13-1564 (BLCK)T4&f 4
P.O. BOX 1504 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: 12/04/13
Application Number: 13-00001564 Owner:
Property Address: 77740 CALLE COLIMA CABRITA TED
APN: 774-085-024-12 -000000- 77740 CALLE COLIMA
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL
Application valuation: 1500 D p
Contractor:
Applican : Architect or Engineer: NOGUES , JULIO CESAR Orr 04 2013
46625 DESERT VILLA #1
/y V INDIO, CA 92201
(760)397-7699 CITY
LA
AQUICE TTA
Lic. No.: 946375^
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
[�LicenseClass: C53 LicenseNo.: 946375
"'1Date:'-/ �Tontractor1
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 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.).
(_) 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
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
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
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 become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of theLabor Codd shall forthwith comply with those provisions.
WARNING: FAILURE TO SECU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO gAIMINAL 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 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 ordinances and state laws relating to building construction, and hereby authorize representatives
ofof this county to er upon the above-mentioned property for insp coon purposes.
IN
Date:. �t Signature,lApplicant or_Agentl,:
Application Number . . . . . 13-00001564
Permit. . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 94.38 Plan Check Fee
.00
Issue Date . . . Valuation . . .
. 1500
Expiration Date 6/02/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL,. FIRST 100 LF
47.19
1.00 47.1900 LS MI RET WALL <=121, 1ST 100'
47.19
----------------------------------------------------------------------------
Special Notes and Comments
69 IN FT BLOCK WALL 5FT GARDEN 2FT
RETAINING PER ORCO STANDARDS & APPROVED
PLANS PER AJ.PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM
OUTSIDE THE PROPERTY. 2010 CB CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, WALLS
120.12
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 94.38 .00 .00
94.38
Plan Check Total .00 .00 .00
.00
Other Fee Total 121.12 .00 .00
121.12
Grand Total 215.50 .00 .00
215.50
LQPERMIT
"' ftCity of La Quinta
Building &r SafetyDivision
Permit# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 1 `�'� 0 ro
r0sx
Owner's Name:
Recd
A. P. Number:
PERMIT FEES
Address:
1
Legal Description:
City, ST, Zip:
Contractor:
Amount
Telephone
A?< -k ar<>: <->:>,:::.,:.•
Address: go -5,5n,
N
Project Description:
WAW—
City, ST, Zip: ( c
220 \
&MSO
Telephone: 76 10 _:>g#z:s:::
Called Contact Person
Plan Check Balance •
State Lic. # : 1{b( ".
Arch., Engr., Designer:
City Lic. #. tog 2 9 1r7
Title 24 Calcs.
�ll+t�Wa'l
Address:
Plans picked up
Construction
City., ST, Zip:
Flood plain plan
Telephone:
State Lic. #
Plans resubmitted
"`"'' ' ` '' ".`' '^'`
................................................
Construction Type: W ulOccu
ancY:
. Project type circle one): ew
Add'n Alter Repair Demo
Name of Contact Person: �Uyto
tf Np
-Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 160 — —, 6 1 A
I Estimated Value of Project:
O0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cluck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans'resubmitted
Grading
IN HOUSE:-
'"' 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
V t