07-0653 (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:
X07-00000653 1
51940 EISENHOWER
773-175-010-15
WALL/FENCE
COVE RESIDENTIAL
2165
DR
-OOOOOC
Architect or
t
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: 13 License No.: 845115.
ate: '"�' (!� ractor:
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 Mee. 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 (Chapte( 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 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.).
( ) 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 ISec. 3097, Civ. C.). .
Lender's Name:
Lender's Address: _
LQPERI%IIT C..
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: , 3/01/07
Owner:
CARYABUDI DANNY
51940 EISENHOWER DRIVE
LA QUINTA, CA 92253
Contractor:
HEY DUDE CONSTRUCTION
P.O. BOX.1018
THOUSAND PALMS, CA 92276
(760)345-7363
LiC. No.: 845115
------------------
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.
o\ 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 2293039106
1 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 or Code, I shal hwith Comply with those provisions.
'llaa'w 3-1-0 Applicant: .
WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 prid state laws relating to building construction, and hereby authorize representatives
of this
ssjjjcounty to enteru the above-mentioned property
y for inspection purposes.
Signature (Applicant or Agent):�=
LQPERMIT .
.Application Number . . . . . 07-00000653
Permit. . WALL/FENCE PERMIT
• Additional desc .
Permit Fee . . . . 54.00
Plan Check
Fee
00
Issue Date . . . .
Valuation.
. . .
. 2165
Expiration Date 8/28/07
Qty Unit'Charge Per
Extension
BASE FEE
45.00
1.00. 9.0000 THOU BLDG 2,001-25,000
9.00
-------------------------------------------------------------------------.---
Special Notes and Comments
100 L.F. 5' GARDEN WALL, CITY STANDARD
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 54.00
.00
.00
54.00
Plan Check Total 00
.00
.00
.00
Grand Total 54.00
.00
.00
54.00
LQPERMIT .
t
PROPOSAL
PROPOSAL #: 113
SUBMITTED TO: Danny Caryabudi
31820 Rosemary Lane
Thousand Palms, CA
Phone (760) 343-1706
FAX (760) 343-4256
DATE: . 2/22/2007
51940 Eisenhower
La Quinta, CA .
PROJECT NAME: Your home
LOCATION: 51940 Eisenhower
La Quinta, CA
SCOPE OF WORK:
Amount
Opt. 1: Install approximately 80 LF of 5' 0" high of garden wall in front
of home.Block to be slump stone like neighbor across street.
With cap on top.
Install 23 LF of slump stone wall
Concrete at back: Install three sections of concrete with
different sizes, 6'x 22', 13'x 16'and 12'x 7' total( 544 sq.ft.)
color to be regular grey with light broom finish.
( Includes removal of old section of concrete. Door stoop).
Front section of garage 3' x 26' ( 78 sq.ft.) of concrete
Installation of sprinklers and grass
We propose hereby to furnish material and labor complete in accordance with above specifications, for the sum of: $10,000.00
ten thousand dollars
Payment for completed work will be decided between contractor and sub -contractor.
PROPOSAL #: 113
ITEMS EXCLUDED:
31820 Rosemary Lane
Thousand Palms, CA
Phone (760) 343-1706
FAX (760) 343-4256
DATE: 2/22/2007
1. Does not include, second story concrete, stoops, a/c pads
2. All inserts, pipe columns etc. furnished/ installed by others
3. No washers, termite spraying, or water proofing
4. No curing, compaction, testing, fill, survey, permits or sandblasting
5. No trenching or backfill for pluming or electrical contractors
6. Sub -base and base by others
DETAIL STIPULATIONS:
1.Grade to be within .1 (one tenth of one foot)
2. Builder to thoroughly wet area during trenching operations.
3. Building corners and or center lines to established and verified by project
engineer.
4. Curb subgrade to be .1 (one tenth) higher than callout grading for curb
machine operation.
CONTRACT PRICE:
1. Scope of work will be performed for: $10,000.00
2. Subject to authorized change orders
3. Extra work will be performed at time and materials rate
4. Concrete pump by others
GENERAL STIPULATIONS and EXCLUSIONS:
1. Engineering by others
2. Barricades by others
3. Permits, fees, and licenses by others
4. Water and power to be positioned and supplied by others
5. Soils or concrete testing by others
6. Underground utilities to be identified or moved by others
7. Not responsible for unmarked underground utilities
8. Rough grade and compaction by others
9. Removal of excess dirt due digging of footings by others
10.No import or export of fill, materials
11.Proposal may be withdrawn within 30 days if not accepted
12.Scheduling contingent upon labor, materials and weather
13.Project to be field measured at completion for final invoice
14.Signed, faxed copy of proposal required for work begin
15.2" x 2" x 3/16" steel plate washers excluded
16.Removal of excess dirt due to application of others
WARRANTIES:
1. One year warranty of workmanship from date of completion
2. Warranty of all materials responsibility of material supplier
3. Will not warranty concrete, masonry wall against salt/chloride erosion and cracking
PROPOSAL#: 113
31820 Rosemary Lane
Thousand Palms, CA
Phone (760) 343-1706
FAX (760) 343-4256
DATE: 2/22/2007
PAYMENT:
1. All invoices must be paid within 30 days of invoice date or subject to 1.5 %
per month charge may be added to that invoice.
A) 100% payable upon completion of job.
ACCEPTANCE OF CONTRACT:
,1. The above prices, specifications and conditions are satisfactory and are.
hereby accepted.
2. You are authorized to do the work as specified.
3. Payment will be made as outlined above.
4. This Contract is null and void if project is not started within 30 days from
date of acceptance.
HEY DUDE CONSTRUCTION.
Authorized:
Signature:
Date:
Note:
This contract may be withdrawn by us if not accepted within 7 days
Acceptance:
Signature: � r %`' Date 07
Signature: Date J �%
Bin #
City of La Quinta
Building BL Safety Division
'Permit #
P.O. Box 1504, 78-445 Calle Tampico
La Quii ta, CA 42253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:' Cj L
wnex's Name: �
Sev)LojCIDQ)-,7
A. P. Number:
Address: s L1P—V�r r•
Legal Description:
City, ST, Zip: C4/
Contractor. e
�-Telephone:
Address:
,rProject Description: C I
City, ST, Zip:T�l l
1ltil, � 1
Telephone. oQ 3
-4
State Lic. #': ys It
CityLic. #: -
Ar&, Engr. Designer.
Address:
City; ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person
C
Sq. Ft : -
#Stories:
# Units:
Telephone # of Contact Person: - (� Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Rey'd Reed TRACIOMG . PERM FEES
Plan Sets
Plan Check submitted Item Amount .
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit
Truss Cates.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans ticked.up Constructled
Flood plain plan
Plans resubmitted MechanicalGrading,
plin'
2" ReAT, ready for correctioneusue Electrical
Subeoatactor List
Cailed ContactPerson Plumbing
Grant Deed
Plans picked up S.KL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:=
3'4 Review, ready for.torrectioWissue Developer Impact dee
Planniag Approval
Called Contact Person
Pub. Wks. Appr
.Date of permit issue
School Fees
'Total Permit Fees