06-2484 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00002484
51675 AVENIDA DIAZ
773-114-010-3 -000000
WALL/FENCE
COVE RESIDENTIAL
4125
Architect or
Td�p 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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: C27 LicenseNo.: 840887
Date:A- P Contractor:
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).:
(_ 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
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.).
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.).
Lender's Name: '
Lender's Address:
LQPERMIT
Owner:
CARTER KATHY
51675 AVENIDA DIAZ
LA QUINTA, CA 92253
Contractor:
GREEN KNOWLEDGE
P.O. BOX 367
THOUSAND PALMS, CA 92276
(760)343-0156
Lic. No.: 840887
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/22/06
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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 1808124
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
, s a 0 of the Labor Co forthwith comply with those provisions.
i
Date: 2 Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION CO RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES 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 co my to enter upon the above-mentioned propert ction purposes.
Date: 2-� 06ignature (Applicant or Agent):
Application Number . . . . . 06-00002.484
Permit . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 4125
Expiration Date 12/19/06
Qty ' Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
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Special Notes and Comments
165 if 6' block wall per city standard.
max height in front p/1 & 10' back is
5'.
Fee summary Charged Paid
----------------------=--------------
Credited
Due
Permit Fee Total 72.0.0
----------
.00
----------
.00
72.00
Plan Check Total .00
.0.0
.00
.00
�-. Grand Total 72.00
.00
.00
72.00
LQPERMIT
Bi" #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
7jf �r
Project Address:' — Z
Owner's Name: Y) C G r r
A. P. Number:
Address: ` s (� Q V 1 1Ck 7 -
Legal
Legal Description:City,
ST, Zip: L(A
Contractor: C—) reer) K)C) w 1 cnj
TelephoneC%(.
Address: o 3 U 5
Project Description:
City, ST, Zip: �
Ctl'�
Lo S U O �9l h l
Telephone: (Dp — 5_ vb 2
S O 0 n c4
State Lic. #: C --,P--7 4X59 d`6 $
City Lic. #:
T Vqff w p\
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one . New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading, plan
2°" Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval'
Plans resubmitted
Grading
IN HOUSE:
Jnd 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
r
Green Xnowledge
PO Box 367
Thousand Palms, CA. 92276
(760)343-0156 office
(760)275-4238 cell
Benny Meza
LIC.0-27
#840887
Kathy Carter
51-675 Avenida Diaz
La Quinta, CA. 92254
(760)775-8010
(760)775-8014 fax
Upon your approval designated by your signature below, the following work will be performed
on the property(s) named above for the amount of $10,725.00 dollars.
This project includes:
* Remove wooden fence
* 165ft of block wall
* block to be use 6x6x16 slum block Tan
* Labor and material
* pick up our waste only
* plants along the back wall
* (A-Caliandras 5gls. )
* (B -Royal Ponciana 15gls.
* (P -Mexican robusta Palm 15gls. )
Extras:
*
*
Payments:
Deposit$ payment$ payment$
Note: Permit # Date issue:
The work will be performed weekdays or weekends as it best fits our schedules.
;
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are hereby accepted. You are authorized to do
the work as specified.
ACCEPTED: The signers below swear that they are either officers, owners or authorized signers
���
tioned client.
('D -,S � DATE (62 lam- i0
DATE_/2z /