11-0204 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
11-00000204
54805 AVENIDA HERRERA
774-302-013-4 -000000-
WALL/FENCE
COVE RESIDENTIAL
1950
Architect or Engineer:
PIS
• "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SMITH JENNIFER
P O BOX 764
LA QUINTA, CA
J
92253
Contractor:
HENRY'S MASONRY,
P.O. BOX 5185
LA QUINTA, CA .9 4
(760)250-8253 /
Lic. No.: 7042 0 G
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Ff`$?Oly
r�
Date: . 2/28/11
-----------------------------------------------------------------------------'-- `-- Z�----- - - - - - -
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1-
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 d Professionals Code, and my License is in full force and effect.
License Class: C29 License No.: 704270
_ 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
.
ate: a ntractor:
issued.
ve 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
OWNER- ILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier HARTFORD INS Policy Number 41WEGPZ5043
following reason ISec. 7031 .5, 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 not employ any
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 the Contractor's State
and agree that, if I should become subject 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
3700 of the aborC , I tall forthwith 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate• ppllcant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' CNSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALT AND 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 contiactor(s) 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,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: a
LQPERMIT
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 ab ve information is correct. I agree to comply with all
city and county ordinances and state laws relating to build! construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert nspection purposes.,
Det gnature (Applicant or Agent):
Application Number . . . . . 11-00000204
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 45.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 1950
Expiration Date 8/27/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
15.00 2.0000 HND BLDG 501-2,000
30.00
----------------------------------------------------------------------------
Special Notes and Comments
78 L.F. COMBO WALL, 8" RETAINING, 5'
GARDEN, ORCO SYSTEM AT SIDE P/L
--------------------------------------- ------------------------------------
Other Fees. . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
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
U
LQPERMIT
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RealQuest.com & - Report
Page 1 of 2
Property Detail Report Cor'eLogic.
For Property Located At
RealQuest Professional
54805 AVENIDA HERRERA, LA QUINTA, CA 92253-3778
Owner Information:
Owner Name:
Mailing Address:
Phone Number:
Location Information:
Legal Description:
County:
Census Tract / Block:
Township -Range -Sect:
SMITH JENNIFER J
PO BOX 764, LA QUINTA CA 92247-0764 8008
Vesting Codes: SW
LOT 4 BILK 312 MB 019/059 SANTA CARMELITA AT VALE LA QUINTA
UNIT 28
RIVERSIDE, CA APN: 774-302-013
451.09/2 Alternate APN: 774-302-013
Legal Book/Page:
Legal Lot: 4
Legal Block: 312
Market Area:
Neighbor Code:
Owner Transfer Information:
Recording/Sale Date:
07/24/2003 / 07/14/2003
Sale Price:
FIRST PACIFIC FIN'L
Document #:
552281
Last Market Sale Information:
Recording/Sale Date:
12/10/1999 / 11/19/1999
Sale Price:
$138,000
Sale Type:
FULL
Document #:
538395
Deed Type:
GRANT DEED
Transfer Document #:
Other Improvements:
New Construction:
Site Information:
Subdivision
Map Reference:
Tract #:
School District:
Munict7ownship:
Deed Type:
1 st Mtg Document #:
1st Mtg Amount/Type:
1st Mtg Int. Rate/Type:
1 st Mtg Document #:
2nd Mtg Amount/Type:
2nd Mtg Int. Rate/Type:
Price Per SgFt:
Multi/Split Sale:
Title Company:
OLD REPUBLIC TITLE
Lender:
FIRST PACIFIC FIN'L
Seller Name:
PLIMMER GREGG ERNEST
Prior Sale Information:
Prior Rec/Sale Date:
03/18/1997 / Prior Lender:
Prior Sale Price:
$115,000 Prior 1st Mtg Amt/Type:
Prior Doc Number:
89244 Prior 1st Mtg Rate/Type
Prior Deed Type:
GRANT DEED
Property Characteristics:
1.00
Gross Area: 1,922
Living Area:
1,422
Tot Adj Area:
. 1,422
Above Grade:
Total Rooms:
Bedrooms:
3
Bath(F/H):
2/
Year Built / Eff:
1997/
Fireplace:
Y / 1
# of Stories:
1.00
Other Improvements:
ADDITION
Site Information:
Zoning: R1
Flood Zone: X500
Flood Panel: 06070900108
Flood Panel Date: 08/19/1991
Parking Type
Garage Area:
Garage Capacity:
Parking Spaces:
Basement Area:
Finish Bsmnt Area:
Basement Type:
Roof Type:.
Foundation:
Roof Material:
Acres
ATTACHED
GARAGE
500
3
TILE
0.11
Lot Area: 4,792
Lot Width/Depth: x
Res/Comm Units: 1 /
SANTA
CARMELITA AT
VALE LA QUINTA
UNIT 28
/ 879-F4
DESERT SANDS
INDIO
GRANT DEED
552282
$135,906 / FHA
/ FIXED
538396
$97.05
HEADLANDS MTG
INC
$114,417 / FHA
/ FIX
Construction:
Heat Type:
Exterior wall:
Porch Type:
Patio Type:
Pool:
Air Cond:
Style:
Quality:
Condition:
County Use:
State Use:
Site Influence:
Sewer Type:
POOL
CENTRAL
SINGLE FAM
RESID (R1)
R01001
NONE
TYPE
http://pro.realquest.com/j splreport.j sp?&client=&action=confirm&type=getreport&recordn... 2/28/2011
RealQuest.com ® - Report.
Land Use:
SFR
Tax Information:
Assessed Year: 2010
Total Value:
$165,000
Land Value:
$37,000
Improvement Value:
$128,000
Total Taxable Value:
$158,000
Page 2 of 2
http://pro.realquest.com/j sp/report.j sp?&client=&action=confirm&type=getreport&recordn... 2/28/2011
1.
Water Type:
UNKNOWN
Assessed Year: 2010
Property Tax:
$2,455.54
Improved %: 78%
Tax Area:
20116
Tax Year: 2010
Tax Exemption:
HOMEOWNER
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Bin #
City Of La Q uin ta ,
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico ;
La Quinta, CA 92253 - (760) 777-7012
u11d1ng Permit Application and. Tracking Shee
Permit #tk
Project Address: , - _
Owner's Name:
A. P. Number:
Address:-
5 ds
Legal Description:
City, ST, Zip: 4154 U I W - • 1"'ela .S
Contractor: /V/?
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Telephone: % ';:>:::>'.>: <:'•
Address: 96 M b
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Project Description:
'
City, ST, Zip: ii\ Q l
O Q le(.i`Cll kJ f -J
Telephone: — to
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State Lic. # :
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City Lic. #..
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Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone:
State Lic. #:
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Consttvction Type: Occupancy:
Project tYPa(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
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance,
Title 24 Cates.
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