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12-0640 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. Application Number: 12-0000064 0 Property Address: 51365 A� HERRERA APN: 773-084-018-6. -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 2000 Tiht 4 4 Q" Architect or Engineer: p(A 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: B ense No.: 937930 /ate: l �_'onlractor: OWNER -BUILDER DECLARATION - I hereby affirm under penalty of p ry 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 1, 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.). (_ 1 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: I Q Lender's Address: LQPERMIT Owner: DENISE FISHER 51365 AVENIDA HERRERA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/11/12 Contractor: i! )) W I J TRI-KON GENERAL CO INru 4 31355 SAN ELJAY A CATHEDRAL CITY, CAf 2 34 J'UN1 11 2012 (760)880-4085 LU Lic. No.: 937930 CITY S-A QUINTA. ----------------------------------------------- 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 Code, I shalt rthwith com with those provisions. te: //-/ plicant: WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001. 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, indemnity 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 for inspection purposes. DSte:����./ / f6ignature (Applicant or Agent): LQPERMIT Application Number . . . . 12-00000640 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 45.00 Plan Check Fee .00 Issue Date .'. . . Valuation . . . . 2000 Expiration Date 12/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 HND BLDG 501-2,000 30.00 Special Notes and Comments -80 L.F. 61, GARDEN WALL @ SIDE P/L, CITY STANDARD. 2010 CODES. : ------------------------------------------------- Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 r Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 45.00' .00 .00 - 45.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1:00 Grand Total 46.00 .00 .00 46.00 LQPERMIT 6XIlV IiAj �(G— r� L X► �/ i � ►�./ 6 G �+ R- D E Q I/tJ x+ � N c FD rveose� Wu CITY OF LA QUINTA BUILDING & SAFETY DEFT. APPROVE® FOR CONSTRUCTION DATE 12BY lib E,pT1E2 S' FAc6- eF Lw TRI-KON GENERAL CONTRACTING, 31355 San Cljay Cathedral city Ca 92234 lic#937930 760 -880 -4085 - PROPOSAL & CONTRACT This agreement is made this 5 day of june 2012 by and between Tri-kon contracting hereinafter call the contractor and Dennise Fisher hereinafter call the owner.Witnesseth.that contractor and. owner for the considerations named agrees as follow: 1 -SCOPE OF WORK: -Build 6' high x 80' garden wall. Along north side of property. -install splinkler in front yard -install 200 sq ft floring tile on rear concrete patio —tile by owner -paint 14'x8' wall in living area 2 -WORK TO BE PERFORMED ON PROPERTY AT:51365 Avenida Herrera,La Quinta 3 -THE CONTRACT PRICE: $4175.00 labor and material 4-TERMS:full payment due up on work completion OWNER: X DATE P Print nane 'D 15:�J/5 -FlSf/rK CONTRACTOR ATE 7/ JOSE NUNEZ N # City of b Quina BAft a Safety Divtslon P.O. Box 1504,78-495 Calle Tampico [a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Peml,t # a' ProjectAddtrss:s% G� ,/! 6 �1-i'C OwneesNwne:. D.. , C 5 •e jl- A P. Number. Address03 65"4 ye641 -e,)- r vC Legal Description: City, ST, Zip. C j Q- J / Contractor. 7d Kar✓ Ceti � r u �m �) T v al^ I Telephone: Address: i .a I e ✓ Project Description: City, ST, Zip: :G,t. PI-eo-veJ Ir A, C / %: Tele hone: P %L!/"4WV State Lit # : C U City Lic #; Arch., Eng, Designer. Address: City., ST. Zip: Telephone: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo State L'rc, #:Pro Name of Contact Persons t7 id Sq: Ft.: #Stories: # Units: Telephone # of Contact Person: fj = � t?- " U Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE p Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amoaat Stmctural Caics. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance. Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mecharilcal Grading plan. 2'! Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1n° Review; ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr - Date of permit issue Scbodl Fees Total Permit Fees