05-5358 (BLCK) - 111111110 1111111 41 T4'yl
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P.O. BOX 1504 ` — -- ^� VOICE(760)777-7012
78-495 CALLE TAMPICO FAX (760)777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153
_ BUILDING PERMIT'
Date: 12/08/05
Application Number: 05-00005358 Owner:
Property Address: 80825 CALLE AZUL PUERTA AZUL PARTNERS
APN: 762-240-003-46 -300962- D17700 SW UPPER BOONES FERRY RD
Application description: WALL/FENCE SUITE 100
Property Zoning: MEDIUM DENSITY RES DCC 2 2 2005 PORTLAND, OR 97224
Application valuation: .2100
C
CITY OF LAQU'"TA Contractor:
Applicant: Architect or Enginee : FINANCEOEPT. DAVIS/REED CONSTRUCTION INC
169 SAXONY ROAD, SUITE 105
ENCINITAS, CA 92024
(760.)634-2350
t LiC. No. : 813480
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LICE ED T ACTOR'S D ATION WORKER'S COMPENSATION DECLARATION
I hereby a irm and pe t perjury that I m I' a nder provi. ns of Cha mencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7 00)of vi ' of the Busines nd r es onals Codicense is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License lass: 13 a No.: 813480 for by Section 3700 of the Labor Code,for the nce o the wor 'ch this permit is
issued.
at tr Y(I have and will maintain workers'c ensation insurance,as required by Section 3700 o e Labor
Code,for the performance the work for which this permit is issued. My workers'com nsation
O R-BUILDER DECLARATION insur nce carrier and icy umber are:
I her y affir under penalty of r' ry t at I am exempt from the Contractor's State License Law for the Carrier S TE Policy mber C2 892005
folio ing r son(Sec.7031.5, iness and Professions Code: Any.city or county that requires a permit to Ice that,in erformance of the ark for ich is permit is issued,I shall not empty any
con ruct, Iter,improve,dem h,or repair any structure,print to its issuance,also requires the applicant for the rson in y manner so as b me su t to a worker'compensation laws of Tifornia,
per it to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State nd a e that,if I should ec a sub' to worke c pensation provision Section
Lic se Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or f the or Code I Ifo it) ply i tho a provisions.
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).: plicant:
(_) 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 W NIN FAILURE TO SECURE ER OMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, S JEC AN EMPLOYER TO CRI AL PENALTIES 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 LLARS($100,000). IN ADDITION 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 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 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,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as is appica io ,
1_1 I am exempt under Sec. B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall defend,ind y and hold harmless the City
of La Quinta,its officers,agents and employees for any act* mission related to the work being
performed under or following issuance of this permit.
Date: Owner: 2. Any permit i ued as a result this application b mes null and void if wo not c mmenced
within 18 days from dot of issuance of su permit,or cessation of f days 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 that I have ad this appli ion and state that th bove informatio agree to cc with all _
work for which this permit is issued(Sec.3097,Civ.C.). - city and my or nances and to laws uilding co y au resentatives
of ' co o ter upon above-mentioned property for inspe p s.
Lender's Name: '
Date: ur�Ap scant or Agent):
Lender's Address:
LQPERMIT
Application Number . . . . . 05-00005358
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 2100
Expiration Date- . 6/06/06
Qty Unit Charge Per Extension
BASE FEE 45.00
1.00 9.0000 THOU BLDG 2,001-25, 000 9.00
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Special Notes and Comments
84 L.F. 6' GARDEN WALL, 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