12-1186 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: t;2-00001186
Property Address:
53520 AVENIDA RAMIREZ
APN:
774-122-024-24 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2175
T-iht 4 4 4"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
CENSED CONTRACTOr DECLARATION
hereby affirm under penalty ofperjury t .I am licensed under pr isions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus' a 'and Pr fessionals Cop and y License is in full force and effect.
Licen''s``e Class: B Licel o.: 926190�/�
n.t.;n � 40 � z:% nnrrarrnr P
y-,- OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am 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, 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 novapply 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 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 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
D
affirm
i_ ae
Owner:
RW REAL ESTATE, INC.
P.O. BOX 447
LA QUINTA, CA 92253
Contractor:
HUITRON CONSTRUCTION
50427 RIGO COURT
COACHELLA, CA 92236
(760)398-3227
Lic. No.: 926190
VOICE (761", �`1 0 /
FAX (760) 11
INSPECTIONS (760) 777-7153
Date: 10/08/12
WORKER'S COMPENSATION DECLARATION
i alty of perjury one of the following declarations:
will maintain a certificate of consent to self -insure for workers' compensation, as provided
Section 3700 of the Labor Code, for the performance of the work for which this permit is
V _V-7,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:
CW STATE FUND Policy Number 0013718-2011
_ I certify that, in the per rm ce of the work for which th permit is issued, I shall not employ any
person in any mann so s to become subject to the orker 'compensation laws of California,
and agree that, if I cul becom subject to the r rs' mpensation provisions of Section
.3700 of the Labor d shall f hwith co
mpl t e provisions.
'Date:��"Ap cant:
WARNING: FAILU TR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 per it.
2. Any permit issued as a result of this application b comes null and void if work i not commenced
within 180 days from date of issuance of s h p rmit, or cessation of work f 180 days will subject
permit to cancellation.
I certify that I have read this application and state that t a e infor ation is correc greet comply with all
city and county ordinances and state laws relating to bui i nstru wn, and here u horize epresentatives
of this county to enter upon theabove-mentioned prope y or nspec, on purposes. %�
Date:
(Applicant or
Application Number . . 12-00001186
PermitWALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee
.00
Issue Date . . . Valuation' . . .
. 2175 .
Expiration Date 4/06/13
Qty Unit Charge Per
Extension ,
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,'000
9.00
-----------------------------------------------------------------
and Comments
----SpecialNotes
-87 L . F. 61 GARDEN WALL, CITY STANDARD. A6 Esq sT E lwo
-- ----------------------------------- --------------
p� PAaae-,e Ty �.
Other Fees ._ BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 54.00 .00 .00
54.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 55.00 .00' .00
55.00
LQPERMIT
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d nBU
Y OF LA QUINTA t� �
ING &SAFETY DEPT.PPROVE®.
FOR CONSTRUCTION
c� DATE 6e B /Z BY _a i
--QN,v
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Huitron Construction 4
General Contractor
50427 Rigo Ct. — Coachella, CA. 92236 �.
Phone: (760)457-9960 Email: huitronconstruction@yahoo.com Fax: (760)398-3227
License No. 926190 (General Contractor)
Extra Work
This Construction Contract is entered into by and between Huitron Construction ("Contractor") and RW
Real Estate Inc ("Owner) whose project address is 53-520 Ramirez, La Quinta CA 92253.
1) WORK DESCRIPTION
Build block wall (87 line ft. 6ft. high) block wall on east side of property. Stucco installed
on owner's side of property. No stucco installed on neighbors side of wall, paint only
(paint color selected by neighbor) .....................................................$4,335.00 .I/m
- Reroof. Remove old tile & install 14 sq. of new tile & new flashings ......... $3,911.00 I/o
Total Project Cost.......................................................................................................$8,246.00
Huitron Constructio Date:
Property Owner: Date:
i
i
Bin. #
Ci Of I.A uin �a
.t Q
Building & Safety Division
Permit # �`
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 - (760) 777-7012 '
Building Permit Application and Tracking Sheet
Pro 1
AJ Q .Qftrja. Owner's Name:. J. '
A. P. Number.
i
Address:
Legal Description:
City, ST, Zip:
Contractor: A��.
9 Telepho
� ne:
.
Address: �—
2 \ Project Description:
City, ST, Zip:
C
j Telephone: U . �� . ��Sp 0 ,\' .,. MUM 1
State Lie. #`
City Lie. M..
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
# SobmittalReq'd
Recd TRACKING PERMIT FEES
Plan sets
Plan Check submitted Item Amount
Structural Coles.
Reviewed, ready for corrections Plan Check Deposit.
Truss Cafes.
Called Contact Person Plan Check Balance-
Title 24 Cales.
Pians picked up Construction
Flood plata plan_
_Plans-resubmitted.. -- -Mechanical-- - - - -
- -
Grading plan
2'� Review, ready for rnrrecGous/issue . -
-
Electrical
-Subcont'actor List
Called Contact Person
-: --
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'i° Review; ready for corrections/issue
Developer Impact Fee
Planning Approval'.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees