05-5340 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
ip
Application Number:
Property Address:
APN:
Application description
Property.Zoning:
Application valuation:
Applicant:
05-00005340
51645 AVENIDA RAMIREZ
773-125-019-7 -000000-
WALL/FENCE
COVE RESIDENTIAL
3375
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HATHAWAY '& SONS
PO BOX 10270
PALM DESERT, CA
INC
92255
Contractor:
Architect or Engineer: HATHAWAY -AND -SONS INC,'
P.O. BOX 10270
PALM DESERT, CA 92255
WCC: ZENITH INS
Lic. No.: B -C2 -C9 -C35
LICENSED CONTRACTOR'S DECLARATION' '
. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the'Business andProfe ioitals Code and my License is in full force and effect.
Licensee1Clas. �.--------- cense No.: f3 -.C2 -C9 -C35
Date, Contractor.
.OWNER -BUILDER DECLARATION
I'hereby affiim.under penalty of perjury tha I m 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, _altei,irnprove,.demolish , or repair?any. structure, prior to its issuance, also requires the applicant for the
permit. to -file a. signedstatement that he or she isjicensed 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 acivil penalty of not more than five hundred dollars ($500).:
1 _ 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 Code: The
. Contractors' State License Law does not apply toanowner 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.).
(_) I am exempt under Sec. , B.&P.C. for this reason'
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
" ' Date:- 12/07/05
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declaration's:
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 -
insurnce carrier and policy number are: '
Carrier Z066802501 01/O1'/063olicy Number'' 851181
I certify,ph t, in the performance o{the work for which this permit is issued; I shall not employ any .
person in any manner so i s to become subject to the workers' compensation laws of California,
and agree that, if I should become subje t -to the workers' compensation provisions of Section
37 0 of the Labor Code, I sh fo w' comply with those provisions.
Dater
WARM G: ILURE TO SECURE WORK E6L11ES,AN6-CiVIlL
OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO,CRIMINAL P FINES UP TO ONE HUNDRED THOUSAND .
DOLLARS (5100,0001. 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 Quinta, 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 information is correct. I agree to comply with all
city and county o dinancesand. state laws relating to building construct n, and hereby authorize representatives
of this court t enter upon the above-mentioned property f ins c purp es.
LQPERMIT
Application Number . . . . . 05-00005340
PermitWALL/FENCE PERMIT
Additional desc .
Permit Fee 63.00 Plan Check
Fee
.00
'+
Issue Date . . . . Valuation
3375
Expiration Date 6/05/06
Qty Unit Charge Per
Extension
J
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
----------------------------------------------------------------------------
Special Notes and Comments
55 LF, 6' BLOCK WALL Q REAR�P/L(WEST) &
'
80 LF COMBO Z" RETAINING WITH 514
.�..m-GARDEN�WALL.-»PER-CITY*STANDARDeON_-NORTH:,___.,,.__
P/L_STEPPING DOWN TO. 2-
fi
Fee summary Charged Paid Credited
-----------------------=---------------------------__-_--
Due'
`cf
Permit 'FeeTotal 63 . 00 .00
. 00
63.00
Plan Check. Total .00 00
00
00
t..
Grand Total, 63.00 .00
.00
63.00
LQPERMIT
Bin, #
City Of La Quii to
B,611ding:B[.Safky,�Diyision
-J'8-49:5,61eTimplcoT
P.O.Box 564
La Qu1inta, CA�92253--(760) 777-70,12
Building ,Per'mit'A'Oolicatione�A'
Td: Trackinig Sheet
Permit # O
Project Address: 51-645 Avd.'Ramirez
Owner's Name: Hathaway &,,Sons Inc.
A. P. Number:
Address: P.:O.- Box -10270
Legal Description:
Contractor: Hathaway & Sons, Inc.
City, ST, Zip: Palm De's CA 92255.
Telephone: (7,60) 772-
.,2630
Address: P.O. Box 10270
ProjectDescription: . ion: 'Perimeter block wall on
City, ST, Zip: Palm Desert, CA 92255
west .side of vacant 'lot approximately
Telephone: (760) 772-26306
City Lic. #: 842
55' long and 6' lhgh.and a combination
State Lic. # : 851181
block wall: on north property line with
Arch., Engr., Designer: N/A
2' re,ealning" and 5'4",garden wall height
Address-
for a total of 7'4" by approximately
City, ST, Zip: t
80 1 ' long . stepping. down to the 2"retain at
Telephone:
Construction Type; Occupancy:
State Lic. #:
:.Project type (circle one): New' Add'n Alter Repair Demo
Name of Contact Person: Rory ,Putman
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: (160) 772-2630:
Estimated Value of Projed: 45,500.00,
APPLICANT: DONOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'dRACKING
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan; Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
.2" Review, ready !6r,corrections/issue
Electrical
Subcontactor List
Called,Con tact Person
Plumbing
Grant Deed
Plans picked. up'
S.M.I.
H.O.A., Approval
Plans resubmitted..
Grading
IN HOUSE:-
3H 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
K�
urb