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14-0598 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000598 Property Address: 49680 RANCHO LA MERCED APN: 649-610-028-53 -28964 - Application description: WALL/FENCE Property Zoning: LOW DENSITY, RESIDENTIAL Application valuation: 2300 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PETER JACOBS 49680 RANCHO LAQUINTA, C ALA 92 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/07/14 Contractor: " MAY o Applicant: Architect or Engineer: TESERRA ` 201/, . P.O. BOX 1280 ` COACHELLA, CA 92 (760) 398-9222 Lic. No.: 656128 LICENSED CONTR T R'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed u d provisions of Chapter 9 (commencing with _ I hereby affirm under penalty of perjury one of the following declarations: Section7000) of ivision 3 of the Business and Professio Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: , 27, Tissued. - Date:. Contractor.' 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number 7 0006481141 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for whi this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State • _ a d a ree that, if I should become subject to workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfessionsCode) or 7 of the labor Code, I shall forthwit with those provisions. 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).: Date: Applicant:: ' 1 _ 1 1, 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 WA NTNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended 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 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 toanowner 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 • - 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 actor 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, o/*n 'of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above infoorrect. I agree to complywith all city and county ordinanc and state laws relating to building construereby authorize representatives of this county t me pon the above-mentioned property for insp rposes. Date! Signature (Applicant or Agent): - j Application Number . . 14-00000598 Permit . . . WALL/FENCE PERMIT 20`13 Additional desc . Permit Fee . . . . 47.19 Plan Check Fee .00 Issue Date Valuation . . . . 2300 Expiration Date 11/03/14 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 ---------------------------------------------------------------------------- Special Notes and Comments 17LF OF 5' GARDEN WALL AT POOL EQUIPMENT [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 . CALIFORNIA BUILDING CODES. Other Fees . . . . . ... . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 47.19 .00 .00 47.19 Plan Check Total ..00 .00 .00 00 Other Fee Total 61.06 .00 .00 61.06 Grand Total 108.25 .00 .00 108.25 LQPERAfIT . fi JE S JE �' .1 ♦ t' ..!'1� .♦1•♦♦O 11♦1Y♦11♦11♦� n'�r1♦1♦�♦ X111♦11.1.1 i ���•♦•1•� r:111 1 1•111•♦1•♦♦•t!: � � 1 � 1 � � � � 1"•'1"♦"Y1.•. �}}�{� Builders r . 1 1 1 � 1 . 1 I ' �♦ ♦♦♦♦ 111..1• ♦.♦ _ 1-YfW :YY C.:1♦111:♦��:1 ♦ .®:100♦♦��11♦1� _ �•11•1� - X11♦11• .111♦•1.111♦�.♦1111 •11�►1 �1i ��j1j♦ j1j1•♦•1.1.1 n �1�� •:♦�1�♦�♦�t••�� 1Y'1'1"1'♦'.'. • ... ` P ♦ . ♦. 11 • ♦ ♦ ♦ 1�� 1 . ♦ 1 �► ♦ ♦ . ♦ 1 ♦©1�♦�♦� p1111�p 1111♦1♦1111 .•♦1ip•11ii♦1•� ♦ �11.1/p♦•� 1 X111♦1 •.1♦♦♦1iv11111i♦1♦i • • 1 • ♦�`.1C�1111 ..♦ ..♦♦1 11.♦♦.11. ♦ ♦ �.1 1.1♦..1♦ ♦1♦ ►♦ 1♦ ♦.1111. �.1.� 1111♦♦11111♦1♦1111 Q Ir1�T1♦1•I11♦1�� 1111 :101♦.11♦ ♦♦ ♦. �1� 1♦111♦111 ♦1 11 1♦♦ ♦♦. I♦♦. ♦♦♦ ♦1111111♦ 'll IiC: ♦ 111.1 �1.1� •1 1�1. �... �11� ... !♦1.�.�.11♦1111 /♦� •♦ �� 1.11 x1111♦♦x'11♦♦•.•1.1.. �1� �:•� ♦1 �♦ . ♦ • �1 ♦ 11 ♦ ♦ 1 ♦®i 1.1..111 ♦. Tel. 760.398 . ,. 1.: ":i�.111�• �1♦1.©i1.1.�� � ♦1..11.1©.. x.1.1 �1♦111♦1.1� 1- �t 1.1�� ��1�11.1.1���1.1.1.•.1. �♦... ♦ ♦1♦1♦1♦ .,. :.• ....... .. �...,... .. : .. ... •: 4•..1.1.1.1.11 o ... � �;, ..•...•.....1...,.1..,;.♦...d .1<.....p....,o ..01.. ,,,♦..1.1.11 9222 Fax 760.398.9255 iD•: ri'♦°i 1I •i. 11•i1Q`i1i1. :1.1.1i� 1.1 i i1i�—Oi1i11iQ1�i1i1♦1.111 div • �4 x1.1.1 --- - - - - - - - - .1e,•.�.1.1_ i �.1`. . ...:..9!111.L1� � e � � PRE -WIRE FnR FIITI IN PORT Z"-3" OF EXISTING TOPSC PORT 3" OF NEW TOPS011 AN RFSI❑ v• •• ftmTmwm - Bin # City of La Quinta Building 8t:• SafetyDivision P.O.-Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:C g O R N [,4 Owner's Name: A. P. Number: Address: / Legal Description: City, ST, Zip: Contractor: Telephone: ••tet.::•:;<;-:<•;;:;<.;:.:,:<;.: ............ Address: g� /p p ✓� .SY Project Description:. City, ST, Zip: , (DACA iE' Cn 2.7 TeleP hone• � 2 8 L Z i State Lic. #: S C IZ9 City Lic. #. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ........ . Construction Type: Occu :encY: State Lic. #: Project type circle oNew' Add'n Alter Repair Demo Name of Contact Person: V�o Sq. Ft.: # Stories: T# Units: Telephone #,of Contact Person:b i� l Estimated Value of Project: % Q APPLICANT: DO NOT WRITE BELOW THIS LINE tt Submittal Req'd . Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted �' n Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Depc sit Truss Calcs. > . Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" 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