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05-5519 (BLCK) I IIIIIII VIII III VIII IIII 05 1 IE 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: 12/21/05 Application Number: 05-00005519 Owner: Property Address: 81120 AVENUE 60 CORAL OPTION I ^ APN: 764-210-010- - - 530 BEACON PKY W NO 900 Application description: WALL/FENCE BIRMINGHAM, AL 35209 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3832 D �a a tractor: Applicant: Architect or Engineer: JOEC DE N BUILD STRUCTURES, INC. WILDCAT DRIVE, SUITE #2 �°/ ?0g DESERT, CA 92211 0✓ )772-0800 No. : 447802 Ncg4��4 --------------- -- -- --------- - -- - ----- --- ------- -- ------ - -- - - --- ---- --- -------------`---- - -------- 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 Professions 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 Li Class: B icense No.: 447802 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is - � issued. DE Contractor: I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor t__ _ 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 1542188 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 subjecl to the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Codel or 3700 of the Lab _ all forthwith comply with those pfovi5ions, that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �� ✓f any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001: /DOt <v U Applicant: (_1 1,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 14 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 1044,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 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 Quinta,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 applicatioLand state that the above information is corre I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laating to building construction,and hereb authorize representatives of this ounty o ant upon the above- on spe i S. Lender's Name: D �_ ignature(Applicant or Agent): Lender's Address: LQPERMIT - Application Number . . . . . 05-00005519 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63 .00 Plan Check Fee 00 Issue Date . . . . Valuation 3832 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- e Special Notes and Comments 177 LF 5' RETAINING WALLS FOR MATERIAL STORAGE PER APPROVED PLANS & CALCS. Fee summary Charged Paid Credited Due ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 .00 .00 63 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 .00 .00 63 .00 Co LQPERMrr . Bin# 4 City of La Quinta Building u Safety Division Permit# P.O. Box 1504, 78-495 Calle Tampico I q La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �' ' ('�] Q Owner's Name: C 1 I v A.P.Number: Address: Legal Description: City,ST,Zip: . Contractor. e v 1 t_V, S� c;�/I.QS' Telephone: Address: _ ( � Project Description: City,ST,Zip: A-t� �Q —1 fv n!� 9Z L Telephone: 1 o0 State Lic.# : 4 4 City Lic.#: Arch.,Engr.,Designer: Address: City,ST,Zip: Telephone: Construction Type: Occupancy: State Lic.#: Ll Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq.Ft.: #Stories: #Units: Telephone#of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed,ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2""Review,ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.Approval Plans resubmitted Grading IN HOUSE:- 7rd Review,ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees. Total Permit Fees 22 06 03: 45p DESIGN BUILD 760 772 0823 p. 2 RIVERSIDE COUNTY FIRE: DEPARTMENT 210 West San Jacinto Avenue • Perris;Californla 92570 • (951)940:8900 . Fax(951)940.6910 Craig E.Anthony Fire Chief IIIIIIIIIIIIIIIIIIIIIIIII 06 N i IE Proudly serving the Date 9` — �--— -- —_-- unincorporated areas of Riverside County and the Cities of Banning City of LaQuinta Beaumont Building Department Calimesa a Canyon Lake a Coachella RE Qlit i. Desert Hot Springs Indian Wells 4 Indio The Riverside County Fire Department is granting.the Fire clearance for the following ¢ Location' S/1a(� �Ve 4ey Lake Elsinore - <. Please call if you should have questions 760-863-8886 La.Quinta Moreno Valley Palm Desert Penis Rancho Mirage Respectfully. 4 San Jacinto t By Temecula Board of supervisors Terry DeSo Bob Fire Systems Inspector District 1 John Tevagliono, Disai0 2 Jeff Stone, District 3 Roy Wilson,. District 4 Marion Ashley, District 5