13-1518 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twit �� '77,44
VOICE (760) 777-7012
=� FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: 13-00001518
Property Address: 52720 AVENIDA VELASCO
APN: 773-295-012-13 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL -
Application valuation: 2000
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjur t t I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu in an Professionals 4de, and my License is in full force and effect.
License Class: 13 Ze,�926190
Date Z L� /3Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of p jury 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 (5500).:
(_ 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
Date: 12/02/13
Owner:
RW REAL ESTATE, INC
P.O. BOX 447
LA QUINTA, CA 92253
Contractor:
HUITRON CONSTRUCTION D
50427 RIGO COURT
COACHELLA, CA 92236
(760)398-3227
Lic: No.: 926190 _
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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 `STATE FUND Policy Number 0013718-2012
_ I certify that, in the performa ce of the work for which this permit is issued, 1 shall not employ any
person in any manner so to become subject to theorkers' compensation laws of California,
and agree that, if I sh ul become subject to the wor rs' co pensation provisions of Section
3700 of the Labor C d shall =hwith mply i rhos provisions.
Date: V.-G_Applicant:
r
WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CR MINAL 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 s hAn
mit, or cessation of work for 1 0 days will subject
permit to cancellation.
I certify that I have read this application and state that t ainfor tion is correct. I ag to co ply with all
city and county ordinances and state laws relating to b dinstruc n,andhereby tt ze repr entatives
of this county to enter upon the above-mentioned prop y fspec purposes.
Date: -11-'& ignature (Applicant or
Application Number 13-00001518
Permit WALL/FENCE PERMIT -2013
Additional des.c
Permit Fee 47.19 Plan Check Fee •.00
Issue.Date . . . . Valuation . . . . 2000
Expiration Date 5/31/14
Qty Unit Charge Per Extension
1.00 47.1900 LS MISC.WALL, FIRST 100 LF 47.19
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Special Notes and Comments
51LF OF 5' GARDEN WALL WITH GATE AT
"FRONT YARD [ORCO SPECIFICATIONS]
PRECISION CONCRETE BLOCK SHALL BE `
COVERED WITH STUCCO, PAINT,.OR TEXTURED
COATING WHERE VISIBLE FROM OUTSIDE THE
PROPERTY. 2010 CALIFORNIA BUILDING
CODES.
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Other Fees . . . . . BLDG STDS ADMIN (SB1473) .1.00
PLAN CHECK, WALLS 60.06
Fee 1. 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.
LQPERMIT ,
' Bin. #
City of, La Quints
Bulk ulg ar Safety DAWon .
Perh* #
P.O. Box 1504,"78-495 Calk- Tampico
I /)
1a .QuInta, CA 92233 - (760) 777-7012
Building Permit Application and Tracking Sheet
jProject
Address:I
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owner's Name:. S� . �` j� i V c
A P. Number.
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Address: P3�v` ►� 1
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Legal Description:
City, ST, Zip:
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Contractor.
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Telephone:
Address:
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Project Description:
City, ST, Zip:
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Telephone
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State Lia #:
City Lie. #;
Arch., Engr., Designer
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Address:
City., ST, Zip:
Telephone:
ConstructionType: Oaxr an
P cy:
State Lia #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person
�• Stories:
# Unitx
Telephone # of Contact Person: p
Estimated Value of Pro J '3 --(Doo, o•o
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal
Req'd
'Reed TRAVG PERMIT' FEES
Plan Sem
Plan Cheek submitted
Item
Amount
Structural Odcs
Reviewed, ready for corrections
Ylaa Check Deposit.
Trass Caies
Called Contact Person
Plan Check Balance -
Tide 24 Calcs.
Plans picked up
Construction
Flood
— —
—.— _r...�-
- ---
Giading plan
2'! Review, ready for rnrrections/rssue
Electrical
^—
SnbeoataeCorList__
....................__...
Called Contact Person
– ---- ---......__
Plumbing
...._._.._.._... ....._
Grant Deed
Plans picked up
S.M.L
HOA Approval
Pians resubmitted
Grading
IN HOUSE-,
''' Review{ ready for eorreetionsJLcsae
Developer Impact Fee
Planning Approval.
Called Contact Person
A LP.P.
Pub. Wks. Appr "
Date of permit issue
School Fees
.
Total Permit Fees