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BLCK (06-3365)P.O. BOX 1504 c&ty,, 4 78-495 CALLE TAMPICO _ LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003365 Owner: Property Address: 53740 AVENIDA MENDOZA NEAL T BAKER ENTERPRISES O APN: 774-.133-012-13 -000000- 1875 BUSINESS CTR Application description: WALL/FENCE SAN BERNARDINO, CA 92408 r Property Zoning: COVE RESIDENTIAL 1 Application valuation: 700 Contractor: Applicant: Architect or Engineer: BAKER ENTERPRISE'S, NEAL T. 1875 BUSINESS CENTER DRIVE SAN BERNARDINO, CA 92408 (909)884-7241 x�. Lic. No.: 257274 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: 13 Lice No.: 257274 Date: ' ri�Clj Contractor: �� 4,i�� OWNEUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am ex mpt 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).: 1 _ 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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. SEP 26 2006 oF�7 A WORKER'S COMPENSATION DECLARATION I 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 STATE FUND Policy Number 0440022527 _ 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 laws of California, and agree that, if I should become subject to th workers' compensation provisions of Section 3700 of the Labor Code, I shall f7with c y with those provisions. 'Date:, ,Applicant: < /L WARNING: FAILURE TO SECURE WORKERS' COI ENSATION 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 work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection p (poses. 9- �=� _ Date: Signature (Applicant or Agen � . /2 -2� /06 Application Number . . . . . 06-00003365 PermitWALL/FENCE PERMIT Additional desc . Permit Fee . . . . 19.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 700 Expiration Date 3/24/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 2.0000 HND BLDG 501-2,000 4.00 ---------------------------------------------------------------------------- Special Notes and Comments 28 LF 6' BLOCK WALL PER CITY STANDARD AT EXTERIOR SIDEYARD Fee summary Charged Permit Fee Total 19.00 Plan Check Total .00 1+ Grand Total 19.00 yW LQPERMIT Paid Credited Due ---------- -L-------- ---------- .00 ..00 19.00 .00 .00 .00 .00 .00 19.00 7 -�)3- n�� _ �z - t? Bin # City of LaQ uinta Building & Safety Division _51 7 TO Ju a 1-e Z P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # _ IJP" 3�� Project Address: j 3 - 7 YC?�PL_)z Owner's Name: L A. P. Number: _ ? 31 55-0 615' Address: ll Legal Description: Contractor: yfle,04.e City, ST, Zip: SelP A Telephone: 9 27 L^0 Address: `� 7 Ne / Project Description: City, ST, Zip: L 2-E Lic e(/ 7;, Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: I Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2' Review, ready for correctionstssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' 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 •� r, Ck