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12-0167 (BLCK)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ( Application Number: 12-00000167 Property Address: 80247 VIA PESSARO APN: 777-210-033- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2'50 API Tii!tr °F XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GRAHAM RESIDENCE 80247 VIA PESSARO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 77.7-7011 D _ SPEq IONS ) 777-7153 �E,3 2 20'2Dat1: 2/24/12 i GI B Y AI: LA QUINTA Contractor: Architect or Engineer: PIERCE CORPORATION, ANDREW P.O. BOX 3420 PALM DESERT, CA 92261-3420 OJA (760)346-3228 Lic. No.: 671203 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,Agaony License is in full force and effect. LicenssA/ee C/I��ss: B ��/� Li 71 03 DatQ!�J' ^. I`C�,ontractor: 94IINER-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 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.l. ( ) I am exempt under Sec. , BAP.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 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 0000745-2010 _ 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, a agree that, if I should become subject to thew s' compensation provisions of Section 0�of the Labor C f rt w' cc hoe provisions. Dat Applicant: WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P 'CC AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 a rize representatives of this my to nter upon the above-mentioned prope ion urpo D��ignature (Applicant or Agent Application Number Permit . . . Additional'desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . . 12-00000167 WALL/FENCE PERMIT 15.00 Plan Check Fee . . .00 Valuation . . . . 250 8/22/12 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments ADD i0' BLOCK WALL PER CITY STANDARD. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total ---------- 15.00• .00 .00 15.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 ..00 1.00 Grand Total 16.00 .00 .00 16.00 LQPERMIT Bin... , .. :.... ; . 0tv � Of Qd�t�i :. 'Bullding 8L Safety Dtt4slon P.O. Box I504, 78-495 Calle .Tamptco ia.Quinta, CA 92253.:(760) 777-7012 Building Permit Application and Tracking Sheet Perrnit #-, Project Address: a.. 214-7 t,&FPOer's Name:. 601 A. P. Number. Address: �% 'U'� /a' Legal Description: City, ST, Zip: Lam► 49POL INkT; . 4Ar Contractor. pr.�n/1F �� ; y Telephone: Address: Project Description: City, ST, Zip:o6pp L d 1 s Telephone: tEVG�.1.�.. State Lie. # : City Lie. #, Arch, Engr., Designer. Address: City., ST, Zip: Telephone: a '` Construction Type:. Occupancy: Project type (circle one): Now Add'n Alter Repair Demo t State Lie. #: Name of Contact Person: t%l�K� f.-O'✓:� Sq. FL: #Stories: # Units: Telephone # of ContactPerson: (�0 !�O 3?�� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Reed TRACM(; PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Pfaa Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan Review, ready for correctionemue Electrical Subeostactor 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 correctionsAssae Developer Impact Fee Planning Approval. Called Contact Person A.IX.P'. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees STI 12 ► `� 2 GRAS E j LAW gC� m �z a" G' C. • V r EXISTING 12 0 o CAL ALMS r7 `. ^,'' 16 2 8 4 4 _8i � L2 6 20 24 32 36 40' 44 P,4 INFINITY EDGE. I � '1 EXISTI FICUS H POOL -74'6" 6' H H V' � -4'6 4,6„ ~ LAN N EXIST G 1 -4'6" CAL PALMS . I 12 / 274 e' POOL (102 , TWA\. FA P,4 G. �- �'UTTI zy- PALMS $ / r _ FFi L - l f',4 --I -�7- M" b 7 j- 6 4 ' Master ._ �. + waw i._f� _ �- -4r� CIN OF LA QUINTA BUILDING& SAFETY DEPT. APPROVE® FOR ONSTRUCTION AT Zl?-6Y to � � coy.- '�' �F Monona Tom � Cj �tr�,�.l-�s-►� Ids �P� r —M: :�)n ll,%,. V Arr",oc 0