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05-1468 (BLCK)I - I T ��a�w \� BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 OFTt� 78-495 CALLE TAMPICO FAX ('760) 777-7011 LA Qu1NTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT 4. Application Number . .C-05-0'000146$ Date 4/25/05 Property Address 503 -5 -CF -VISTA MONTANA APN:. , 772-2$0-012- - - Application description . . . WALL/FENCE Property Zoning VERY LOW DENSITY RES Application valuation . 47.00 Owner - Contractor LEVINE MUNDT JC CONSTRUCTION 50350 VISTA MONTANA 67325 MISSION COURT LA QUINTA, CA 92253 CATHEDRAL CITY, CA 92234 ,(760)275-6769 WCC: STATE FUND WC: 24928 06/29/05 CSLB: 75.13.89 07/31/06 CCC: A -B goo`' 1 P.O. BOX 1504 • '�C�� 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: f Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: Lic. No'.: bUILUING PERMIT DECLARATIONS 41 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 Co , and my Lice n a is in f force and effect. ice%e Class � y l� icense No. S �� /[fate 2 fi Sontractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 or 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.). U 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.). U I am exempt under Sec. . BA P.C. for this reason Date WORKERS' 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 1of the work for which this permit is issued. I have and will maintairi workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is S. jssu d. My workers' compensation in ce carries and policy n tuber ar arner ?r-�t �w �(d �% ^ icv Number 229 - W y q ^ 2 6p S 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 ate 6 thosevision pplcantpy . 1. WARNING: FAILURE TO SECURE WORKERS' 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. 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 R 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 Ouinta, 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 pon the above-mentioned property for inspection purposes. Dateignature (Applicant or Agent): \ Application Number 05-00001468 --------------=----------------------- ------------------ ---------- ----------- Permit . . . . . . WALL/FENCE PERMIT Additional desc �- Permit Fee 72.00 Plan Check Fee .00 ` Issue Date . . Valuation . . 4700 Expiration Date,. 10/22/05 Qty Unit, Chargee Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-2.5,000 27..00 ----------------------------------------------------------------------------- Special Notes and Comments 188 L.F. 6' GARDEN WALL, STUCCO FINISH, CITY STANDARD Fee summary Charged Paid Credited Due Permit Fee Total 72.00 - .00 .00 72.00 Plan Check Total 00 00 .00 .00' Grand Total 72.00 .00 .00 72.00 Tdf 4 4 QU&M P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 SAMPLE VACCINATION SCHEDULE COMMUNITY SAFETY DIVISION (760)777-7050 FAX (760) 777-7011 The following sample schedule is followed by many veterinarians. However, your veterinarian may recommend an alternative schedule based upon dog's age, his potentia] exposure to diseases, and the risk of particular diseases in your geographic area. There is some controversy within the veterinarian community about puppy vaccination schedules. Speak with.your vet about their views, then, together, decide what is best for your dog. VACCINES 6-8 weeks of age 6-8 weeks of age or older 9 weeks of age 12 weeks of age 16 weeks of age 20 weeks of age BOOSTERS Every 6 — 12 months Annual Every 1 — 3 years (depends on state law) DHPPLC* Bordetella brochiseptica DHPPLC, Lyme Disease DHPPLC, Lyme Disease, Rabies DHPPLC DHPPLC Bordetella bronchiseptica DHPPLC, Lyme disease Rabies *DHPPLC is an abbreviation for a combination vaccine that includes distemper, adenovirus 2 (hepatitis virus), parvovirus, parainfluenza, leptospirosis, and coronavirus. Some veterinarians recommend that only dogs at risk of contracting leptospirosis be vaccinated against, and others recommend that the leptospirosis portion of the vaccine be given only to puppies older than 14 weeks. Some veterinarians consider the coronavirus portion of the vaccine optional as well. Consult your veterinarian for recommendations for your puppy. **information from ASPCA's Complete Guide to Dogs. LETTER.OF AGREEMENT THIS AGREEMENT is between J.C. Construction, hereinafter called "Contractor", whose address is 67-325. Mission Court; ,Cathedral City, CA and Patrick Mundt, hereinafter ' called Owner, at 50 350 Vista Montana, La Quinta, CA. Description of Project: The project will be done in accordance with the Homeowners Association and to the specifications of the. prevailing municipality. Owner will pay for all permits which may be required and stamped receipts must be submitted and final approval initialed or stamped by the prevailing municipality. Owner will be responsible for an y. and assessments. Extra Work:- Should owner, or any public body or inspector, or Homeowners Associations representative direct any modifications or addition to the work covered by this Agreement/Proposal submitted, the Bid Price shall -be adjusted accordingly. The modification or additions to the work shall be executed only when a Change Order has been submitted in writing and agreed in writing by the HTP. Right to Stop: Work: Owner shall have the right to withhold any payment if any part of this agreement has not been met. Owner may replace Contractor and cancel this agreement if the work to date' is not -at the standards stipulated or to the standards of the prevailing municipality. Furthermore, Owner may terminate the Agreement:at its option due to non performance and.Contractor shall be liable for breach of contract. Work Scope: Owner retains the services of Contractor for the following: 1. Courtyard — a 3 ''/2' concrete slab.with saltfinish and color- 900 SF 2. Motor Court - a 3'/i" concrete slab with salt finish and color -1400 SF And 3 '/2" arched curb slab. 3. CMU wall — Garden wall with stucco finish -6 ft -520. LF`+/- 4. West CMU wall- Retaining wall with stucco finish -90 LF 5.. Wrought Iron Fence — approx 140 LF — West Side 6.. Wrought Iron Gates — 3'x6'- 2each and 6'x10' wrought iron gate- 1 each 7. Dog Run- Wrought Iron run with gate 8. BBQ —Mission finish base with file top (to, be chosen by Owner and the grill/warmer/ice drawer to be supplied by Owner) Total Contractual Amount not to exceed $72,000.00 Documented and detailed.under invoice 05-002 January 07, 2005. * Partial lien releases shall be given upon receipt of each payment with a full release on final payment. In.the event the parties hereto become involved in a dispute arising out of this Agreement, or the performance or breach thereof; it is understood by and between the parties herein that any and all disagreements under the Agreement shall be determined by Arbitration as provided by California law and said decision shall be final and binding on all parties and each party. shall bear its own legal fees. This Agreement shall be governed by the laws of the State of California. 3 Bin # �� City of La Quinta ,-7Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico � ='` ""° •La Quinta, CA 92253 - (760) 777-7012 BuildingPermit Application and Tracking Sheet Permit #jt�t� / Project Address: Q_' O Owner's Name: L A. P. Number: Legal Description: ®ta IWO of 'Address: City, ST, Zip: Qty i Contractor: �� Cry�.S�^u � b TeleP hone: Address: / Cin', ST, Zip:��f/ Gf C�2Z3c Telephone: ' - D� 061? _7 S 7 9 Project Description: 1 d ��(�C1�::<GvQ�'I �G M c..c7 6c .S �S State Lic. # : 75 City Lic. Arch., Engr., Designer: T Address: City, ST, Zip: Construction T� . c P O cu P anc • Telephone: State Lic #: Pr o ect e (circle rcic one): �� N � J e . P � Add'n Alter Repair Demo Name of Contact Person: �� Sq. Ft.: # Stories: # Units: Estimated Value of Project: 0,0 Telephone # of Contact Person: '7(o e)^ 29s (, J4,q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets I P12- Check submitted Item Plan Check Deposit Plan Check Balance Amount Structural Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted f Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person #t Plumbing Grant Deed Plans picked up Grading Developer Impact Fee II.O.A. Approval Plans resubmitted IN IIOUSE:- Jn° Review, ready for corrections/issue Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees