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14-0174 (BLCK)- I P.O. BOX 1504�^� VOICE 760 777-7012 78-495 CALLE TAMPICO 44FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/19/14 Application Number: 14-00000174 Owner: Property Address: 53375 AVENIDA CARRANZA THOMPSON MARIE APN: 774-075-020-8 -000000- 53375 AVENIDA CARRANZA Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL ( Application valuation: 1451 Contractor: Applicant- Architect or Engineer: SANCHO r S LANDSCAPEA 38700 C� Cl/ RANCHO INDIO, CA922203- C 4 OERRITOS D �NN (760)404-7045 i Lic. No.: 921709 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 ionals Code, and my License is in full force and effect. License Class: CS C27 License No.: 921709 Date:P—Jt'\—J�� 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 155001.: (_ 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 Cade: 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.). (_ 1 1 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 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 EVEREST NATL Policy Number 7600009663131 _ I certify that, in the performance of the work fqr/which this permit is issued, I shall not employ any person in any manner so as to become s�bject to the workers' compensation laws of California, and agree that, if I should become sub' ct to the workers' compensation provisions of Section �1/ 3700 of the Labor e, I shall fort ith comply with those provisions. Date( _�l)-M Applicant: WARNING: FAILURE TO SECURE WORKERS' UPENSATION 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 hoia harmless the City of La Quinta, its officers, agents and employees for any act or omission relate 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 w rk is not commenced within 180 days from date of issuance of such permit, or cessation of rk for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informationJheby t. I agree to comply with all city and county ordinances and state laws relating to building construction, aauthorize representatives of this county to enter upon the above-mentioned prope for inspection pur Date�� LJignature (Applicant or Agent): Application Number . . . . . 14-00000174 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . 47.19 Plan Check Fee .00 Issue Date . . . . Valuation . . 1451 Expiration Date 8/18/14 Qty Unit.Charge Per Extension. 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 ---------------------------------------------------------------------------- Special Notes and Comments 65 LN FT X.5 HT BLOCK WALL/ 2 -12" COLUMNS PER APPROVED PLAN AND ORCO DETAILS.2013 CBC ---------------------------- ------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid ------------------------------------- Credited -------------------- Due .Permit Fee Total 47.19 .00 .00 47.19 Plan Check Total .00 .00 .00 .00 Other Fee Total 61.06 .00 .00 61.06 Grand Total 108.25 .00 .00 108.25 LQPERMIT Permit # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal U duinta, CA Y2ZbJ - (/6U) ///-/UIL Building Permit Application and Tracking Sheet Project Address: �� -�� J L Owner's Name: �cs� A. P. Number: Plan Sets Address: Legal Description: Plan Check submitted City, ST, Zip: ©u� CA Contractor:hone Amount Tele P Address: Sb , �� \ u Project Description: City, ST, Zip: Plan Check Deposit Telephone: Truss Cala. State Lic. # Called Contact Person City Lie. #; Plan Check Balance. Arch., Engr., Designer: Title 24 Cala. Address: Plans picked up City., ST, Zip: Construction Telephone: Flood plain plan : t"` > "" ~`' ''"' '"'`' ^>'^ Construction Type: Occupancy: State Lic. #: Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: P� S Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 2' Review, ready for corrections/issue Estimated Value of Project: -S APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed,, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cala. 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 Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for eorrectionsCssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees