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BLCK (06-0277)53640 Avenida Madero 06-0277 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: Architect or Engineer: • • VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING'PERMIT Date: 1/18/06 Owner: SANCHEZ BERNABE 53640 AVENIDA MADERO LA QUINTA, CA 92253 ---------------------------------- 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 Professionals Code, and my License is in full force and effect. .. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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).: ('OA 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 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. 4i 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and for the projects with a contractor(s) licensed pursuant to the Contractors' State License L .1. (_) I am exempt under Sec. , B.&P.C. fo this reason !J p• Date: %^' 0-171m 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 Contractor: Owner C --- JAN -1U006--. WORKER'S COMPENSATION DECLARATION hereby 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 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 insurance carrier and policy number are: Carrier Policy Number r 1 certify that, in the performance of the work f his permit is issued, I shall not employ any person in any manner so as to become ject to the orkers' compensation laws of California, and agree that, if I should becomes ject to the wo ers' compensation provisions of Section A , l ?700 of the Labor Code, I shall fo hwi[hly ith those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 wor or 180 days will subject permit to cancellation. i I certify that I have read this application and state that the aboveinformation is correc I agree to comply with all city and county ordinances and state laws relating to building c stru and her y authorize representatives of this countyto enter upon the above-mentioned property for n urp s. Application Number: 106-00000277 Property Address: 53640 AVENIDA MADERO APN: 774-103-007-18 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 2467 Applicant: Architect or Engineer: • • VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING'PERMIT Date: 1/18/06 Owner: SANCHEZ BERNABE 53640 AVENIDA MADERO LA QUINTA, CA 92253 ---------------------------------- 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 Professionals Code, and my License is in full force and effect. .. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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).: ('OA 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 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. 4i 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and for the projects with a contractor(s) licensed pursuant to the Contractors' State License L .1. (_) I am exempt under Sec. , B.&P.C. fo this reason !J p• Date: %^' 0-171m 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 Contractor: Owner C --- JAN -1U006--. WORKER'S COMPENSATION DECLARATION hereby 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 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 insurance carrier and policy number are: Carrier Policy Number r 1 certify that, in the performance of the work f his permit is issued, I shall not employ any person in any manner so as to become ject to the orkers' compensation laws of California, and agree that, if I should becomes ject to the wo ers' compensation provisions of Section A , l ?700 of the Labor Code, I shall fo hwi[hly ith those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 wor or 180 days will subject permit to cancellation. i I certify that I have read this application and state that the aboveinformation is correc I agree to comply with all city and county ordinances and state laws relating to building c stru and her y authorize representatives of this countyto enter upon the above-mentioned property for n urp s. Application Number . . . . . 06-00000277 Permit . . . . . . WALL/FENCE PERMIT _ Additional desc . Permit Fee 54.00 Plan Check Fee .00 Sr Issue Date.. Valuation . . 2467 Expiration Date 7/17/06 Qty Unit Charge .Per Extension BASE- FEE 45.00 1.•00. 9.0000 THOU BLDG 2,001-25,000 9.00 ------------------------------------------ ---------------------------------- Special Notes and Comments 90 LF 6' BLOCK WALL ALONG SIDE P/L. 10 LF 5' BLOCK WALL LAST 101FT SIDE P/L. ALL PER CITY STANDARD 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 r,. LQPERMIT OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements. specified. For your protection you should be aware that as "OwnerBuilder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bondedby the State of California and to have a business license from the City or County. They are also required' by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any personsother than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State. and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. . For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required "to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification'form so that we can -confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, I Total Permit Fees Bin # City of La Quinta- Building u Safety Division Permit # P.O. BOX. 1504, 78-495 Calle Tampico Ob , X77 La Quinta, CA 922.53 -.(760) 777-.7012 Building Pefmit Application and Tracking Sheet Project Address:' Owner's Nam S A. P. Number: c Address: Legal Description: City, ST, Zip: U Contractor: Telephon . 7& - Address: Project Description: City, ST, Zip: 70 6F 41V Telephone: / '0 U State Lid. # CityLac. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction. Type: Occupancy: State Lie. #: Name of Contact Person: Project type (circle one): New Add'n Atter ' Repair Demo Sq. Ft.: # Stories: Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'.d Recd TRACIMG Plan Sets - PERMIT FEES Plan Check submitted' Item Structural Calcs. Amonat Reviewed, ready for corrections Truss Calcs. Plan Check Deposit Called Contact Person Plan Check Balance Energy Cates. Plans. picked up Construction Flood plain plan Plans resubmitted Grading, plan • Mechanical 2ad Review, ready for corrections/issue Subcontactor List Electrical Called Contact Person Grant Deed Plumbing Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: - 3' Review, ready for corrections/issue Developer Impact Fee' Planing Approval Called Contact Person Pub. Wks. Appr A.I.P.P. Date of permit issue School Fees I Total Permit Fees PECTI0N FEE, .OF $30 %iilL.l_ BE CHARGED IF THE APPROVED PLAN &AND JOB CARD ARE N.OT ON THE SITE FOR A .SCHEDULED ^ INSPECTION. NO EXCEPTIONS! CITY OF LA QUINTA INTERIOR LOT BUILDING '& SAFETI(' DEPT. APPROVED FOR CONSTRUCTION DA - 1-c"* BY ' __ PROPERTY LINES . a i/0 Q CURBLINE Wiihin all districts, the maximum fence height shall be f ve feet within fhe first ten feet of the required ....frontsetback area (measured from the street right-of-way) and six feet within any rear or side setback area ad- joining a public street.