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10-0878 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000878 Property Address: 53570 AVENIDA VALLEJO APN: 774 -123 -004 - Application description:' WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 5016 T .f A �r 4 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. License Class: C29 License No.: 472843 Date: ?- &IC, Ccntractorpga, _ �/{y�L, 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 (5500).: 1 _) I, as owner of the property, or my employees with wages as their sole compensati6n, 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 safe.). (_) I, as owner of the property, am exclusively contracting with licensedcontractors 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 contractorls) licensed pursuant to the Contractors' State License Law.). - F _ 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: LQYERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/08/10 Owner: HUBBARD DONALD L 53548 AVENIDA VALLEJO LA QUINTA, CA 92253 D 4 Contractor: PRECISION MASON �+ P.O. BOX 3938 SSP 0� PALM DESERT, CA 92 (760)779-5100 Cl Lic. No.: 47284�i#�QU/NTw 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 DELOS INS CO Policy Number 03DKRM12001789 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 ar 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I'8—l0 Applicant: 4L,-� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER GE 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. 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 of this county to,enterupon the above-mentioned property for inspection purposes. Date: 6• !l7 'Signature (Applicanror,Agent): LQPERMIT _ - Application Number 10-00000878 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee: . . 81.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5.016 Expiration Date 3/07/11 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 Special Notes and Comments PROPERTY LINE BLOCK WALLS [PROTO SPEC): -50LF @ REAR PL (COMBO 21/6' HIGH) -40LF @ NORTH PL'(COMBO 21/6' HIGH) -60LF @ NORTH PL (61/5' HIGH 1ST 10') -30LF @ FRONT PL (5' HIGH) -30LF @ SOUTH PL (5' HIGH) 2007 CALIFORNIA BUILDING CODES. September 8, 2010 2:51:27 PM AORTEGA --- - -- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) ------------------- - 1.00' .. Fee summary Charged Paid Credited Due ---------------- -- ---------------------- Permit Fee Total 81.00 .00 ---------- .00 81.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 82.00 .00 .00 82.00 LQPERMIT _ - e• � y ,T" s cp !` Bin # City of La Quinta Building 8i 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: .510 kj64lt* Owner's Name: A. P. Number: Address: 53' Legal Description: City, ST, Zip: Q . Contractor: Address: Telephone: Project Description: City, ST, Zip: Telephone: State Lic. # : CityLic. #; 60 W • 6'• Ak:l® tt Vmg b� IO "a • Arch., Engr., Designer. Address: 30 LA & a-ft4N6 5' City, ST, zip: 3o Ld ®.fit+ L,•�.16 5 Telephone: s. State Lic. #: j Mame of Contact Person: Construction Type: Occupancy:. Project type (circle one): New Add'o Alter Repair Detno Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 5 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit ^ Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction D� Flood plain plan Plans resubmitted Mechanical ... Grading plan V Review, ready for correctionvIssue Electrical Subcontactor List Called Contact Person Plumbing �.. Grant Deed Plans picked up S.M.I. �.. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3'd Review, ready for corrections/issue Developer Impact Fee �+ Planning Approval Called Contact Person q A.LP.P. Pub. Wks. Appr Date of permit issue T Iad School Fees Total Permit Fees eilsluw ipwf R* 144�/ JCM Inspections. T "M, 39725 Garand Lane Suite F Palm Dese-t, CA 92211 INSPECTIONS Phone: 760-345-555& - Fax: 760-772-3895 INSPECTIONS INSPECTION REPORT Date: 9—ate-la Project Name: _ Project No: Project Address: cM.� City. S 3 S1�— Client: Sub-Contractor: oW� General Contractor: Architect: Structural ngineer: QcQc.S�t� �0.Sor�c CacUSn `�vr Scor I :1�nc ©IBC ❑ Title 24 Other: CLC-, Unresolved Items: ff'None See Below Description of Work Inspected:Q�o�a Ga,n0-ca k3 is%s �> Ca�� X \ to C tM l�. W S � co � Lt � C �� o S• PS � ('tic- o o cis-s�� e �s t on Co s Q e_ �(� y �f� fe IQ<\Sjmn Tn(41ic o(' S\�e�C�TS�L� �R on o COch (eSSe� G o 6 G C t ocv.Q_— we-,_;tt, o Tka re v',r SS 4zsQ io) ('o dk r k'N.0-c e C' 0 . G: 1 3 - el 0. C_ • , a R'c o . C.0,1\10-kcA foo w I00'/c ass �— I hereby certify that I have inspected all of the above work, unless otherwise noted, and t-a the best of my ability I have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued_at project completion. , Inspector: J k C. Millin ICC Certif'c' t o Nod 0842216 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of