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10-1310 (BLCK)(V P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 a (P Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10700001310 Property Address: 78515 AVENIDA ULTIMO APN: 770-091-002-12 -000000- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2459 Applicant: Architect or Engineer: alb --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 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. /License/Class: C29 License No.: 784.762 ontractor: e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/01/10 Owner: DENNIS LUBAS ' 78-515 AVENIDA ULTIMO LA QUINTA, CA 92253 D° Contractor: r', J 01 2010 ORTIZ MASONRY 68195 TACHEVAH DRIVE C4FLIQUINTA CATHEDRAL CITY, CA 9 234 FINANCEQEPT (760)408-8791 Lic. No.: 784762 ------------------ 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 EX MPT Policy Number EXEMPT certify that, in the performance of the work for which this permit is issued, I shall not employ any r 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 the Labor Code, �I shall forthwith comply with those provisions. ate: 41 ' i —6 //4i cant: WARNING: FAILU E TO SECURE 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 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. 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon ea thove-mentioned property for inspection purposes. Oate:/ Z L r erg re (Applicant or Agent): �Y Application Number 10-00001310 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date Valuation . . . . 2459 Expiration Date 5/30/11 - Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 2 6' SCREEN WALLS, ONE 4 LF & 1 6 L.F, 26 LF 6' SIDE P/L GARDEN WALL., AND A TOTAL OF 72 L.F. 5' GARDEN WALL WITH 5 16" X 16" PILASTERS., ALL CITY STANDARD. 2007 CODES. ---------------------------------------------------------------------------- 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 ..0.0 .00 1.00 Grand Total 55.00 .00 .00 55.00 LQPERMIT CITY.OF LA QUINTA. BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE/o?" /-/0 By v-�-ftcC 67C -A, -1C, C-ncz. y L r. v l I a •' �i AL1 _ _ ,, _ I- �:F a � � c�,9�� ply • -�.�,..�...,a,� _ . •. �,`. 3� 1 Cenic r _ Pii 1mm vie si"ec 6 GeA y v f(n'E A� G'o/a►A�ISe Bim' �t T fie?' P .0 1L t ivi o. il P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning Permit #: BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: // --30 -/O Due Date: A54P Status: ��• Building, glans App , � gra[ (This is an approval to.issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: nz".e- �Ehd Address or General Location:. Applicant Contact: . The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ❑f ...these Building Plans are approved by the Planning Department. ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Planning Department for review. c Les Johnson, Jbir, r -Planning I . AvOtcokA VV4- rACV%k%1y kei��.k CJ- waklS. to Date .Ave�� v�� tc�ew• ��y �&Wr cbS ar b� 54cco w^(I- llt,5� r-14 21n DY c6vr ?%. i��'1 `��.Oh� �� 11,b� "1Ki►�- '4� �►0�10� wA�® tr:�� Cv.��`� wi'li-a, r►..E�b/ /��t f1,n0,r) Bin # City Of La Quint 'a 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 4u.,,/ M owner's Name: Q A S A. P. Number: __)fs FIs AV;4r Address: Legal Description: City, ST, Zip: L zq Quw+-,-) - 9 Contractor: A Telephone:') F• Address: C: `�lp A ' Project Description: 1_0 c. City, ST, Zip: CA 4- h rz4cC! ka Telephone: n I-D d 9 8 1(1 Ir-l— J.0.' City Lie.•#: 7c State Lie. # : DL Arch., Engr., Designer: •� L 4 Address: City., ST, Zip: Telephone: Tele P1„��:•:h State Lie. #: `�.4 •� - - `< " , :. :..�.?:;�..sl�ftip••prolect ' Construction Type: Occupancy: tYPa circle one): New Add'n Alter Repair Demo .Name of Contact Person: (_ �` Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: P Estimated Value of Project G b APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called- Contact Person Plan Check Balance We 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2id Review, ready for correctionsRssue 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,LP,P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees