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07-1185 (BLCK)A - - P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 i! Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: BUILDING.& SAFETY -DEPARTMENT BUILDING PERMIT 7--0 0 0-0-1-1 _85= Owner: 52916 AVENIDA OBREGON HFFMAN WILLIAM B 773-315-015-8 -000000- 52952 AVENIDA OBREGON D WALL/FENCE LA QUINTA, CA 92253 - COVE RESIDENTIAL ----=------------------ 224 _ .. Contractor' Architect o�'Engineer' Owner - VOICE (760) 777-.7012 . FAX (760) 777-7011 INSPECTIONS'(760) 777-7153 Date: 4/19/07 APS .19 2007. _ .. V CONSTR1-4 UCTIO ING AGENCY . I hereby affirm under penalty of perjury that there is a constructionlending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 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 prdp yy for, iinsplec4lloonn purposes. —Date: f!'Signature-IAppI� i rAgent): 17 ►'f,/l 1 / —. 1j�T'�. --------.--.------------.---------- -`'–� __'"�►�,' = — — - — — — — — — — — — — — ' -. 7— - —— — — — — — — — — — — — — — — — — — ,'LICENSED'CONTRACTOR S DECLARATION — — — — — — — - = — — — — — — — — — — — — — , WORKER S COMPENSATION DECLARATION Thereby affirm ur der.penalty of-perlury that I am-.licensed'under;piovisions of;Ch'apter. 9 (commencing with f hereby affirm under penalty of perjury one of.$he following declarations ' - Section:J000) of; Division.3'of.;the,Business and.P.rofii sionals Code, and my License is in full force and effecfI.. ;: 4'..'. . _ ..-, . F - _. ..%' ::. ' ': I have and will.maintain.a ceitifi ate.of:consenfto self -insure fir work i Y✓ m n i'n r 4i o e s co sato , as p, o ded ; .. .-- ,.:.. * License Class. • .' ; : " License N6.'.�. � .;_ i+- �- ' - _ :pe foi'by-Section 3700 of the Labor Cot:14 " e:the performance of the,work for, which this permit is +issued ;;Wu .,, .. Date: Contractor: - - I.have and will mamtain:workers'. compensation insurance; as required. by Section 3700,of the Labor' - - - - - - 'Code, for -the performance . -of thii woik for' wkich.this permit is'issued. My workers' compensation OWNER -BUILDER DECLARATION' I -hereby affirm under penalty of perjury that I am exempt from"the Contractor's State License:.Law. for'the. insurance cairier and poky-numberare: Carrier- . "Policy Number , " following reason (Sec. 7031.5, Business andProfessionsCode:�Any.cjty of county -that requir'es.a permit to 'JW_ I certify that, in theperformance 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-lcommen6ng with Section 7000) of Division 3 of the. Business and Professions -Code) or 'Any 3700 of the Labor Code I shallforth ith comply with those provisions. this he or she is exempt therefrom and the basis for the alleged.exemption violation of Section'7031.5 by :�- .any applicant for a permit subjects the applicant to'a civil penalty'of not more-thanfive hundred dollars ($500) > Date: Applicant - - .. (� 1 I as owner. of the, property,. or my employees with wages'as, their sole compensation, will, do the work and �� ► :. - - -+- -. .. {_tithe structure is'notintended or offered for sale (Sea�7044 Business and Professions Code. The' - -apply -WARNING: FAILURE TO ;SECURE,WORKERS"COMPEN AT.ION COVERAGE IS UNLAWFUL, AND SHALL- ., . Contractori'.State;License Law does not to an owner of property who Guildsrorimproves,thereon, " SUBJECT -AN EMPLOYER TO CRIMINAL PENALTIES AND -CIVIL FINES uP.;TO.ONE�HUNDRED THOUSAND ' :and who does the work himself or"herselfahrough his"ot her own employees, provided,that ,the .. " DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR -IN improvements arenot'intended or offered,forsale. 1f, however, the building or'improvement isaoldwithin 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'thepurpose of sale.)._ APPLICANT ACKNOWLEDGEMENT ' (_ 1 I,'as�owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application1s.hereby made to the Director of. Building and Safety for a permit subject to the . . - 7044Business and Professions Code: The•Contractors' State:License Law doesnot apply to'anowner of conditions and restrictionsset forth on thisapplication. - property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed , 1 } Each person upon wliose behalf this application is.made, each person at whose request and for pursuant to the Contractors' State License Law:). whose benefit work ,is.perfarmed under or pursuant. to any permit issued as a result of this application, (_ 1 I am exempt under Sec'. ; B.&P.C. for this r son the owner'; and the applicant; each agrees to, and shall defend, indemnify and hold harmless the City 0 of La'ouinia,'its officers, agents and employees for.any actor omission related,to the work being performed under or following issuance of this permit. ' Dater Owner: - 2. Any permit issued as a result of this application becomes null and void if work is not commenced V CONSTR1-4 UCTIO ING AGENCY . I hereby affirm under penalty of perjury that there is a constructionlending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 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 prdp yy for, iinsplec4lloonn purposes. —Date: f!'Signature-IAppI� i rAgent): 17 ►'f,/l 1 / —. Application Number . . . . . 07-00001185 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 224 Expiration Date 10/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 14 LF 4' BLOCK WALL PROPANE ENLOSURE .PER CITY STANDARD. Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 15.00 ---------- .00 ---------- .00 15.00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 .00 .00 15.00 LQPERMIT Bin # City of La Quinta Building. BL Safety Division P.O. Box 1'504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building. Permit Application and Tracking Sheet Permit # Project Address:' �2. Owner's Name:. A. P. Number: Address: 2 Legal Description: Contractor:Telephon City, ST, Zip:IA2 Address: Project. Description: _. City, ST, Zip: IPa G Telephone: State Lic. #: City Lic. #: Arch_ Engr., Designer: Address: . City., ST, Zip: Telephone:Construction State Lid.. #: Name of Contact Person: Type'. Occupancy: Project type (circle one): New Add'n . Alter _ Repair Demo: Sq: Ft.: #Stories:, #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT<WRITE BELOW THIS LINE . N Submittal,. Req'd. Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss CalAplan, Called Contact Person Plan Check Balance Energy C Plans picked up Construction Flood plai Plans resubmitted Mechanical Grading.plan 2"".Review, ready for. correctionsfissue 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 OWNE"UILDER INFORMATION, Dear Property Owner: An application for a building permit hasbeen submitted in your name: listing yourself as'the builder of the property improvements specified. For your protection you should,be aware that as "Owner/Builder'. you; are ,the responsible party of record on such a permit. Building permits, are not re uired,;to be si ned.b ro er owners unless the are' ersonall performing their P gP. q g YP. P tyY ,P YP g own work. If your work;is being performed by someone, other than':'yourself, °you may protect yourself from possible liability if that person applies for the proper permit in his or her name..` ' Contractors are .required by law to be licensed and bonded l y. the State of California and to have a business license from the City or. County. They are also required by law: to put their license ,number on all permits for which they apply. If you plan to do your own work, with the. exception,of•various trades that you plan to 'subcontract, you should be aware of the following infortnation for youi: benefit and'protection. If you employ or otherwise engage any persons other than your 'immediate family, ' and the work (including materials and other costs) is $200.00 or. more for the entire project, andsuch persons are notglicensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State' and Federal: income tax.' withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemploymentcompensation contributions. There may be financial risks for you if you do not carry out these obligations, and• these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal'Law; contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration); For more'specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division, of Industrial Accidents. If the structure is intended for sale, property owners who are',not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contra' .f6r'6r.subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is 'to secure an,"OwnerBuilder" building permit, erroneously implying that the property owner is providing his or her own' lab or and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification, form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is-rewrned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-701; e OWNER'S SIGNAL. RE/DATE ffiwao P P R ADDRE S PERMIT NUMBER(S)