11-0153 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: f!
11-00000153 - -
Property Address:
52885 AVENIDA CARRANZA
APN:
773-321-007-7 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
1494
c&'t!t 4 4 Q"
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 License is in full force and effect.
License Class: License No.:
Date: Contractor:
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, 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 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. , B.&P.C. for this reasSart—'�
Owr
CONSTRUCTION LENpING\AGEMY
I hereby affirm under penalty of perjury that there is a construction lenNQQjgency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
VERDUGO ELENA
52885 AVENIDA
LA QUINTA, CA
(
Contractor:
Owner
CARRANZA
9225
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/14/11
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 - - - - - - - ---------- - - - - -- Policy Number
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 bec b'ect to the workers' compensation laws of California,
and agree that, if 1 shou becom subject t e workers' compensation provisions of Section
3 00 of the Labor C e, I hall fo hwi[h co ly with those provisions.
fDate. I _�pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPE ATION 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 Ouinta, 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 inform correct. I agree to comply with all
city and county ordinances and state laws relating to buil g nstru ion, and ereb authorize representatives
of this o nter upon the Vie -mentioned pr p fc inspect n purpo
Date: Signature (Applicant or Agent):
Application Number . . . . 11-00000153
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 35.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 1494
Expiration Date 8/13/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
20.00
----------------------------------------------------------------------------.
Special Notes and Comments
TO REPLACE PREVIOUSLY ISSUED WALL
PERMITS THAT EXPIRED 05-4965,07-0004 69
LN FT X 5 FT HT WALL PER CITY
STANDARD.FOOTING /BOND BEAM PREVIOUSLY
INSPECTED.(EXTENDED PER G.BUTLER FEB.
14, 2011).
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
----------------- - - -- --- ------
Permit Fee Total 35.00 .00
----------
.00
35.00
Plan Check Total .00 .00
.00
.00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 36.00 .00
.00
36.00
LQPERMIT
Prepared 14/11, 9:15:55 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program:
BP
BPN200I, Miscellaneous inform
User ID PJUAREZ Application 07-00000004
------------------------------------------------- — ---------------------------------------------------------------------------------
Property Information
.
Address: 52885 AVENIDA CARRANZA
' LA QUINTA, CA 92253
Location ID: 23780
-
Owner name: VERDUGO REYNALDO
APN: 773-321-007-7 -000000-
Alternate ID:
Zoning: RC COVE RESIDENTIAL
Subdivision:
Application Information
Application status: PERMIT ISSUED
Status Date: 1/05/2007
Application type: WALL/FENCE
Application date: 1/02/2007
Valuation: 1494
Square footage: 0
Public building: NO
Reviewed by: ER ED RANDALL
Pin number: 583036
Entered by: ERANDALL
Contractor Information
Contractor Name: • OWNER
Contractor Number:
Type:
Status:
Contractor Requirements Doc Number Exp Date
---------------
------------------------------ ----------
Work Comp Carrier
INSURANCE
STATE LICENSE REGISTRATION
LICENSE CLASSIFICATIONS
Outstanding Inspections
Insp Schedule Confirmation Permit
Pmt
Type ID Date Number Description
--------------- ------ -------------------------------------
Seq
---
Min Max
----- -----
FOOTINGS
00
10
SETBACKS
00
10
BOND BEAM
00
20
FINAL
00
1000
Work Description
Code Description Quantity .
------ ------------------------- --------
CO Information
CO Issue
Str/seq Date Status Description
------- ---------- ------ --------------------
Code Freeform information Date Print flag Permit display Inspection display Co display
BPNT TO REPLACE PREVIOUSLY ISSUED WALL 1/02/2007 Y
BPNT PERMIT THAT EXPIRED. 69 LF 5' BLOCK 1/02/2007 Y
Prepared iy14/11, 9:15:55 Application Inquiry-(BPN200I001) Page 2
Program HTDFTAL Screen detail for Program: BP SPN200I, Miscellaneous inform
User ID PJUAREZ Application 07-00000004
----------- ------------ ---------
Code Preeform information
(Continued)
BPNT WALL PER CITY STANDARD.FOOTING/BOND
BPNT BEAM PREVIOUSLY INSPECTED.
BPNT *****
BPNT REPLACES EXPIRED BUILDING PERMIT
BPNT #05-4965. OWNER/BUILDER GRANTED
BPNT PERMISSION GRANTED TO PROCEED USING THIS
BPNT PERMIT. BY DEADLINE SELECTED BY OWNER,
BPNT THIS PERMIT WILL EXPIRE IF NOT COMPLETED
BPNT BY MARCH 31, 2010.
'BPNT
BPNT ENTERED February 5, 2010 10:43:59 AM
BPNT gbutler.
BPNT Addition extension granted. If not
BPNT completed by June 1, 2010, permits
BPNT expire. (Entered April 19, 2010 9:30 AM
BPNT gbutler.)
Date Print flag Permit display Inspection display CO display
1/02/2007 Y
1/02/2007 Y
2/05/2010
Y Y
2/05/2010
Y Y
2/05/2010
Y Y
2/05/2010
Y Y
2/05/2010
Y Y
2/05/2010
Y Y
2/05/2010 -
Y Y
2/05/2010
Y Y
2/05/2010
Y Y
2/05/2010
.. Y Y
4/19/2010
Y Y
4/19/2010
Y Y
4/19/2010
Y Y
4/19/2010
Y Y
{�' I4Vu�fU
AnMIUISTRATRIF f:ITATIfTIN f:ITATIr1N Nn• I (10 I
00
Qr1TE0 C�Ij"T17
If +)
TIME
-
DAY THEWEEK
LOCA77 O VI LATION
ClSETZMSER
t
NAME {FIRST. MIDDLE. LAST)
BIRTH DATE
ADDRESS
CITY
DRIVER'S LICENSE NO /I. D. M
STATE
EXPIRATION DAT)=
SOCIAL SECURITY B
AGE
RACE
SEX
HAIR
EYES
HEIGHT I
WEIGHT
You are being issued an Administrative Citation for this violation.
Additional violations may result in Criminal Prosecution and/or
additional Administrative fines.
LQMC 6.04.050(G)
LQMC 9.60.240(E-3)
LQMC 8.01.080
Trash Container(s)
Landscaping Standards
Building Permit
in Public View
Required
Offense Penalty
Offense Penalty
Offense Penalty
Dist $100.0ox-
1st $100.00X
Dist $100.0ox
02nd $200.00x
2nd $200.00x
bUnd $200.00x I
133rd $500.00x
3rd $500.00x
113rd $500.00x
LQMC 11.72.030
LQMC 11.80.020
LQMC 9.50.090(A)
Sea
Public Nuisance
Abandoned Vehicle
RC Landsca In_ p g Standards
Sic°
Offense Penalty
Offense Penalty
Offense Penalty
Dist $100.00x_
Dist $100.0ox
Dist $100.0ox
❑2nd $200.00x
02nd $200.00x
112nd $200.00x
❑3rd $500.00x
113rd $500.00x_
Lk3rd $500.00x
LQMC
LQMC
LQMC
Offense Penalty
Offense Penalty
Offense Penaity
[list $100.0ox_
01st $100.0ox
Dist $100.0ox
❑ 2nd $200.00x-
❑ 2nd $200.00x
❑ 2nd $200.00x
❑ 3rd $500.00 x
❑ 3rd $500.00 x _
❑ 3rd $500.00 x
Total amount of fine(s) $
Signature X _ —
Eommenis:
W
�_n
1
Issuing officer {print) Slgnalura Ip Number:
PAYMENT MAY BE M+ADE BY MAIL.y
Enclose MONEYORDER or CASHIER'S CHECK made payable to:>,.
City of La Ouinta, P.O. Box 7275, Newport Beach, CA 92658-7275 �}
mail within 21 days. To check the status of your citation online
go to www.citationinfo.com.
To appeal this citation call:
1-800-861-7422
WHITE - FILE CANARY -PROCESSOR PINK -OFFICER GREEN - VIOLATOR GOLDENROD ." •TUTOR
Bin #
City of La Quinta
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
l
\�J ? ,J
Project Address: S' �NVIF CIP
Owner's Name: — Q %la— er''dcAaO
A. P. Number:
Address: 570, CV fq ZCC
Legal Description:
City, ST, Zip: L c�, 0 01' Ilt-o- C A— q -2—Z
Contractor:
P ( : s• o ;,.... ;a,.::.s.. t.
Tele hone:::>:�'�:::<::»:.:,::�E>..:;;.:
Address:
Project Description:
City, ST, Zip:
Telephone:
.\i%v�JJj¢r.?:Siiii$:i�:v
�:%:>iEy.....�•:..,:.tf,,., :::c.:
l_.tc � Uh Q.�r' �"� X � W �
State Lie. # :
City Lie. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
+;:+:"�'2:e%'SAY:.i;�i';::::i'•�:%�::::%:.`%,.:4<Sw`t:::,
Construction Type: Occupancy:
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:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees