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05-3902 (BLCK) II�IIIIIIIIIIIIIIIIIIIIII 51 P.O. BOX 1504 _ IE 4— � 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: 9/14/05 Application Number: f05,00003902 % O Owner: Property Address: 81165 AVENUE'54 d MCCOMIC GRIFFIN LLC APN: 767-320-001- - - 7979 IVANHOE AVE #550 Application description: WALL/FENCE s�n O LA JOLLA, CA 92037 Property Zoning: VERY LOW DENSITY RES /— 7 Application valuation: 161375 1 hq Gq Contractor: Applicant: Architect or Engineer: NCFpFNjq TRANS WEST HOUSING, INC. 9968 HIBERT STREET, STE #102 SAN DIEGO, CA 92131 (858)653-3003 Lic. No. : 701039 -- ---- -- ----- -------- -- ----- - - ------ -----�--------- ----------- ----- - - - ----- ------------------- -- --- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: � Section 7000)of Division 3 of the Business and Professionals Code,and my License is in full force and effect. — I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided License Class: 13 Lican No.: 701039 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Date: -��� Contractor. — 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1648813 following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to — I certify that,in the performance 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(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of thq Labor Code, shall forthwith comply with hose 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).: Date: pplicant: (_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 WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL 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 DOLLARS($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 (_1 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 a result of this application, (_1 I am exempt under Sec. ,B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall defend,indemnify and hold harmless the City of La ouinta,its officers,agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Date: Owner: 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 CONSTRUCTION LENDING AGENCY_ permit to 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 read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.1. city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this unty to enter upon the above-mentioned property for inspection rposes. Lender's Name: _ [Dat e: �ature(Applicant or Agent):'�{' i Lender's Address: - LQPERMIT Application Number . . . . . 05-00003902 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 856.50 Plan Check Fee 00 Issue Date . . . . Valuation 161375 Expiration Date 3/13/06 Qty Unit Charge Per Extension BASE FEE 639.50 62 .00 3 .5000 THOU BLDG 100,001-500, 000 217.00 ---------------------------------------------------------------------------- • Special Notes and Comments 2590 LF 6' PERIMETER WALL PER CDD & P/W'S APPROVED PLAN PER ORCO DETAIL. Fee summary Charged Paid Credited Due Permit Fee Total 856.50 .00 .00 856.50 Plan Check Total .00 .00 .00 .00 Grand Total 856.50 .00 .00 856.50 1 LQPERMIT • 04 s a QUINTA � o DEPARTMENT SEP 1gg 012 UPATI EQUEST LINE CITY OF LA QUINT,4 77 7153 Owner FIN L C Contractor.TRANS WEST HOUSING Permit Number .05-3902 POST ON JOB IN CONSPICUOUS PLACE 1 r INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 81165-AVENUE 54 2590 LF 6' PERIMETER WALL PER CDD.& P/W'S APPROVED PLAN PER ORCO DETAIL. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING/WASTE r U/G ELECTRICAL/GROUNDING FOOTINGS/STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED r 'ROOF NAIL/PRE-ROOF OKAY TO WRAP FRAMING COMBINATION r -1 ROUGH ELECTRIC j ROUGH PLUMBING �. = 'L -ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP.BD, DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT • SEWER CONNECTION t SEPTIC/GREASE INTERCEPTOR r y MASONRY INSPECTIONS FOOTINGS/STEEL BOND BEAM 'POOL/SPA/WATER FEATURE INSPECTIONS PRE-GUNITE/SETBACKS. U/G PLUMBING r U/G GAS' U/G ELECTRICAL PRE-PLASTER(ALARMS/BARRIERS FINAL INSPECTIONS TEMP.USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL./JOB COMPLETED ` .GRAY PRECISION BLOCK MUST RF PAIFUTrn np .• r • •. 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