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05-5391 (BLCK) IIIIIIIIIIIIIIIIIIIIIIIII 04 i��1�I N P.O. BOX 1504 �—--__!E VOICE(760)777-7612 78-495'CALLE TAMPICOFAX(760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/09/05 Application Number: L_ 05-00005391 Owner: Property Address: 80878 CALLE AZUL PUERTA' AZUL PARTNERS APN: 762-240-003-59 -300962- 17700 SW UPPER BOONBS FERRY RD Application description: WALL/FENCE SUITE 100 Property Zoning: MEDIUM DENSITY RES a PORTLAND, OR 97224 Application valuation: 2295 I 0 DEC 2 2 2005 Contractor: Applicant: Architect or EngiDAVIS/REED CONSTRUCTION INC 169 SAXONY ROAD, SUITE 105 CIN OF LA UINTA ENCINITAS, CA 92024 FINANCE DEPT (760)634-2350 Lic. No. : 813480 _ �� LI E NTR R D C ATION WORKER'S COMPENSATION DECLARATION kpermitto ffir under penalty o perjury th c u provisions f Chapter 9(commencing with 1 hereby affirm under penalty of perjury one of the following declarations: 000)of Division 3 of the Busin r essio I Code,and y License is in full force and effect. _ I have and will maintain a certificate of consent to self= e-forworkensation,as provided C / B cense N 813480 for by Section 3700 of the Labor Code,fo performance of the w�_co which this permit is sued.yC ntracto,: �.I have and will maintain workers' pensation insurance,as required by eco 3700 of the Labor Cod !tor the performan the work for which this permit is issued. My orkers'compensation ER-BUILDER DECLARATION ins ranee carrier an olicy number are' affirm under penalty of perl ry that I am exempt from the Contractor's State License Law for the Carrier TATE UND Poli umber, 298892005 g reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a.permit to _ I c ify that,i e performance of t ork h this permit is issued, shall not employ any t,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person i mannersoastob o e c o the workers'compen tion laws of California, file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and ee that,if I should bec a su he work ompens n provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or / /f/ 0 of the La Code,I s II t omply i ose pr ions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r (/ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: D Iicant: (_) 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 ARNI G: FAILURE TO SECURE 'CO SAT COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJ T AN EMPLOYER TO CRI I I ENALTI S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees,provided that the DOL RS($100,000). IN AD TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LAB DE,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 the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_) I,as owner of the-property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the , 7044,8-usiness and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application. propertywho builds or improves thereon,and who contracts for the projects with a oontractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose-req ef!st and-for pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit is ed—as a result of this application, (_) I am exempt under Sec. BAP.C.for this reason the owner,and the applicant,each agrees to,and shall defen ' emnify and hold harmless the City of La Quinta,its officers,agents and employees for an or om' ion related to the work b ing performed under or following issuance of this per '. Date: Owner: 2. A y permit issued as a result of this applica. become I nd vo' if work is not comm ced ithin 18 ays from date of issuanc such pe r ssa' of work for 180 day will subject CONSTRUCTION LENDING AGENCY permit t cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify at I have ad this application an tate that the i r n is correct. I agree comply with all work for which this permit is issued(Sec.3097,Civ.C.). city an county or finances and sta relating to bu' tr ti ,and hereby aut a representatives _ thi unty t enter u above-menti Lender's Name: nature(Applicant or Agen Lender's Address: p LQPERMIT Application Number . . . 05-00005391 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee .0.0 Issue Date . . . . Valuation . . . 2295 Expiration Date 6/07/06 Qty Unit Charge Per Extension BASE FEE 45.00 1.0.0 9.0000 THOU BLDG 2,001-25, 000 9.00 ' ---------------------------------------------------------------------------- Special Notes and Comments 79 L.F. 6' GARDEN WALL, 20 L.F. 41' GARDEN WALL, 50 L.F. 2' RETAINING WALL, 8 L.F. 2 - GARDEN WALL, ALL ORCO SYSTEM 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 ,