14-0286 (BLCK)T4ht 4
�: Gu
P.O. BOX 1504 �L'� VOICE (760) 777-7012 .
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/21/14*
Application Number: --_14 01 000286 Owner:
Property Address:54345 P,UENIDA"RAMIREZ
CANIZA NESTOR A MARTIN
s APN: 774-301'7 -000000- 5434.5 AVENIDA MARTINEZ
r Application,descnptlon . /•FENCE K LA QUINTA,,, CA .92253 A
PropertyZornng r COVERESIDENTIAL" (760)25`0-2186
,nlApplication valuation:
.. .. Contractor; !til i'i! .j �� so
?�i
Applicant:.., Architect or Engineer: HENRY'S MASONRY, INC.
�i -
.P.6. BOX 5185 Cly iw'6 1 a
(� �A I
LA QUINTA,.'CA 92248 `E'�.DZl IA
V �� r Fli' �?Cs a
7 -
( 60)904 4143 -
LiC. No.. 704270
. . . _ r
: -. . — — — — — — — — — — — — — — — - — - — — — — — — — — - — — — - — — — — — — — — — — — — — —— - --- — — - — — — —.—
LICENSED DECLARATION—
_ WORKER'S COMPENSATION DECLARATION`.- -
' I hereby affirm under penalty of.peryury that I amlicensedvnderprowsionslofChapter-9 1 ommencing-with . -I hereby affirm under penaltyofperjuryrone'of the following declarations: - _
Section 7000) of.Division 3.of the.Business"and'Professionals Code,and;my Lico.: 704270* for ense is in full force and effect. _- I have'and will maintain a certificate of cohsent e f
to self-insuroi workers compensationias provided
License Class. C29 •r License Nby;Section 3700 of the. Labor code, for the performance of the work for which this permit -is'
_,.- .issued. r.. • -
-Date Contractor::'4 _ I. have and will maintain, workers' compensationirisurance, as required by Section 3700 of the Labor
'Code, forahe.performance of the work for which this permit is issued. My workers' compensation :
` ^ O �NER-BUILDER DECLARATION . insurance carrier, arid.policy numberare:
- I hereby affirm under. penalty of perjury that I anYexempt'from the'Contractor'sState License Law for the Carrier LIBERTY .MUTUAI;' Policy Number WC2Z91458499013 -
'following reason (Sec. 7031 .5; Business and Professions Code: Any city or. county that requires a permit to I certify tfiat m the performance of thework for which -this permit is issued, Lshall not emplpy any
construcf; alter,. improve, demolish, or repair any structure, prior to it's issuance,'also requires the applicant for the person in any, mannevso as to become. subject to the workers' compensation laws of, California,-
. permit fo file. a. signed statement that he or she is -licensed -pursuant to the provisions of the Contractor's State and agree thet,.if I.should,becof a subject to the workers' compensation'provisions of Section
License Law (Chapter 9 (commencing with ,Sectidn 7000) of Division:3'of the Business and Professions Code), or 3700 of the Labor Code, `forthwith comply with those provisions: -
that'He or, she is exempt therefrom and the basis for thealleged exemption. Any violation of Section 7031.5 by i•"'!'� ,�°�'. 6 , "'' �'i - -
any applicant for a permit subjects the applicant to acivil-penalty, of not'more,than five hundred dollars-0500).:.�..5-Applican_�t
(_ 1 I, asownerofthe property; or myemploye es.witti,wages as their sole compensation willido the work, and
the structure is not mterided or offered�focsalelSec. 7044, Business and Professions Code: TheWARNING: FAILURE TO SECURE WORKERS' CO ' PENSATION COVER AGE, IS UNLAWFUL,., AND SHALL, -
Contractors' State License Law does not apply,to.an'owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES.0',fb'ONE HUNDRED- THOUSAND
• and who does the work :himself -oi herself. through his or her own employees, provided that the DOLLARS ($100,000)- IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED'FOR IN
improvements are notiniended or offered for sale.'If, however, the building or. improvement, is sold Within SECTION 3706 OF THE LABOR CODE, INTEREST 'AND ATTORNEY'S FEES.
one year of completwn ,the owner -builder will, have the burden of proving that he or she did not build or-
`improve'for APPLICANT ACKNOWLEDGEMENT -
(_ I I, as owner of the property, am exclusivelycontiacting with licensed.contractors to construct the project (Sec. IMPORTANT Application is'hereby.made.to the Director of Building'and'Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State.License Law. does not apply to an owner of conditions and restrictions set forth on this application. -
property who builds. or improves thereon, and who contracts for the projects with a'contractor(s) licensed 1. Each person upon*whose behalf this application is made, each person at whose'request and for
pursuant to the Contractors' State License Law.). ,whose benefit work is performed under or pursuant to any permit issued.as a resuit *of this application,
• (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shalldefend, 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. -
Date:' Owner: . 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 '
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby, affirm under penalty of perjury that there is a construction lendingagency for the performance of the I certify that I.have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinahces„and state laws ielating to building o ruction, and hereby authorize representatives k
of this_countyrto enter upon the above-mentioned Property,
purposes. '
Lender's Name:
g�ature (_6pplican -
Lender's Address:
LQPERMIT
LQPERMIT
Application Number . . . . . 14-00000286
Permit . . . WALL/FENCE PERMIT 2013
Additional desc
Permit Fee . . . . 94.38 P1an.Check Fee
00
Issue Date Valuation . . .
. 1750
Expiration Date 9/17/14
Qty Unit Charge. Per
Extension
1;. 00 47.. 1900 LS MISC WALL.,, ,FIRST 100. LF •.
47.19.
1-0'0 4:7 .I900.LS MI. RET, WALL <=12`'; 1ST 100'
--- ----------------------------------------------=-------
Special Notes. Wand ,Comments
70 LN,_,FT� COMBO -BLOCK WALL 6 FT HT WITH A
:811 X :7 0 LN,. FT ;RETAININGWALL --PER ANGELUS
`
STANDARDS :PRECISION-'CONCRETE::BLOCKSHALL-_
BECOVERED „WIT— if-sTUCCO,;PAINT;• `OR
TEXTURED COATING`WHERE VISIBLE=FROM
OUTSIDE -.'THE" PROPERTY.. 201.3CBC
-.----------------- -- - -- -- -------------------------------
' Other_ Fees . . . . . BLD,G ;SIDS :•ADMIN. (SB1473)
1.00
PLAN CHECK, WALLS
120.12
Fee summary-.. Charged Paid Credited—.,
Due:
---- 7- - --
` - --- Permit Fee Tota -1 94 . 38 ' ':` 00'•,
" . 00
94
,
Plan Check.Total00: 00 00'
.38
DO
Other'Fee Total 121.12' L 00 ..00`
12.1.12
Grand -Total. 215.50 .00. :00
2fi5.5
Y
Bin #
Permit #
Project Address: O
City of La Quinta
'Building &r Safety. Division
RO. Box 1504, 78-495 Calle Tampico
La Qu►nta, CA 92253 (760) 777-7012
Building: Permit'Application and Trickffig. Sheet
Owners Name: ' C
be a r2 ` e "o le ��� i71 I
A. P. Number:
Address: ,j Z3 c/S q C ' ca vy ►
Legal Description:
City, ST, Zip: s `tet .t 4
Contractor: T c S
!.�
Telephone: 60 - 2 SSU j
Address: �Q 6� �`
�G Q/
Project Description:
City, ST, Zip: • C. 0 u
I, U f' ti :
l mAL56 k/ 0-0 Of 60
Telephone:
eJ4,e/
State Lic. # : "�Q .Q
City Lic. #..
C /40 U
Arch., Engr., Designer:
Address:
City., ST, Zip:
V
Telephone:
p
;:...::;:.;:.;-;,,:;:;•;:::.;:.:,:::>:::::
:><.:::»:<::::.>:>>.<::.><.:»>:.»;:.:•Construction
rr1 �'i'•ii<'t;ryirijijjj;:��:iii::-::4.ini
:::>:.>•:>:<»:<.
€ :`•.`>»>`><<<><''.»:«<>::»:':>
Type: Occupancy:
S tate Lic. #
,h" :
' Project type (circle ne • New Add'n 'Alter Repair Demo
Name of Contact Person:Sq..
Ft.:
#Stories:
# Units:
Telephone # of Contact. Person:
Estimated Value,of Project:
APPLICANT: Qt) NOT.WRITE'BELOW THIS LINE
tr
Submittal
Req'd
Recd
'TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss CaleS.
Called Contact Person,
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction .
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready,forcorrectidns/issue .
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.1.
H.O.A. Approval
Plans resubmitted
Grading
IN I-IOUSE:-
''J Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.IP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total PermitFees
... 4s �n
/OL
09CiVO�
IVO .Yad 1OV1NOD