10-1063 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ''10-00001063 t
Property Address: 1 52900-AVENIDA RAMIREZ
APN: 773-323-008-19 -0.00000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation:' 4850
Tiht 4 4- Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
P1
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lic under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Prof io .Is Code, and my_Wcense is in full force and effect.
License Class: C29 -C 3 License No.: 952
47
Date- Contractor:
( ,
OWNER-BUYe:
DECLARATION
I hereby affirm under penalty of perjury that I am exempt frContractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Cny 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 ($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 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 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 _ 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.).
(_ 1 1 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: p
Lender's Address: ,
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/14/10
Owner: 0 j�
CITY OF LA QUINTA D Lf
78-495 CALLE TAMP.IC
LA QUINTA, CA 92253 0r 1 14 2010
CITY OF W QUINTA
Contractor: FINAKCE DEPT.
LARA MASONRY
82373 KENNER AVENUE
INDIO, CA 92201
(760)702-5939
Lic. No.: 81952
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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.
YLI 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 GOLDEN EAGLE Policy Number 10132010
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to beroypN subjec to the workers' compensation laws of California,
and agree that, if I should becor4e subl ct t e workers' compensation provisions of Section.
/y� /3/700 o9he Labor Cod shall rthw omply with those provisions.
/atew ' Vim` V pplicant:
WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN IES 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 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 no ommenced
within 180 days from date of issuance of such permit, or tion of work for 0 days will subject
permit to cancellation.
I certify that I have read this application and state tha4buildionstruction,
inform 'on s correc agree to comply with all
city and county ordinances and state laws relating to d her y authorize representatives
of Is coun/t/y/ to center on the above-mentioned pro ection pu o
Data/ T��" Signature (Applicant or Agent):
Application Number . . . . 10-00001063
Permit . . WALL/FENCE PERMIT
Additional desc
Permit Fee 72.00 Plan Check
Fee
.00
Issue Date Valuation
. . .
. 4850
Expiration Date 4/12/11
Qty Unit Charge Per
Extension.,
BASE FEE
45.00,
. 3.00 9.0000 THOU BLDG 2,001-25,000
27.00
------------------------------------------------------------
Special Notes and Comments
194 L.F. 6' GARDEN WALLS AT SIDE AND
REAR P/L'S, CITY STANDARD. 2007 CODES.
CITY PROJECT.
------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
------------------------------
----------
Due
-----------------
Permit Fee Total 72.00 .00
.00
72.00
Plan Check Total 00 .00
.00
.00
Other Fee Total 1.00 .00
.00
1.00
• Grand Total 73.00 00
.00
73.00
Oct 11 1007:17a - FREDDIE DIAZ LANDSCAPE
FREDDIE DIAZ LANDSCAPE
MAINTENANCE
80-360 AVE 43
INDIO, CA 92201
( 760) 342-8124 Fax (760)342-7412
Contractors License #78120
Name IAddress
CITY OF LA QUIN-rA
78495 CALLE TAMPICO.
LA QWNTA, CA 92253
760-342-7412 _ p•2 _
Estimate t�
Date
Estimate #
10n2010
545
Project
Description Qty cost Total
RE: 52-900 AVENIDA RAMIREZ
194 LFxG H RETAINING BLOCK WALLS WITII S"x8"x16 194 74.00 14,356.00
TAN PRECISION BLOCK
Total $14„356.00
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
U
Project Address: J -o j _ 0,0
Owner's Name: G .
A. P. Number: 7 73 - 3a 3 — Do8
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address:
Telephone' ` s:
Project Description:
City, ST, Zip:
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type Occupancy
.
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
/O/�✓
Item
Amount
Structural Cafes.Reviewed,
ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°° Review, ready for corrcctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7nd Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees