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BLCK (04-3671)51420 Avenida Martinez 04-3671 ` Ot 4Vagkrw 'BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number '04-00003671 Date 4/23/04 Property Address . . . . 51420 AVENIDA MARTINEZ APN: 773-093-003-8 -000000- Appl.ication description . . . WALL/FENCE Property Zoning COVE RESIDENTIAL .Application valuation.. 7073 Owner Contractor CORONEL ENTERPRISES INC CORONEL CONSTRUCTION 781,50 TAMPICO P.O. BOX 389 LA QUINTA; CA 92253 LA QUINTA CA 92253 (760) 564=4604 WCC: STATE FUND WC: 1744453 Gi/01/05 CSLB: 634981. 01/31/06 CCC: B -C13 P6rmit . . . . WALL/FENCE PERMIT Additional desc Permit Fee 99.00 Plan Check Fee .00 Issue Date Valuation 7073 Qty Unit Charge Per Extension BASE FEE 45.00- .6.00 9.0000 THOU BLDG 2,001-25,000 54.00 Special Notes and.Comments 250-.L.'5.-6'1 GARDEN WALL, 38 L.F. 5' GARDEN WALL, BOTH CITY STANDARD Fee summary' 'Charged Permit Fee Total 99.00 Plan Check Total 00 .Grand Total 99.00 C=(all Paid Credited Due ..00 .00'' 99.00 .00 .00 .00 00 .00• 99.00 jFc s "l ` P.O. BOX 1504 a w 78-495 CALLE TAMIICo VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 4Q INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - .3(p'% Date: Applicant: I Architect or Engineer. Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.- DUIL-uffvta rt:KMI I MULARAIIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under Code and Ply a pw*y 1W I am licensed under provisions 9 (aomrs rnr d i g wkh section 7000) of Division 3 to Business and Prdessionals my s is in hA force and affect. ansa I—License W. I hereby arum under penalty of perjury that 1 am OWNER DER DECLARATION city or county that regains a permit b from the C.OntraCtom' State Lowe Law for the foltowkp reason (Sec. 7031.5. Business and Profassfom Coda Any statement that he or slue k icerhaed consbtrCl' 'improve. demhofist> a roper any slrucbae. prior b IIs ksuanoe- also requires is appficant br ria P it b Sia a signed and Prase hat h or or that hs orpurr" t b the provisions d to Contactors' Stab License Law (Cfmpler 9 (eambnein9 with Section 7000) of Division 3 d the Businass the applicant b a cavi She IS e7ama tnmebom and the basis for this atleped exerptiat Any violation of Section 7031.6 by any applicant for a permit subjects U I, as owner a the pm"lty d rte Hare tent tnhn hundred donne (SSoo).r property Or my empbyess with hMapes has their cob COMPOnS111im wit do the work and the structure k not trten Business and oat Code- The ded or offered for awls (Sec 7041, hisser or herselfCortrsClors' Stab Licerse Law does not apply ban owner a property who builds or improves thereon, and who does the work through his or her own employees, provided that the improvements are not intended or offered for sale. If. however. the b A*V or improvement a sold within one U 1, ovmher a the Y d oonpletion, the owner -Milder vdi have the burden a proving that he or she dd not build or kmhprove for the purposed sob.) stab License property resat h aetrq with licensed writ acus to cotsttrd the project (Sec. 7044. Business and Piotessions Code: The Contactors• the Contactors• State Licerse Law.) an confer d property who buids or improves theieah and who oorntacts for the projects *tt a emltacbr(s) licensed purswrn lo („) I am exempt under Sec . 8.3 P.C. for this mason Dab owner I hereby affirm under penalty d am of to WORKERS' COMPENSATION DECLARATION folowkV declarations: _ I have and wilt m akdain ya certfigts Of emsent to ser4nsue for workers• d the work lex wthich thispen. isksuad n 0^ as provided lex by Section 3700 d the Labor Codelex is pertor"" I have and wilt maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. her the performance d the work lex which this per Is ` ksue wort m:• oarpensahon igpmw"— carrier and policy nunber an: Number --- comply— I POdO mance d is work for which tis Dem a issued. I shat not employ any person in any manner so as b beconhe subjecl b is workers' bfwdtt y With thsL r 1 stgulp become subject bis workers' eon Pwmbcn prmvw0n$ Of Section 3700 Of is Labor Code. I OM 77 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AM SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND SEC FINES UP TO ONE AUtr1DREp E. WERE . AN A T (=RNEy-0). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR COOS, t (TEREST, AND ATTORNEYS FEES.. 1 hereby affirm under penally of CONSTRUCTION LENDING AGENCY perjury that there k a corsbutiOn brx* p agency br is P&dO mance d the work for which this pemit is issued (Sec. 3097. Civ. C.). Cancels Norrie Lenders Address IMPORTANT Application Is hereby mode b theDirocbr d APPLICANT ACKNOWLEDGEMENT 1. Each garcon upon nnRnose behalf thisBWW% and Sstety for a Pewit subject b the conditions and restrictions set Soft on tis appicaim Issued as a result d this application, She owner. and &PPkation is Vie, each person at whose request and for whose benefit wok k pefomed under or puswri b any permit offaes, api and employees for any act o omission retaa tamed to the work ach agrees to, and clef, under rend, indemnity ed hold f a" gel the Oily a L, Cuhta. Its 2 Ami I issued as • result a this appieation becomes nus and void r work its not noormed ted wit nn1180 ddaysiss from date d isw anoe a such permit or cessation a work for 180 days wN subject permit b cwceltation. I certify that I have read Itis application and state that the above information is correct 1 construction, and hereby su"wrize representatives a tis to Omer upon above complywithate city and county ordinances and state W"retelling b bupdnp Property for inspection purposes. /Date i a - '-t Sipnatum (Applicant or A?eM):