07-1396 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001396
Property Address: 52975 AVENIDA RUBIO
APN: 773-312-025-12 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 3250
C&tyl 4
BUILDING & SAFETY'DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
i�
II-
----------------- - --- - - - - - - - - - - - — — — — — — — — — — — — — — — — -
- LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury. that.l'.am.licensed underprovisions of Chapter 9, (commencing with .
Section7000)of Division 3 of the Business and Professionals Code, and my License isin full forceand effect.
License Class: License No.:
Date: S.' --'f Contractor: d "f
•... OWNER -BUILDER DECLARATION
I -hereby affirm under penalty°of peri y that I am exempt from the Contractor's State License Law for the
,following reason (Sec. 7631.5, Busi ess and Professions Code: Any city or'countythat requires a permit to -
construct, alter, improve, demolish, or repair any structure, prior to its issuance, -also requires the applicant for the
permrtiio,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 Section7000) of Division,3 ofthe'Business and Professions Code) or
that he o she. is exempt therefrom and the basis for the alleged exemption. Any, violation,of Sktion_7031 .5 by
any ep' uca nt,foc a. permit subjects the applicant to a civil penalty, of'not more than five. hundred dollars.($500).:
1 I, as owner -of the property, or, my, employees with wages as their sole compensation will do the work, and
the structure is notintendedor offered for sale .(Sec. 7044, Business and.ProfessionsCode: The
.Contractors' State License Law does not apply to - an owner ofproperty who build's.or improves thereon,
and who does the workhimself or herself Through his or'.her`own employees, provided thatthe -
' ,improvements.are.not intended or offeretl'_for sale:• If, however, the building or. improvement is sold within
i.one year of completion, the owner-ouilder will have the burden of proving that he or she.dio 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' StateLicenseLaw 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.Q. for this reason
i
CONSTRUCTION
LENDING AGENCY
I hereby affirm under penalty of perjury that te is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 30Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
RC CONSTRUCTION
69-622 WILLOW LANE
CATHEDRAL CITY, CA 92234
(760)'831-6042
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/09/07
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. SectioW3700 of the Labor Code, for the performance of.ihework for which'this permit is
,issued.
_ I have and will maintain workerscompensation insurance; as required by Section 37-00 of the. Labor
�•• Code, for. the performance.of the work for which this permit isIssued. My workers' compensation
insurance carrier and policy number are: - -
Carrier - - - -.01, - - - -' = - Policy Number
certify that,.in theperformanceof 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 shou become subject to the workers' compensation provisions of Section
X3/700 -of the Labor Co , (-shall forthwith comply with those provisions.
fb-at
•*T Applicant,_- t "
WARNING: FAILURE TO -SECURE RKERS: COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AWEMPLOYER TO CRIM AL PENALTIES AND.CIVIL FINES UPTO ONE HUNDRED,THOUSAND
DOLLARS O100,000). IN ADDITI N TO THE. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ,
SECTION 3708 OF THE LABOR C DE,: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. t
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 actor, omission�relaied 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" g construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pro r inspection purposes.
4L 0� Signature (Applicant or Agent
):ate$r):
LQPERMIT
I
o � t
Bin #
r•
C! of La Quetta
Bilildingw Safety. Division
P.O. Box 1504; ,78-495 Calle Tampico
Permit #
La Quinta, CA 92253-. (760) 777-7012
Building PermICAppllcatlon `and Tracking Sheet
Project Address: S2g">15' AlerJ(QA f
Owner's Name: `/`L o�� � jpN`.61Lai1 fNG
A. P. Number: 7 -2 , Q� Z S
Address: I.I)IU;o(N A 4
Legal Description../Zt16LK 170 Wr'CAAAIVL ffo
City, STZip: 1A A Hi VA L CM04 TZ754,
Contractor:
, *n' r ,
Telephone: &6 15 6 e'. 2
Address:
Project Description:
City, ST, Zip:
'
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
3
City, ST, Zip:
.'
Telephone:
x Construct
1_ , ,ion Type:' Occupancy:
.State Lic. #:
aProjecitype (circle one): ,New fAdd'n Alter Repair Demo
Name of Contact Person: Q jQW-QO A6 f;(A&
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: bo ?�?:. S�
Estimated Value of Project:.
APPLICANT:,, DO NQT.:WRITE BELOW'.THIS`LINE
#
Submittal
Req'd
Ree'diTRACHING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for, corrections '
-Plan Check Deposit
Truss Calcs.
Called,Contacf"Person.
Plan Check Balance
Energy Calcs.
Plans picked up
_Construction
Flood plain plan.
Plans resubmitted
�, ; ...
Mechanical
Grading plan
2"".Review, ready, for correctionsfissue-
5
Electrical
Subcontactor List
'Called„Contact Person
Plumbing
Grant Deed
!
Plans picked up
S.M.I: .
H.O.A. Approval
Plans resubmitted
Grading ,~
IN HOUSE:-
''” Review, readyfor corrections/issue
Developer'Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
:A
TotaLPermit Fees
31PLASTERENT #4 BAR HORIZ
(INHERE OCCURS) ® 32' O.C. TOP
MID & BOTTOM POINT.
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°P FY= 40,000 PSI
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RIGHT -OF -WAY -
PROJECT: PARCEL NUMBER A.P.N.
NEIN REST DENSE FOR: BLOCK WALL PERMIT 773-312-025
LEGAL ADDRESS:
52975 AVENIDA RUBIO
c"O;ARLOS OWNER: LA QUINTA, CA 92253
TWO Wows DAYS BEFORE YOU 010
422-4133
1-800
Cali: TOLL FREE
Undergroilnd 3ervi�Alert
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CARLOS PERAZA
69622 WILLOW LANE
CATHEDRAL CITY, CA 92234
DESIGNER/T-24 DOC/BUILDER
RC �R®��
" RICARDO AGUILAR
52975 AV E N I ®A illi B I O QP BUILDERIDESIGNER
66597 DESERT VIEW AVE
LA QU l NTAs, CA 92253 DESERT. HOT SPRINGS,
CA 92240
NORTH PH: (760)'272.5183
PROPERTY LINE.. PROPOSED 6_PRECISION BLOCK=WALL=
LOT DESCRIPTION
LOT 12 BLK 170 MB 019/015
SANTA CARMELITA VALE LA
QUINTA UNIT 17
ACRES
ACRE= 43,560
LOT SQ. FT. 5,000
SLOPE 1%1%MIN
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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 ih'at as."OwnerBuilder" you are the; responsible, party of record on such a
permit. Building permits are not required to be signed by property,owners; uniess. they 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 iisl or'her name.
Contractors are 'required by law to be licensed and bonded by. the State of'California and to have a business license
from the City or County. They are also required: by law. to put their license number on all permits for which they
apply.
If you plan to do your ownwork, with the- exception of various trades that you plan to subcontract, you should be
aware of the following information for- your"benefit and. proteWon:
If you employ or otherwise engage any persons other than, your immediate family, and the -work (including materials
and other costs) is $200.00 or more for.the entire project, 'an.,,,such persons are not licensed as contractors or
subcontractors, then you niaybe an -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 Yand, unemployment compensation contributions.
There may be financial risks for you if you do not carry out -these obligations, and these risks are 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 informatiowabout-your obligations under State
Law, contact the Department of Benefit Payments'and the.'Divisiori of Industrial. Accidents.
If the structure is inten&d,for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without 4.licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons" professing"to be contractors is'-to.,secure an t"Owner/Builder" building
permit, erroneously implying that the property owner is'provid ng.,his• or her.own labor and ,material personally.
Building permits are not required' to' be signed', by property owners unless they ,are performing their own work
personally.
Information about licensed contractors= may be ;6btairied by contacting .the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California.958;14.
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) 777-7011
OWN 'S SIGNATU"ATE
f
5:z- 17 Aeii Ide-L. &Uiol
PROPERTY ADDRESS
'7-1391 r
PERMIT NUMBER(S)
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 NO 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.
SIGNATURE. ,
R CONSTRUCTION GROUP,
01