Each'personupon 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 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 application and state that t bove inform tion is correct. I agree to comply with all city and county ordinances and state laws.relating to bu di g constructi n_ , and hereby authorize representatives of this county to enter upon the above-mentioned-prope ty or ins ectio pu poses. Date: T-2 - 115igna�(Applicant•or Agend � Application Number . . . . . 12-00000437 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 43.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1875 Expiration Date 10/17/12 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 2.0000 HND BLDG 501-2,000 28.00 ---------------------------------------------------------------------------- Special Notes and Comments 75' L.F. OF 6' HIGH BLOCK WALL IN BACKYARD CITY STANDARDS. 2010 CODES CONTRACTOR DOING 2 OTHER TRADES WITH B LICENSE. -----7----------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 43.00 .00 .00 43.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 44.00 .00 .00' 44.00 LQPERMIT o KMOTES - OPRIOC YWLLRRMOtl GENERAL NOTES ") \ � � � � � ovu'umnamuaoRwm ll{ifr Aum�mYcoon wu oonmrwmc miocnoaalumomn t.. 3 enouumYamin cmA WJ'poo FlCOs'. _ __ m11101P - . ---_ ❑O® YYICIYRO YLLRMIYP1Y01 Y1W. 110.1 . r _ _ MQ�tl WLLMLLA1pb YYRMMI®MRA ! 1,,� ___ 'Y0001M011 HYCOBAY OBIDQN _3 _ fOYNp1L011 NOf0 - ALL CimIRC OC®ROiW1RNM q01 _ R I O OUGe'�R�>4A'IGlVR4 Yla ' /, /✓- � _ M10MYlMm Yh mAA111AWI{iVIIYMNAML IIm)PIfJ1CAK fiYAYm NOIO. FTG r Xl 1109IB1 cammanmmouwlw WYIW RWO WOG 'pOG7lePam G7 OY�® o�� • - 7� RnoiYWm000iomwlmm wm�uwaW ,;nao n �i.,.-}�5 "G .raa ul000mwm�aomWamu��•'' ' 1 �s - _ i ww-� ioow�iYoa�amwv ew>iew 20 Of co R Q OO J a " - -- -- ' N kc ' vAG11f� vAcwa . LOT44 =r #5 LOT #6 z AVENIDA OBREGON North SITE REFERENCE PLAN . iGVE: IIC.IV '. INFef. ' . o erten Bin. #..•. Cl/ Of . Q[I(17tj .. . Building 8i $afery• D;vislon P.O. BOX .1$O4, 78-495 Calle.Tamptco La.QU1ht;, CA 9225 (760} T77=7012 BuildingPermit:. Iication and Trackin Sheet _ ... App... .. g . _ .. Permit # : P d Addtess:� S2 - Cj G y\ _ Oama's Name . A. P. Number �Kddrtm.1r: Legal Description: Cotrtractor. a h tOr v ( City. ST. Zip. ,�Te'IThone: ' Address: 'PcoJect Descxiptio'n`:� City, ST; tip: Telephone:Rim State Lia # : City Lia; _ SJL2 ✓. r Arch,. BW.. Designer. Address: City' ST. tip: Telephone: i'Construdioa Type: _ Occupancy: State Lia #: ?: Project type(circle one): New Add'n Alper Repair Demo Name of "Coiled Person: �,L( s ' : Sq. Ft.: # Stories: # Unity {•0. ITelepiuonc_#.::ofCotrtaxt'Person -iZb . 7aZ ..�i7 2.d 9rEstimabcd'ValireofProJect:= 2 GG------------ APPLICANT: DO NOT WRITE BROW THIS LINE x;_ . N Submittal Req'd Reed TBACI�VG ` . PERMU FEES Pian Sets Place Geek submitted.' oto �. Amount Structural (:ales. Reviewed, ready, for torr Pious Plan Cbecc Deposit • . Tress Calks. : Called.Contact Person Pian Cli* ei Balance. 'lltle 24 Coles. Places picked uP•• 'Construction Flood plain plan Plans resubmitted . _ Meci mmeal Girding plan ' 2'! Review, ready for c' orrectiona/essue Electrical Subeontactor List Called Contact Person'• Plumbing Grant Deed. Pians picked' up ; S.M.I. H.O.A. Approval Plans resubmitted Grading INHOUSE:- sid Review; readyforcorreetloasltsstte Devdoper Impact Fee Planting Approval,, Called Coutaet Person : A.I.P.P. Pub. Wks. Appr Date of permit issue Se6okil Fees ' Total Permit Fees