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08-1052 (BLCK)--*`=P.O'' BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001052 Property Address: 79923 DANDELION DR APN: 604-493-002-37 -24197 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2125 Ap�pliic�ant: Architect or Engineer: !�Y ----------------- I LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: ABC -8 License No.: 890415 Date: 0 / O6:ontractor. /Z 4�1A� / /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).: 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.). 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.). ( I 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.I. Lender's Name: _ Lender's Address: LQPERMIT Owner: PASH RESIDENCE 79923 DANDELION DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/25/08 Contractor: CROCODILE CONSTRUC d Q 53080 AVENIDA JU LA QUINTA, CA 922 (760) 574-6357 Jut Lic. No'.: 890415 `1 O / F/Neo.�-A Olt- ----------------------------------1-,::-- - - - - - - -— 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 the Labor C/delII/forthwi comply with those provisions. Date:��Applicant: WARNING: FAILURE TO SECURE WATION 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. 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 enter upon the above-mentioned property r inspection purposes. Date: Signature (Applicant or Agent): �r Application Number . . . . . 08-00001052 Permit . . . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . 54.00 Plan Check Fee. .00 Issue Date Valuation . . . . 2125 Expiration Date 1/21/09 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 REAR ENGINEERED WALL 71, CITY STANDARD SIDE WALLS 7' X 85 L.F. PER APPROVED PLAN. -----------------------7---------------------------------------------------- Other Fees . . . . . . . . . HOURLY PLAN CHECK 122.50 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 122.50 .00 .00 122.50 Grand Total 176.50 .00 .00 176.50 LQPERMIT Gary L. Pash 79923 Dandelion Dr. La Quinta, CA. 92253 Fax Email July 3, 2008 City of La Quinta Jim Johnson In regards to the Permit for Construction of a new retaining wall in the rear of my property, I have agreed to have the work done by Richard Rodriguez, Crocodile Construction, licensed Ca. Contractor. This work is being done on my private property according to plans drawn by Dennis Wish, Civil Engineer, according to City Requirements. In addition, 1, will accept any additional responsibility regarding any damage that may be done to any City property, and agree to remedy same in accordance with City rules and regulations. The Contractor on this project currently holds Workers Compensation Insurance and I also hold Liability insurance on the property. All pertinent parties have been notified of my intent to begin this project on my property and the being requested. J�� 0 �' D T � JUL 0 9 2008 _,- CITY OF LA QUINTA-SUB—CONTR CTOR LIST JOB ADDRESS_'_ PERMIT NUMBER OWNER_x =�� ! BUILDER . S This form shall be Rosted on the job with the Build n Ins c io Card a all times in a conspicuous lace. Onl persons appearing on this list or their employees are authorized to work .� � pe n ep Y P PP 9 on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply .will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. de sification Tra Clas Contractor' . ::: :..::..:.:... ;.::.....:.:. >::::<::.;:::::..::.::::.- tate..Contrac ' nse . :::...::. :: tons. Lice- ................. S :. ".:' .::>: ..,._ .;......;.::..:.;:..:.... ;; ;::....:.;.:..: :;'. ;>'. . ;:..... ::: "'ratio .......... Workers Comper! n,Insurante: ''::': ' .' >::.....<:r::.. Biis Cit Hess Y Lice Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. DatePolicy (xx/xx/xx) .S (e. tate Fund, (Comp) Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) I EARTHWORK (C-12) .. / (,ibk-, � L�o 1 (- �J/r l`t'3 i f!% /,, C f �l'l-i7 4-1- 101q0 24 CONCRETE (C-8) 1 f FRAMING STRUGT.:STEEL (C-51)77=77 7777: 77, MASONRY (C=29) PLUMBING (C-36) LATH; PLASTER 4C.-35) ' / u�.l� ��/ \. < < L( L l s DRYWALL (C-9) ..<..: HVAC. (C-20)" ELECTRICAL. (C_`10)-:.:...`, ROp,FIND(C.=391:;:; SHEt METAL (d 43)' w.GLAZING INSULATION (972l..:. SEWAGE DISP (C-42)' PAINTING (C'33)'-:7. CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) { Ct R � f i c ' LANDSCAPING (C=27.) POOL (C-53) Bi" # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �2 1 UU Project Address: PAAl d r Owner's Name: hPcts h A. P. Number: Address:. 2 -� a fid& (&,V Legal Description: City, ST; Zip: �� i✓ C-4- ° Contractor: Telephone: Address: S S Project Description: City, ST, Zip: JZv 2�. / Ale La Telephone: 760 - J - oZ State Lic. # : a Q . City Lic: #: Arch., Engr., Designer: O ^ 1 , 2 L Address: 0 Telephone: State Lic. #: Name of Contact Person: C rn otfte Construction Type: Occupancy: Project-type (circle one): New . Add'n Alter Repair Demo Sq. Ft:: b L # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: tooto 77/4 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIQNG--�, A PERMIT FEES Plan Sets Plan Check submitted—_� Item Amount Structural Calcs. Reviewed, ady for corrections,,.,/Plan Check Deposit Truss Calcs. Called Coil t Perso Plan Check Balance. Energy 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 O M