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13-0553 (BLCK)54455 Alysheba Dr 11111111hili iii hili ilii IE P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 74T4ht 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00000553 Property Address: 54455 ALYSHEBA DR APN: 767-320-999-54 -32879 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 400 Applic ant- Architect or Engineer: ineer: ( I— n/ ------------------ 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: C27 License No.: 801722 Date' _,"k -.%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 ($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 _ 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ 1 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 Address: LQPERMIT 0 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/07/13 Owner: IOTA GRIFFIN, LLC. 4675 MAC ARTHUR CT., STE.1-550 LA QUINTA, CA 92253 (949)255-2682 Contractor: D Q 3 -PROS LANDSCAPE 47646 CORTA HERRERA INDIO, CA 92201 MAY 0 7 2013 (760)342-0701 Lic. No.: 801722 CITYOF. 01111uJ ...-_ T. ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under pe Ity of perjury one of the following declarations: _ I havewill maintain a certificate of consent to self -insure for workers' compensation, as provided Y Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 HARTFORD INS Policy Number 57WECDL3272 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 Labor Code, 1 shall forthwith comply wi ose provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKER MP SATION COVERAG WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIII ALTIE AND No, FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITIO 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, indemnity 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby auth representatives of this county to enter upon the above-mentioned property for inspection purposes. Date!!& Signature (Applicant or Agent)• Application Number . . . . . 13-00000553 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 400 Expiration Date 10/28/13 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments BLOCK WALL - INSTALL 16 L.F. OF 6 FT. HIGH BLOCK WALL WITH STUCCO FINISH TO MATCH EXISTING PER APPROVED PLAN SET # 13017 . WALL TO BE PLACED ON PROPERTY LINE LOTS 274 & 53. 2010 CALIFORNIA BUILDING CODES. -------------------------------------------------------------------------=-- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid ----------------- Credited Due . -------------- - ----- Permit Fee Total 15.00 ---------- ---------- .00 .00 15.00 Plan Check Total .00 .00 .00. .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 16.0.0 00 .00 16.00 LQPERMIT fi Submittal Pisa Seb Reed 'Reed TRACKING Pian Chale t'abmined PERMIT FM Itra Aaonat Structural Cain. Bevic"1 . ready far ewrection Plan Cbedc Deposit_ Truss Gks• Culled met Pnsaa Plan CYedc Balance We 24 Gales, Pba peeiccd up Caaurnetioa Flood ptaln plus Plain saabmtft.M Mechanics] t'm&ug plan Z'! JwCw, ready for oalrsecBowasue Flecatal Snbeostactor List Catled Contact Person Plrombiag Grant Deed Plans pEdad cep S.bl.6 H.O.A. Approval Plasls raabmitfed Gradlag IN Ko=:- '"` RevteN; ready for corraftonsAsaae Developer Impact Fee Piasstng Approval Called Contact Po=s Ad.P.P. Pub. Wks. Appr ' Date of permit Nsue "ool Fen Total Permit Fees