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12-0473 (BLCK)4,4 Q" P.O. BOX 1504 7..8-495 CALLE, TAMPICO' LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY, DEPARTMENT BUILDING PERMIT Application Number: r"12=00000473 Owner: Property Address: 58300 ALMONTE, JAMES BLANTON APN: 764-200-006-B -316811- 58300 ALMONTE Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7450 Contractor: Applicant: Architect or Engineer: BADGER CONSTRUCTION, 26965 MERIDIAN STREET HEMET, CA 92544 (951)306-4295 JI� Lic. No.: 634755 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 Li se No.: 634755 te: S_/ontractor: 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 °;A,° permit to files signed statement that he or she is licensed pursuant to the provisions of the Contractor's State �' J License Law (Chapter 9 (commencing with Section 7000) of Division 3 of'the Business and Professions Code) or �A�hat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ^d�pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: (_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: I_ LQPERMIT 1111111 VIII III VIII IIII 37 IE VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/01/12 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— X MPT Policy Number EXEMPT 1 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 Labor Code, I shat orthwith mpll"ith t/hose provisions. 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. I . 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 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 the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives offtthhiis���qu-nt toe er upon above-mentioned property for inspe on purpos atD e: "� 7�� gnature (Applicant or Agent): Application Number . . . . . 12=00000473 Permit . . .. WALL/FENCE PERMIT Additional desc . 'Permit Fee . . . . 99.00 Plan Check Fee .00 Issue Date Valuation . . . . 7450 Expiration Date 10/28/12 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 ----------------- THOU BLDG 2,001-25;000 54.00 --------------------------------------- Special Notes and Comments -------------------- 298 L.F. 61. GARDEN WALL, CITY STANDARD. 2010 CODES. --------------------------------- Other Fees . . . ------------------------------------------- . . . . ... BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid. Credited Due ----------------- Permit Fee Total ------------------------------ 99.00 .00 ---------- .00 99.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 100.00 .00 .00 100:00 LQPERN11T Bin .# :. City. Of La Quthta Buliding 8t Safety Division Box 1504,78-495 Ca11e Tampico 1.a.Quinta, CA 92253 - (760) 777-7012 Building Permit' Application* and Tracking Sheet Permit #P.O. .L,1�►� Project Address: U / /17 p Ile- Owner's Name:. A P. Number. 7t7 — Q— 0 D I Address: 2uz 6 6 /h -i "r' 'K e Legal Description: City, ST Zip: 7` j 4 a i i� f �G ' a S Contactor. li �� q A rte— C.p4yrrlt c lephone: %O �',7 % % 0 ? > Address: a 96"-S M e/"r .7 S' j-- Proje-ctDescription: City, ST, Zip:: ` 'I eYYj e 7� e k, a,-, e. 7 a// Telephone: / r/ 30 611YA %r ',7., E`:. f State Lie. 4: %s� City Lic. M. Arch., Engr., Designer. Address: City., ST, Zip - Telephone: Construction Type•. . Occupancy: State Lie. #:- - .�`�''~� ,... aw :. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft,; #Stones : #Univ: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE it Submittal Req'd Rec'd TRACKING PERMIT FEES- PIQn Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss C21cs• Called Contact Person Plan Check Balance Tide24 Calci. Pians picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan Z•t Review, ready for correctioasrissue Electrical Subcontactor List Called Contact Person Plumbing Grout Deed Pians picked up S.IVL , H.O.A. Approval Plans resubmitted Grading IN HOUSE-, '^' Review; ready for correctionslissue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr ' Date of permit issue School Fees Total Permit Fees Cv� �93 0 0 LMoNTf R b CPN i6�{_Jyo_oo CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 5 -1-/?- BY lUk K) Ed 0 I'd ;o )S-7 I PROPOSAL AND CONTRACT _ ����IIIIIIIIIIIIIIIIIIII 7 67775 92565 4 Date: J a f) f TO %_ u in d-_� ll T6h C'ohS f/ N C�/p/j (hereinafter "Owner"), Telephone no (7Co )S17 propose(s) to furnish all materials and perform all labor necessary to complete the following:[Insert a description of.the work to be done and a descriptionfter of the mate ials to be used and the equipment to be used or Installed, and state /the aWrrress of the lob site.) Cohs�r��t l _ l �e�/hhi�fc q� eX�S�iirr� gdo4e I,a16o cq-ledon �6rffjPyd�e✓-t� ��h� 5 o�h� t -o horfi/► e�sf Pro�e�ty c�r.��r/ �� eh �gais� Q/o,j egsr f sou��e�st �or��s= o��rr-gyelo%`y West' .e j, o yQrgje- fro /hG�uol�s.1zAll 0Ila ©'a /I0�e4���r L,isAej a h d C X %S /hy r�2I, c e lil/� r„ also / h c /u des �'e ro K7ihJ< 4' h 6o rrled C_ //elec-iiJ'� q h w �4er //ham, p 6 �a /h O a i lc�ih� v �'� rr, !f J'o� 'a 4 11n qfQ ,Or: u p4l` ' fy) 4 �� A of the above work Is to pe completedJrba substantial and workmanlike manner according to standard practices for the sum of J �/r'/ e� h �"�70 iye h ah�red �Sghd Progress payments shall be made as follows: Dollars (s l �� SOo ). DO il YO o ODfa //� �ern� /t ee,) du rc/, k a�ei-iQ l aSo a �d � � r� "'v to the value of 6�h e hdr�d %90 per cent ( %) of all work completed. The remaining balance of the ,ontract is to be paid within This proposal Is valid until in . — �Jdays atter completion, 1 �andlfed oft orb 1 re that date, work will commence approximately on -/ y ' 0. 4)and w(II be substantially completed approximately on vl subject to delays caused by acts of God, stormy weather, uncontrollable labor trouble, or unforeseen contingencies. --- -- Any -alteration -or deviation-f.-the`above`specirlcalions, including but not Ilmlted to any such alteration executed only upon a written order for same, signed by Owner and Contion or deviation involving additional malarial and/or labor costs, will be the Contract price of this contract. ractor, and if there is any charge for such alteration or deviation, the additional charge will be added to If any payment snot made when due, Contractor may suspend work on the lob until such time as all payments due have been made. A failure to make payment for a period In excess of cam_ days from the due date shall be deemed a material breach of this contract. Respectfully /Isubmitted, h uG` al Contractor By m C Street Address Name and Registration No. of any Salesperson who solicited or negotiated this contract: City Slate Name: Zip Telephone No. � / No. Contractor's State License No. ACCEPTANCE, You are hereby authorized to furnish all materials and labor required to complete the work mentioned in this Proposal, for which I/we agree to pay the contract price mentioned in this Proposal, and according to the terms thereof. I/we have read and agree to the provisions contained herein, and in any attachments hereto, which are made a part hereof and are described as Owner's Name Street Address City Slate ZIP Business Address �uslness ACCEPTED: ftownerr^g�nature) (Date) Contractors are required by law to be licensed and regulated by the Contractors' State License Board which has jurisdiction to investigate complaints against .contractors if a complaint is filed within three years of the date of the alleged violation. Any ques- tions concerning a contractor may be referred to the Registrar, Contractors' State License Board, P.O. Box 26000, Sacramento, California 95826. WOLCOTTS FORM 584NHIO—PROPOSAL AND CONTRACT (NOT FOR HOME IMPROVEMENT) Mad set)—Rev. 4.93 'See Form 564 for a Proposal and Contract for Home Improvement (padded) 01993 WOLCOTTS FORMS. INC. (price class 130) (This form also available as a padded form - order Wolcons Form 564NHI) or FORM 5640 for a Proposal and Contract for Home Improvement (4 part quad set) Before you use this form, read It, fill In all blanks, and make whatever changes are appropriate and necessary to your particular transaction. Consult a lawyer If you doubt the form's fitness for your purpose and use. Wolcons makes no representation or warranty, express or Implied, with respect to the merchantability or fitness of this form for an Intended use or purpose.