BLCK (07-0296)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN;
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00000296E
53720 AVENIDA MENDOZA
774-133-011-14 -OOOOOC
WALL/FENCE
COVE RESIDENTIAL
1360
Architect or
4
BUILDING & SAFETY DEPARTMENT
DING PERMIT
PA
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION '
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 License is in full force and effect.
License Class: B - / L' a No.: 257274
Date: ai Contractor: / `W
OW UILDER DECLARATION _
I hereby affirm under penalty of perjury that I am mpt 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 Coder 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 _ 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 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.). -
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
Owner:
NEIL T. BAKER ENTERPRISE INC.
1875 BUSINESS CENTER DR
SAN BERNARDINO, CA 92408
Contractor:
BAKER ENTERPRISES, NEAL T.
1875 BUSINESS CENTER DRIVE
SAN BERNARDINO, CA 92408
(909)884-7241
Lic. No:: 257274
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/29/07
----------------------------------------- - - - - -
=
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury one of the following declarations:
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 Policy Number' , 719 - 0000014
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner soasto become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
' / 370y0 of the Labor Code, I shall fort�with compl ith those provisions. -
Date: / Z JV� /Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPE TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D 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 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
of this county to enter upon the above-mentioned property far insp - ion 7 purp s.
Date:/7-65 Signature IApplicant.or Agent):
Application Number . . . 07-00000296
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 33.00 Plan Check Fee
.00
Issue Date Valuation
1360
Expiration'Date 7/28/07
Qty Unit Charge Per
Extension '
BASE FEE
15.00
.9.00 2.0000 HND BLDG 501-2,000
18-00
----------------------------------------
Special Notes and Comments
---------------
160'L.F OF < 3' HIGH RETAINING
(COURTESY) PER CITY STANDARD. 160' L.F
WOOD FENCE Q REAR INTERIOR SIDEYARD.
Fee'summary Charged Paid Credited
Due .
------ ---------- ----------
Permit Fee Total 33.0.0 .00 .00
33.00
Plan Check.Total .00 .00 .00
.00
Grand Total 33.00 .00 .00
33.00
LQPERMIT
Bin #
Petmit #
Project Address: ?�
A. P. Number: 7 7
Legal Description:
Contractor: C
Address:
City, ST, Zip:
Telephone:
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name -of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Cala.
Truss Cala.
Energy Cala.
Flood plain plan
Grading.plan
Subcontactor List .
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building U* Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, 'CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
p Owner's Name: A
Address: C/
City, ST, Zip: qv
O
Telephonwn
Project Description:ooF
/v
i
ty Lic. #:
Construction Type: Occupancy,:
Project type (circle one): ew Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS UNE
1 I RACIMG.
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2" Review, ready for corrcetions/issue
Called Contact Person
Plans picked up
Plans resubmitted
Review, ready for.corrcetions/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Pian Check Balance
Construction .
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount .
Nov.2. 2007
Citv of LaQuinta
Dept. of Buildinq & Safety
Re: Baker•House ,
Pursuant to City requirements, I have performed Structural Observations of the
house framinq for the above Propertv to the followinq items of work:
1. Anchor bolt size andspacing
2. Shear wall sheathing, nailinq and blocking
3. Header/beam sizes
4. Strappinq at wall openings
5. Beam hardware
R HnIrinwnc
It has been observed that the above items of work have been performed in
accordance with the approved plans.
It is recommended that the city give its approval to the work and authorize the
contractor to proceed with the remaininq work.
FES
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