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06-0029 (BLCK)c&t!t4-4Q" Applicant: Architect or Engineer: ut � IiA w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 P essionals Code, and my License is in full force and effect. License Class: B is yontractor: - •/ OWNER-BUI R DECLARATION I hereby affirm under penalty of perjury that I am exempt f m 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):: (_) 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 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 contractors) licensed pursuant to the Contractors' State License Law.). - (_) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: WATERMARK GRANITE LA QUINTA LL 200 E WASHINGTON AVE #100 ESCONDIDO, CA 92025 Contractor: INNOVATIVE COMMUNITES, 200 E. WASHINGTON AVE, ESCONDIDO, CA 92025 (760)839-8238 Lic. No.: 763187 Date: 1/05/06 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION ' I hrrrhy 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 of the work for which this permit is issued. I have and wil'ma intain 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 STATE FUND ' Policy Number 1688263-2005 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 lawsalifornia, and agree that, if I should becomawbiect to the workers' compensation pr ions of SI ction 3%j7]�0/0 of the Labo Code, sh orthwith comp ith those division D /`v scant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION Co RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ES 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. 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 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 info arson is corre t. I agree to comply all city and county ordinances and state laws relating to building co uction, and h y au th resentatives of this cou y to nter upon the above-mentioned propert or ' spection pur es. D ( AO _(Si ure (Applicant or Agentl' IIIIIII VIII III VIII IIII 18 j IE P.O. BOX 1504 -- 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000029 Property Address: 79860 AVENUE 52 APN: 772 -220 -010 - Application description: WALL/FENCE Property Zoning: NEIGHBORHOOD COMMERCIAL Application valuation: 41175 c&t!t4-4Q" Applicant: Architect or Engineer: ut � IiA w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 P essionals Code, and my License is in full force and effect. License Class: B is yontractor: - •/ OWNER-BUI R DECLARATION I hereby affirm under penalty of perjury that I am exempt f m 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):: (_) 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 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 contractors) licensed pursuant to the Contractors' State License Law.). - (_) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: WATERMARK GRANITE LA QUINTA LL 200 E WASHINGTON AVE #100 ESCONDIDO, CA 92025 Contractor: INNOVATIVE COMMUNITES, 200 E. WASHINGTON AVE, ESCONDIDO, CA 92025 (760)839-8238 Lic. No.: 763187 Date: 1/05/06 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION ' I hrrrhy 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 of the work for which this permit is issued. I have and wil'ma intain 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 STATE FUND ' Policy Number 1688263-2005 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 lawsalifornia, and agree that, if I should becomawbiect to the workers' compensation pr ions of SI ction 3%j7]�0/0 of the Labo Code, sh orthwith comp ith those division D /`v scant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION Co RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ES 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. 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 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 info arson is corre t. I agree to comply all city and county ordinances and state laws relating to building co uction, and h y au th resentatives of this cou y to nter upon the above-mentioned propert or ' spection pur es. D ( AO _(Si ure (Applicant or Agentl' Application Number 06-00000029 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 362.50 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 41175' Expiration Date 7/04/06 Qty Unit Charge Per Extension BASE FEE 252.00 17.00 6.5000 THOU BLDG 25,001-50,000 110.50 -----------------------------------------_----------------------------------- Special Notes and Comments 1647 L.F. 6' BLOCK WALL WITH 43 18"x18" COLUMNS, CITY STANDARD Fee summary Charged Paid Credited Due Permit Fee Total 362.50 --------- .00 ---------- .00 362.50 Plan Check Total .00 .00 .00 .00 Grand•Total 362.50 .00 00 362.50 LQPERMIT ... 08:29 7608398246 IC PAGE 01/02 (lilll 111 it II 1 I li''` FACSIMILE COVER SHEET DATE: \ 16 (oto # OF PAGES (including cover): Z HARD COPY TO FOLLOW: TO: NAME: Kny COWANY: C.x'ry or - PHONE: r'PHONE: FAX: 7 fa a "-77--7k%2_ FROM: %wmo RE: t.Ja-�-�rLurg.1� v•\\4S FOR yOVR INFORMATION - NO SPONSE NECESSARY PLEASE CALL AT 760-839-8238 x SSS -IF THERE ARE ANY PROBLEMS WITH TRANSMISSION. , MESSAGE: .a.-rr*AW�h i4' Twe �P Avto" V%ori p-1.1- `' Env a4A4" ,�yv !l922oL�c, � P 200 E. WASHINGTON AVE., SUITE 100 ESCONDIDO, CA. 92025 760.839-8238 )'AX_760.839-8246 01/05/2006 08:29 7608398246 IC PAGE 02/02 Bin # Qty of LaQuinta Bui(dingar Safety division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ^� Project Address: •- %. SZ Owner's Name: U42VAWfe ae*) IT t- A. P. Number, rl 7� -Z, ,BO r Address-. z[�U (,(If�SN/�% 7D)% A,) -Am a `4(7 T • Legal Desai tion: / J- �J s.L 3 Fxic U Contractor �Ai�G�%i l lli�. />?kA% %� n?5 City, ST, Zip: �j �!)C%tidij GaZU� S Telephone: Address: 1106 �� / �j,J U� ProjeetDescription: C City, ST, Zip:6c Md Telephone:/00 �9• j1 < a State Lie. A : 6 % y City Lie. #: /#V z_� a ♦t . Engr•' nesiper i K� le; s JrX ... . . Address: 7p5,0 KP#%JL'ka /A4 A :,4,-5 iff- K-2 City, ST, Zips l�i �, lam,?LZO Telephone: 4- 7? �/ 75/ s;<: State Lic. #: Construction Type: Occupancy: Project type (circle One): New Add'n Alter Repair Demo Name of Coatott Peravn: p p/�i u ��, Sq. PL: # Stvn es: # (faits: Telephone # of Contact Peicsott:D'447- Z96 EsGtnated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Iteq'd Recd TRACKING PERMIT FEES Play Stts Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Tress Cala. Called Contact Person Plan Check Balance Title 24 Calcs• Plans picked up Coosvuedon ' Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for correctionsIbsue Fdoct[ica! Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up 5.11711. H.O.A. Approval Plana resubmitted Grading IN MUM- "° Review, ready for eorrectlonvInue Developer Impact Fee Pianaing Approval Called Contact Person AXF.P. Pub. Wks. Appr Date of permit Issue Scholl Pecs Total Permit Fees �Q 1 R. AD D c®R']I�R1Cb�l�llll�les TRANSMITTAL SHEET TO: JOHN QUICK DATE: JANUARY 10, 2006 .Company: City of La Qwnta From: Jane Mc8roy for Brad Fomon i CC: DD i i URGENT FOR REVIEW FOR APPROVAL FOR SIGNATURE 4FOR YOUR USE SENT VIA: HAND DELIVERED Message: Permit for Block Wall —Watermark Villas List of information sent_ Copies Date Pages I Description 1 1 Check #328 in the amount of $362.50 1 1 Application for Permit 1 2 Plans fro Block Wall i t To confirm the receipt of the above listed items, please sign below and fax back to the attention of Jane McElroy Fax 760-839-8246 Thank you. Documents received by. Date: