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BWFE2015-0314LICENSED 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 Professions Code, and my License is in full force and effect. License Class: B License No.: 926190 Date: -4 Contractor: 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 (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 (�) 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.). (_) 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's 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 Df the work for which this permit is issued. 1 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: _ Policy Number: 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 shall forthwith comply with those provisions. Date: Applicant:Cy��U 0 1 ✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 4ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO DNE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, NTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 ve information is correct. I agree to comply with all city and county ordinances and st a laws relating to building construction, and hereby authorize representatives of thi I cif i to enter upon th/ above-mentioned property for inspection purposes. Date: Ill —– I 7 Signature (Applicant or A (XW 48 O �i � � � VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/4/2015 Application Number: BWFE2015-0314 Owner: Property Address: 52070 AVENIDA CARRANZA ORANGE RIVER APN: 773221002 P 0 BOX 414 Application Description: PEPE BUILDS/ 10OLF OF BLOCK WALL VINEBURG, CA 0 Property Zoning: Application Valuation: Applicant: Z Contractor: o cD HUITRON CONSTRUCTION HUITRON CONSTRUCTION 50427 RIGO COURT 50427 RIGO COURT' o COACHELLA, CA 92236 COACHELLA, CA 922361 O �j Z D N L� (760)457-9960 Ln Llc. No.: 926190 M C� 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 Professions Code, and my License is in full force and effect. License Class: B License No.: 926190 Date: -4 Contractor: 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 (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 (�) 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.). (_) 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's 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 Df the work for which this permit is issued. 1 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: _ Policy Number: 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 shall forthwith comply with those provisions. Date: Applicant:Cy��U 0 1 ✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 4ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO DNE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, NTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 ve information is correct. I agree to comply with all city and county ordinances and st a laws relating to building construction, and hereby authorize representatives of thi I cif i to enter upon th/ above-mentioned property for inspection purposes. Date: Ill —– I 7 Signature (Applicant or A (XW DESCRIPTION FINANCIAL • ACCOUNT 1 QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD RECEIPT # . a CHECK # CLTD BY DESCRIPTION ACCOUNT QTY, AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # 'CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL: •TALS:. $108.77 $108.77 $0.00 $0.00 PerY111t Det►aI�S PERMIT N.U.MBER r City of La Quinta BWFEs2015-0314 L: Description: PEPE BUILDS / 10OLF OF BLOCK WALL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 11/4/2015 SKH APPROVED Approved: Parcel No: 773221002 Site Address: 52070 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 78 Lot: 21 Issued: UNIT 10 f fix. ,t . y#:; '.,,,..;> Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: 10OLF OF 5'/6' GARDEN WALL [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF Printed: Wednesday, November 04, 2015 12:36:28 PM 1 of 2 (OPWSYS7EM5 • • o f fix. ,t . y#:; '.,,,..;> NAME TYPE NAME CONTACTS ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT HUITRON CONSTRUCTION 50427 RIGO COURT COACHELLA CA 92236 CONTRACTOR HUITRON CONSTRUCTION 50427 RIGO COURT COACHELLA CA 92236 OWNER ORANGE RIVER P 0 BOX 414 VINEBURG CA 0 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF Printed: Wednesday, November 04, 2015 12:36:28 PM 1 of 2 (OPWSYS7EM5 " Permit Details PERMIT N.U.MBER Gity of la Quinta BWFE�2015-0314 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIP# CHECK # METHOD PAID BY CLTD BY WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 Total Paid for FENCE OR FREESTANDING WALL: $0.00 �$�10088.7777 - - MOM REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES • ": ,.. ... -'-:-, "4 -._ - -;.. - :. '•.,':y :-r r.:r•C:'-.t T. .:. ..4'..ay.-., g ;.?'.• i>d14&i6 .�"�('ip�` .. .. Mqwl 0 - tue Printed: Wednesday, November 04, 2015 12:36:28 PM 2 of 2 Opw SYSTEMS In b ola2� LA l7t w A P -f(- ,4 03 o c- 3 " ON ,� y sr� 3 el Y r D^ D Ell- In 6t- d r � / Bin City of La Quin to Building 8z Safety Division _ 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # J rhe - 1 "E� Project Address: ,O J �TC-U Vr? Owner's Name: b v t , �C A. P. Number: Address: Legal Description: City, ST, Zip: Contractor-. actor: � TaleP h hone: 06 'i1 6 Address: �� .}— Project Description: lJt a�..��..... p W6K....Vi' City, ST, Zip: o.CVtS-�1�+- �' 100 Telephone: �7 b i - Slate Lic. # CA2-61 01-0 City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: h one: Telephone: eP Occupancy: ConstructionTY • Pe: cY State Lic. # type one): Ne wA dd'n Alter Repair Demo Name of Contact Person: cv,�jb t§iow 100 JA# Stories: # Units: Telephone # of Contact Person: �1 q b O Estimated Value of Project: Z APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item' Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical 'Grading plan 2"" Revicw, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. li.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review, ready for correct ionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees