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12-1025 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address:. APN: Application description: Property Zoning: Application valuation: 12 =00001025 53520 AVENIDA'RAMIREZ 774-122-024-24 -000000- WALL/FENCE COVE RESIDENTIAL 5375 c&t(t44-0" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT _17 Applicant: Architect or Engineer: 4perjry SED CONTRACTOR'S DECLARATION I hereby affirm under peat am licen d under provisi ns of Chapter 9 (commencing with Section 7000) of Divisioss nd Profe ionals Code, a my icense is in full force and effect., License Class: BLicens 9 6190 Date: If Z- L C OWNER-BUILDER DECLARATION I hereby affirm under penaltyhat I am exempt from the Contractor's State License Lawfor the following reason (Sec. 7031.5, Business and Professions Code: Any 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, 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—) 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: 1 Lender's Address: LQPERMIT VOICE (760) rr- , L _ FAX (760) INSPECTIONS (760) 777-7153 Date: 9/14/12 Owner: RW REAL ESTATE 53520 AVENIDA RAMIREZ LA QUINTA, CA 92253 (760)619-7611 D ry Contractor: �� P 17q HUITRON CONSTRUCTION 201,E 50427 RIGO COURT COACHELLA, CA 92236 CITYOFLAQUINTA (760) 398-3227 FINANCE DEPT. J Lic. No.: 926190 ------------------ 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. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 1Code, for the performance of the work for which this permit is issued. My workers' compensation (insurance carrier and policy number are: Carrier STATE FUND Policy Number 0013718-2011 I certify that, in thA - of the work for which this permit is issued, I shall not employ any person in any mo become subjeytothorkers' compensation laws of California, and agree that,comesbject toerS' compensation provisions of Section 3700 of the Laall fo with co t ose provisions. (Date:�ZApplicant WARNING: FAILURE TO SECUS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CALTIES 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. APPOCANT ACKNOWLEDGEMENT 'IMPORTANT Application is hereby made to theDirector of Building and Safety for r 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, indemnity 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 obuill *structi on of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thcorrec I ree to co ply with all city and county ordinances and state laws relating to here orizerof this county to enter upon the above-mentioned proses.,Date: q ( 7 _lSignature (Applicant or Agent):�.. / Application Number . . . . . 12-00001025 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 5375 Expiration Date 3/06/13 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 115LF OF 6' GARDEN AT NORTH [EXTERIOR SIDE YARD] PROPERTY LINE AND 100LF OF 5' GARDEN WALL AT FRONT PROPERTY LINE [CITY STANDARD] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES. September 14, 2012 2:51:24 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 81.00 .00 .00 81.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 82.00 .00 .00 82.00 LQPERMIT 10 � 1 i . i 1 r: M7 - 3c ,pow 44- ;iv.-,e 4-1SL it ! (T -z . �N /'� sem •I Bfri.# 0 of La Qurnta Building &r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 77 Project Address: CQZ.—� Own7er'sMiune:.2.1 <^A. P. Number. . AddLegal Description: City Contractor. N (J v Telephone: Address: �� v PmjectDescription: City, ST, Zip: nLL 6 X 0 IS Telephone: State Liic.# : City Lia #; 5 Fir .t 3r, 1bd Arch, Eng., Designer: . Address: City., ST, Zip: Telephone: State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Sq. Ft.: ` �J # Stories: Demo Name of Contact Person: ��� Telephone # of Contact Person: A , �o� io Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACICINIG PERMIT FEES Plan Sets Plan Cheek submitted S Item Amount' Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cales Plana picked up Construction Flood plain plan Plans rtsubmifted.. Mechanical Grading plan 2'! Review, ready for correctionsfissue Electrical Snbeoutactor List iCalled Contact Person Plumbing Grant DeedPlans picked uP S M.I. H.O A Approval Plans resubmitted Grading IIV $OUSE:- 3" Review; ready for eorrecdonshaut Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees r .. C.