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12-0837 (BLCK)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777=7153 BUILDING PERMIT Date: 7/30/12 Application Number: 12-00000837 V Owner: _ r Property Address: 80111 VIA PESSARO LETMAN CATHY & DEAN APN: 772-550-025- - - 80111- VIA PESSARO Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: LOW. DENSITY RESIDENTIAL (760)296-.1650 Application valuation: 75 , - Contractor. Applicant: Architect or Eng'n r. OB GENERAL CONTRACTORS 79915 COATBRIDGE COURT d f CJ` INDIO, CA 92203--0 i D (760)25075850 cc! JUL!1 * Lic. No.: 550253 i UL 3 v 2012' CITY AF LA QUINTA - - - - 'FIAM14CE0Fpy------------------------------------------------------------------------------- d LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I� hereby affirm under penalty of perjury one of the following declarations: _ Section 7000) of Division 3 •of the Business and Profe als Code, and my License is in full force and effect. • I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Clas B C2 C9 C1 - .License No.: 550253 � r by Section 3700 of the Labor Code, for the.. performance of the work for which this permit is - _�_�,�3.0� /,� - issued.' . t 't•'"-Da�t�e: %*y ontractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 411" Code, for the performance of the work for which this permit is issued. My workers' compensation OW R -BUILDER DECLARATION - insurance carrier and policy number are: hereby affirm under penalty of perjury at I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT .' following reason (Sec. 7031.51 Business and Professions Code: Any city or county that requires a permit to_ I certify that; in the performance of the work for which this permit is issued, I shall notemployany construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the. '� person in any manner so as to become subject to the workers' compensation laws of California, - •. permit to file a signed statement that he or she is licensed pursuant to the provisions of theContractor's State - _ and gree that, if I should beco 'ect to the workers' compensation provisions of Section - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37 0 of the Labor Code, I ith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 2� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)": Da[�e T' '^� � Applicant: _ 1 _ 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 . WARN( G: FAILURE TO SECURES, COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon; AL SUBJECT AN EMPLOYER TO CRI .PENALTIESAND CIVIL FINES UP TO ONE HUNDRED .THOUSAND ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - - APPLICANT ACKNOWLEDGEMENT - - (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for. a permit subject to the _ 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this -application. , ' property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.AP.C. for this reason - 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. ' ' Date: Owner: 2. Any permit issued as a result ofthis 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 -' CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all `work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, d hereby authorize representatives of this court toe er upon the above-mentioned property for inspec' oses. , Lender's Name: L�/•//t/�/r/(t 4.Q_ate:�± fSgn�ture_(Applicant or_Agent),_ Lender's Address: LQPERMIT T - Application Number 12-00000837 ""Permit WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . Valuation -75 Expiration Date `. 1%26/13 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 3LN FT X 6 FT HT BLOCK WALL TO CITY STANDARDS. Other Fees . . . . . . BLDG STD S 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 '# a Y Of is QUinta : Buiidigg 81• Safety Division P.O. Box 1504,78-495 Calle Tampico 1A.Q&nta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: -- t 1/ I Nis ^rt Owner's Name:.^Ae y A P. Number. Address: Legal Description: 'Lo City, ST rAYr&- 92Z�I Zip: � � ' Contractor. ®(? &/7%" 4*. -d /?—S- Address: Y y �C 1 f,(1 (/ Project Description: City, ST, Zip: �� , LJ� fit) '`�L,,1C Telephone: Gl 0 U 6GO State Lie. # : —G ass City Lie. #; Arch.; Engr., Designer. C-1.7- 1 "1 --j Address: City, ST, Zip: Telephone: State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'q' Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Univ: Telephone # of Contact Person:"J Estimated Value of Project; APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Rcq'd. Reed TRACKING PERMIT FEES Plan Sete Plan Check submitted Item Amount Structural Cala. Reviewed,ready for corrections Plan Check Deposit. . Truss Cala• Called Contact Person Plan Check Balance _ Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted,*. Mechanical Grading plan 2a° Review, ready for correctionsfisstre Electrical Subcontector List Called Contact Person Plumbing Grant Deed Plans picked up S.M,L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 1 i i 1 1 1 1 X., Raised spa with storj `f Zg;vehoer on did s 81 co�(I tqp • ggessideiBrown' Raised.Spa +1511 a----�-=• �° Pool Sir n +24D PP�� civ ►1. colored C ' f do Brown' :..� 2.5—t--z>H . i' Ole �q t4 i .. Y. • .. cr/i�.vvr.��irir �v�mse - � � r � � � . _/ ♦ "' -- r -.. -- -"-- � �+� � ,^,ice. -__ _ --� I .. �� III:[ _... ,wealn.e::::.wut_LmUlmc um+::•Imt 14L d auu�vuuw,:wu � r ' 1i li � :Lwv:':a:�c::.cAe.�wrru,:.�,llw • it ■.-. � - --=:nrtnlrvn�u� �� '� a w.•� � I .� urJll IIS! ' I E �) uwuwvL•L�_ " �7QIIILL:1lL'LLII i>•"�'� � t'� '{1y' *--•:0'L: Y:JLI i � I h I: I�'N�7�2 �-. C .001Ji1LIWl c7�u CCC � I®�( MdFlo t :, :� �IfLy;c-L{u[ro:nJQrIfP .•ap�j,IlCy'LVV,AI:._ d.Nv �r®a.�".m:.us- �1Fir::� �� S�\Ii _ 'lirtt�fl► Thigh Pilasters veneer I I�ilrl'LhJfl4�L•{)��'i��ii ri i 'II� - �r II I � • 0 . .I[ i• r � �l. Ali na■n �, uta - �� ■. a ��' r fdo Thigh pilasters w/Eldor stone veheer & colored MDR / 6' high conc. blk. Property line wallstypical JV- , � _ nrtlmnrllIIt�iac�::.`ti�:.��rrmmma�gm. > -- _ / i r .i l