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07-1400 (BLCK)P.O.. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001400 Property Address: 52965 AV-- ENID RUBIO APN: 773-312-024-11 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 5250 Applicant: Architect or Engineer NIS LICENSED CONTRACTOR'S DECLARATION r `r. r BUILDING & SAFETY BUILDING PERMIT . I hereby affirm under penalty of perjury., that..) am licensed under provisions of. Chapter9.(commencing with Section 7000) of'Division 3 of the Busie •arid•Professionals Code, and my icense is in full force and effect. License Class: - License No.: _ Date �Contractor. Cate AL 71l1577_�Iin _ TT I hereby�affirm:under penalty of_;pe'rlu than am exempt,from�th`e;Contrac`tor's State -License Law,for the ` 'following ;reason (Sec. 7031;5, Busi � ss and'Professi ' Code:.Any'city or county that requires a permit to .construct,. alter, improye,.demolish; r repair any.struciure, prior to its issuance,"also requires the applicant for the permit to file a signed statement that he or'she is licensedpursuant 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 thathe or she is exempt therefrom and the basis for the alleged. exemption. Any violation of Section 7031.5 by a y plicant for a.permit subjects the applicant to a civil.penaliy of not more than five hundred dollars ($500).: as owner of'the property; or my employees with wages as their sole compensation, will do the work, and 'tfiestructure is not intended or offered for sale -(Sec: 7044;.Business and Professions Code: The. Confractors'..State License Law „does;notap'ply to an ownei of'property who builde,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'sdld'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 exclusivelycontracting with licensed contractors to construct the project (Sec. 7044, Business and Profession'ode The, Contractors' State License Law, does not apply to an owner of property who Builds or improves.th_ereon, and who"contracts for the projects with a'contractor(s) licensed pursuant to the'Contractors� State License Law.). ., I—) lam exempt under Sec.. B.&Pt. for this reason Date: qjv d7Owner: A4 L� ONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that t re is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30 7, Civ. C.). Lender's Name: Lender's Address: LQPERAIIT Owner: RC CONSTRUCTION 69-622 WILLOW LANE LA.QUINTA, CA 92253 (-760)831-6042 Contra Owner VOICE (760) 777-7012 FAX (760) 777-7011. INSPECTIONS (760) 777-7153 Date: 5/09/07 WORKER'S COMPENSATIOWDECLARATION I hereby affirm under penalty of perjury one of the following.declarations: I have and will maintain acertificate of consent ioself-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 jnsurance; 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 ' + r• certify that, in the.perfoimance of the work for which this permit is issued, I shall not employ any person in any mannerso.as to become subject to the workers' compensation laws of California, and agree.that,,if,l'sho d;.Ibecome subject to the workers' compensation provisions of Section - 3700ofof the�Labor C shall forttiw(ith,coniply with those provisions. .. Date: 0* Ap'" plican,. _ n e WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN. EMPLOYER TO CRIM AL -PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000) IN'ADDITI TO.THE.COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES., " ` APPLICANTACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for apermit 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.urider or pursuant to any permit issued as aresult 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 actor 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 build( construction; and hereby authorize representatives of thiscountyto center upon the above-mentioned grope inspection purposes. Date: J�T Signature(Applicant or Agentl: Application Number . . . . . 07-00001400 Permit . . . PERMIT Additional desc . .WALL/FENCE . Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . . . Valuation 5250 Expiration Date . . 11/05/07 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 6' X 210 L.F. CITY STANDARD .BLOCK WALL. Fee summary ----------------- Charged -------------------- Paid Credited ---------- Due Permit Fee Total 81.00 .00 ---------- .00 81.00 Plan Check Total .00 .00 .00 .00 Grand Total 81.00 .00 .00 81.00 LQPERAIIT Bin # I°a • • . itjr^V.o-f b'.Qu1n'ta: Building a Safety Division P:O. Box 15,04, 78 '495.Caile; Tampico' La' Qullrta, CA 92.253=. (760):777-701.2 Building Permit A licad and Tracking Sheet ,.pp ..: . Permit # q'� Project Address:* 5Zg65,yt-NiVW— 2 vdko s 'Owner' Name:;QG e4 j�(,ucr* :(.,ou ilAie, A. P. Number: 773. Is , 02� .. Address• .. • � F22 'Wit (OW La'Ns= • Legal Description: C01? &K-17 Ss+eFW - cov ew ro., . t Contractor:s City, ST, zip: C C .CL ` %A Telephone..'7�0 .,•Y3 I= 6 0 .42 Address:' YProject-Description: �yw.' �� :�% C�LaGi C(,(, City, ST, Zip: $D.$t7'�"50 = 2I0 •;C. eF, Telephone: '; z' • _ State Lic. # : City Lid. #: Arch., Engr., Designer: Address: •i City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type.(circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories:,, # Units: Name of Contact Person: .R j GA./i.v0 6� li/L-- Telephone # of Contact Person: 7�0 172' g:3 `Estimated Value of Project:' 013 -APPLICANT DO„NOT VVRITE-BELOW;THIS'LINE N Submittal Req'd ' Recd {TRACICING. PERMIT FEES Plan Sets Plan Check submitted' �b Itcm Amount Structural Calcs. Reviewed, ready for corrections. . -Plan.Check Deposit Truss Calcs. CalledContact Person Plan ;Check Balance Energy Calcs. Plansp�cked.up Construction Flood plain plan. Plans resubmitted Mechanical Grading plan 2°” Review, ready for correctionsrissue Electrical Subcontactor List • Called Contact Person h Plumfiing Grant Deed Plans picked up 4 S.M.It H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready, for;corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P P: Pub. Wks. Appr ' Date, of, permit.issue School Fees Total 'Permit Fees OWNER/BUILDER INFORMATION Dear Property. Owner: . An application for a building permit -has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you, -should' be. aware that as "Owner/Builder" you',are, the responsibleiparty of record on such a permit. Building permits are not required to:be signed by property owners unless_'fhey, are personally performing their own work. If your work is being performed by someone other than "yourself;,, you may protect yourself from possible liability if that person applies•for the proper permit in his,;&her name. Contractors are requiredby'law to be licensed and. bonded -by -the State of California andto have a business license from the City or County. They are also required, by lmw.`to_ put their license number on all permits for which they apply. If you plan to do your, own:;work, with the exception of various trades that' you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage, any persons other .than .your immediate family, .and the,work (including materials and •,other costs) is $200.00or• more' for the entire project, and such persons are not licensed as contractors or subcontractors, then you may bean employer. If you are an employer, you must -register with the State and Federal Government as, an employer and you are subject to several obligations include State.and Federal' income tax; withholding, federal, social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks fare especially serious with respect to worker's compensation insurance. For more specific information about your obligations.under Federal Law, contact the Internal Revenue Service (and, if you wish, the,U.S. Small Business Administration)., For more -specific information about your obligations under State Law„contact the Department:of Benefit Payments and the Division of Industrial.Accidents. If the structure is intended for. sale, property owners who are not licensed -contracts are°`allowed to perform their work personally or through their own employees, without a licensed contractor°oi subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "bwner/Builder” building permit, erroneously implying that the propertylowner is providing. his or her''lown labor and material personally. Building permits are 'not required to be signe& by property owners unless they are performing their own work personally. t Information about licensed contractors may be obtained by contacting they C6n' tractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification., form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned.' Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 7�7-7011 OWNk S SIGNATURE%DATH: uba0 . PROPERTY ADDRESS PERMIT NUMBER(S) 3/8° REIMENT PLASTER (INHERE OCCURS) #4 BAR HORIZ ® 32.O.C. TOP MID & BOTTOM POINT. 8' C.M.U. PM= 1,350 PSI FY= 40,000 PSI If4 BAR VERT. ® 24.O.C. FIN. GRADE. -NEW RESIDENCE FOR: C'a A m Ka" L C)" 5 mop"" E RAZA 106 Mw 4 a . o(2) as BARS CONT. 3- MW. �vTIM WORIM DAYS BEFORE YOU DIG L 422-0133 i 1�00 Call: TOLL FREE CONC SLOCKPR R LINE WALL` ° 1' ` UridergmundService Alert 100.00' • / S_ LOPE 1 % MIN IRIGHT-OF-WAY 0 0 QO) lug F.S. 100.0 DATUM POINT REF 8 N m.00 O' DRIVEWAY AV E N I®A RUB 1 O LA QU 9 NTA, to 92253 NORTH PROPERTY LINE .PROPC METAL GATE PROPOSED W&'xH3' I �! i� t U I PROPOSED of 2 -CAR GARAGE o � C4 I .( f� LJ 0 COVERED ENTRY n u I 5' SIDE SETBACK SLOPE 1%%MIN FINISH FLOOR SHALL BE 12" MIN. ABOVE DATUM POINT AT TOP OF CURB AT CENTERUNEOF LOT. 5' SIDE SETBACK PADS PAD Q' a O v I rn Z. LANbING 5'x12' EF� IruQ N Q� ti] IO SgFkq!nlT rnI Z. II ey N I tv ETAL GATE • ROPOSED W6kH3____1^ SLOPE 1 %% MIN PROPERTY LINE PROPOSED 6' PRECISION BLOCK WALL IT] 100.001 6 O O a 9 G 10 It 01 • PROJECT: PARCEL NUMBER A.P.N. NEW 4 BEDROOMS & 773-312-024 2 BATHS RESIDENCE 2 CAR GARAGE LEGAL ADDRESS: 51q(06AVENIDA RUBIO OWNER: LA QUINTA, CA 92253 CARLOS PERAZA LOT DESCRIPTION 69622 WILLOW LANE LOT 11 BLK 170 MB 019/019 CATHEDRAL CITY, CA 92234 SANTA CARMELITA VALE LA QUINTA UNIT 17 DESIGNER/T-24 DOC/BUILDER ACRES ACRE= 43,560 RC GROUP LOT SQ. FT. 51000 RICARDO AGUILAR QP BUILDER/DESIGNER 66597 DESERT VIEW AVE DESERT HOT SPRINGS, CA 92240 PH:'(760) 272.5183 6' PRECISION:BLOCK WALL SLOPE I% MIN 1 5' SIDE SETBACK PADS PAD Q' a O v I rn Z. LANbING 5'x12' EF� IruQ N Q� ti] IO SgFkq!nlT rnI Z. II ey N I tv ETAL GATE • ROPOSED W6kH3____1^ SLOPE 1 %% MIN PROPERTY LINE PROPOSED 6' PRECISION BLOCK WALL IT] 100.001 6 O O a 9 G 10 It 01 MAY 9, 2007 RICARDO AGUILAR Representative RC CONSTRUCTION GROUP, INC. Owner/Contact 52965 & 52975 AVENIDA RUBIO LA QUINTA, CALIFORNIA. Project Address I'M AUTHORIZING RICARDO AGUILAR TO SUBMIT ANY DOCUMENT TO OBTAIN A BLOCK WALL A/O BLDG. PERMIT TO THE ABOVE ADDRESSES. I'LL HAVE ANY INFORMATION & DOCUMENTATION READY TO COMPLETE THE ABOVE JOB REQUESTED BY.CITY BLDG. DEPT. I WILL LIKE TO HAVE AN OWNER -BUILDER PERMIT & HAVE IT SIGNED ANY FORM BY MY REPRESENTATIVE IN THIS MATTER.