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12-1410 (BLCK).y P.O. BOX 1504 78-495 CALLE TAMPICO LA QUIN TA, CALIFORNIA 92253 Application Number: 1-12-000214-1:0- Property Address:51-1S�Y OP.YENID�A�RAMIREZ APN: 773-062-008-15 -000000- Application description: WALL/FENCE Property Zoning:` COVE RESIDENTIAL Application valuation: 1494 Applicant: I hereby,affirm under pe4periurSection 7000) of DivisiLice Class :BDate/7- Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RW REAL ESTATE PO BOX 447 LA QUINTA, CA 92247 Contractor: HUITRON.CONSTRUCTION 50427 RIGO COURT COACHELLA, CA,,92236 (7601398-3227 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/05/12 ID Q � .DE.70 Q -0 2012", CITY 4F LA QUINTA FINANCE DEPT. /n Lic. No.::926190 --------------------- - - - - -- ENSED CONTRACTOR'S.DECLARATION - WORKER'S COMPENSATION DECLARATION I'am licensed under pr visions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations:,,, Z and Pr essiona, and yLicense.is in full force and effect.. _ I have and will maintain a certificate of.consent to self.=insure'for workers' compensation, as provided Uc No .. 92619/0' 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 bySectidn'3700 of the Labor _ Code,. for the performance of the work for which -this permit id issued.. -My workers' compensation OWNER -BUILDER DECLARATION > 'insurance carrier and policyumber are: hereby affirm under..penalty of perjury that I am exempt from the Contractor's State.License Law for the Carrier STATE -FUND - [ Policy Number My 0013718-2011 - - following reason (Sec. 7031.5, Business and .Professions 'Code: Any city or county that requires a permit to ' _ .1 certify that, in the.perfo an a of the work for which this permit is issued, I shall not employ any construct alter, improve, demolish, or repair any. structure, prior to its issuance,'also requiresthe applicant for the person in any manner a to become subject.to the_ w rkers' coynpensation laws of California, permit tofilea'signed.statement that he or she is licensed pursuant to the provisions of the Contractor's State .and agree that, if I s I b come s ject to thew s comp Rsatioriprovisions of Section LicenseIfaw.Whapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or 3700 of theyabor I hall�fo with comp) " i hose p visions.` that he or she is exempt therefrom and the basis for thealleged'exemption.�, Any violation of Section 7031.5 by - 4 / , / 7� 5- /'^r- / , _r any applicant for apermit subjects the applicanYto a civil penalty of not more five hundred, dollars IS500).i �r5 . / dddr.,,,ii1��l��r QQQ /// . - �l (_ 1 1, as'ownerofthe 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 Coes the work himself or, herself through his or her own employees, provided that the improvements are nofintendedoroffered for sale. If, however, the. building or improvement is sold'within one year of completion, the owneFouilder will have the burden of proving. that he*or she did not build or , improvefortfie puipose ofsale.).= 1 _ 1 I, as owner bf-the property, am exclusively' contracting with licensed contractors to construct the project, (Sec. 4 7044, Business and Professions Code: The Contractors' State License Law does notapplyto an;owner of •property who builds or improves thereon, and who contracts forthe projects with a contracior(s) licensed pursuant.to the Contractois' State License Law.):: (_ 1 I am exempt under Sec. B.&P.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 '. WARNING: FAILURE TO SECU WORKERS':GOMPENSATIONLOVERAGE IS UNLAWFUL, AND SHALL ' SUBJECT AN EMPLOYER TO CAIMINAL' PENALTIES AND CIVIL•FINES UP TO ONE HUNDRED THOUSAND DOLLARS'(5100,000). IN ADDITION TO THE'COST OF,coMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE" INTEREST, AND ATTORNEY'S FEES. T .APPLICANT ACKNOWLEDGEMENT '• IMPORTANT Application isohereby 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 applicationis made, each person at whose request and for whose'. benefit work is performed under orpursuant to any permit issued as a result of this application, ; the ownerand.the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La 6uinta, 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 be es null and void if work is not commenced within 180 days from date of issuance of such p mit, or cessation of work for 180 _ays will subject permit to cancellation. ' I certify that I have read thisapplicationand state that'th a o e information is correct. I a o comply with all city and county ordinances and state laws relating to buil i g nstructilon, and hereby, au i repr senI tives of this county to enter upon the above-mentioned prope for nsp ctiD� purposes. ///... / ,/ I Date:)L-- S y' / gnaCJ ture (Applicant or Agent): / - f!' Application Number . . . . . 12-00001410 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 35.00 ..Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1494 Expiration Date 6/03/13 ' Qty Unit Charge Per Extension BASE..FEE 15.00 - 10.0.0 2.0000 HND BLDG 501-2.,.000 20.00 ------------------------------------------- -------------------------------- Spedial. Notes and Comments 69 L,:F. 5' GARDEN.WALL, CITY STANDARD TO r•:. ,. ;.... : '..:. :. .CREATE-: FRONTS COURTYARD & ,METAL GATE. 2010 CODES. t Other Fees . . BLDG STDS ;`ADMIN. (SB1473) 1.00 ' -• Fee" summary., Chargedi Paid Credited' Due' -.- - ----------- ----- -- ----------- - ---- - -- ----- Permit Fee Total ' 35.00 0'0-:0:0,_ -- _ 35=. 00`. ;Plan •Check Total .06 .00 .0 00 °s 'Other' Fee' Total 1.00 00 .00 1.00' Grand: Total 36:0'0 00 .0,0 36.00' i LQPERMIT . It CITY OF LA QUINTA BUILDING &:SAFETY DEPT. ' APPROVED" FOR CONSTRUCTION DATELAZBYL(�-L -Z9Z :4L ;i Agoo flu itr-C- onn tion, Gene alCantracte ltd 50427 Rigo. Ct. — Coachella, CA. 92236 Phone: (760)457-9960 Email Add'r'ess:'huitroncontructon@yahoo..com Fax: (760)398-3227 License No. 926190 (General Contractor) General Liability Insurance Workers Compensation. CONTRACT Joey Arsanto 51180 Ave. Ramirez La Quinta, CA. 92253 1.) WORK DESCRIPTION 61' 1J. A. 6-'� - Block wallk '.................................... $3,040.00 I/m - 1 gate metal...................................................................$500.00 I/m - Fix rear patio tile roof ....................................................... $300.00 I/m - Fix two gates in house. Install posts and boards ..................... $250.00 I/o - Fix rear corner and a couple boards in wood fence..................$150.00 I/o - Install tile in complete shower.............................................$950.00 I/o - Install the in half shower .....................................................$500.00 I/o - Interior paint....................................................................$2,300.00 I/o - Exterior paint...................................................................$2,000.00 I/o - Patch drywall and fix texture in different places of home ............ $600.00 I/o - Fix roof leeks....................................................................$800.00 I/o Total Project Cost .............. 11-1............................................................... $11,390.00 Huitron Constructio 0 Date: 12 5 Date: Property Owner: �\ ! i \ 1 �Ac City Of'. Qutntd Building $f Safely DlYislon . P:O."'Box 1504, •76-495 Calle Tampico 4.Quinta, CA 92253•- (760} 777 70.12 Building-PerlPit Appjbdon and Tracking Sheet Permit # i� Project Ad([ess O� A. P. Number Owna's Name i S� �1 1 ` Addis: �/, Legal Description: Contractor. ` O .City, ST, Zip: .Telephone: 0 ►� Project Description: Address: �. City, ST; Tap:F \ Telephone: �',pq o State Lia # : City Lic. S, Arch., &W... Designer � Y� 01 el� r r, Address: City, ST, Tap: Telephone: State Lia #: ; Coi�stnic4ion Type: occupancy: Project type (circle one): New Add -n Alter Repair Demo . Contact Person: VName of ConSl vim. R� 7. /\' > rr . Sq:,Ft.: #.Stories. #Units Telephone # of Contact PensonAiD 45-r`91, h L 6 . G o n Estimated Value of Project: ; , ` APPLICANT: DO, NOT WRITE BELOW,THiS.UNE # Submittal .. hold )geeld PERMIT FEES Plan Sets 'Plan Check submitted.' Item Amount Structural Calcs Revicwed, ready for correctives, ,Plan Check Deposit. . 1�ass �i� - called Contact Person Pian Check Balance. Tide 24 Calcs. pups picked up Constractloa ... _ .- baitted... ... . .. ...............:drat . Ginding plan.- — 2'i Review, ready for eorrechonsl�s§ue .Electrical Y —.. $nbeoutactor List- -.:: _ ..... _ ..__ _ .. _.:... CaltedContactPerson, — Plumbing _....._ ..._ .... ....- • Grant Deed Pians picked up S NLL H.O.A. Approval Plans resubmitted Grading IN iiUtJSEt' '" Review{ ready for eorrections/Lssue Dcvdopei Impact Fee Planning Approval. Called Contact Person A,I,P.P. Pub. Wks. Appr Date of permit issue • School Fees Total Perdilt Fees �Ac