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BLCK (05-4807)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: ( ' 057_000.04507_-_._.___J 81235 NATIONAL DR 767-500-011- - - WALL/FENCE, LOW DENSITY RESIDENTIAL 64 Architect or a/PIS BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 wa . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION .. I hereby affirm under penalty of perjury that 1 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: B C27 C53 �j.License No.: 810111 at;';Z: '�' ntractor: 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 70001 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 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 _ 1 • I, as owner of the property, arr 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. B.&P.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: 1 LQPERMIT Date: 10/26•/0.5 ------------------------------------7---------- 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 1709395 _ I certify that, in the performance of the work for which this permit is issued, 1 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. --bate:_ �"`� Applicant: I--,�/�/�,;,,>t 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 1$100,0001. 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' ove-mentioned property for inspection purposes. � �.-r S' ature (Applicant or Agent):/ .. Owner: MIKE FOSTER n e 81235'NATIONAL DRIVE I/ull2253 LA QUINTA, CA 9 • NOV 0 Contractor: Cl105 ry®F PICASSO POOLS, INC 78078 COUNTRY CLUB DR, 4206 PALM DESERT, CA 92211 �oFlsTP`� (760) 345-4600 LiC. No.: 810111 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION .. I hereby affirm under penalty of perjury that 1 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: B C27 C53 �j.License No.: 810111 at;';Z: '�' ntractor: 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 70001 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 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 _ 1 • I, as owner of the property, arr 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. B.&P.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: 1 LQPERMIT Date: 10/26•/0.5 ------------------------------------7---------- 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 1709395 _ I certify that, in the performance of the work for which this permit is issued, 1 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. --bate:_ �"`� Applicant: I--,�/�/�,;,,>t 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 1$100,0001. 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' ove-mentioned property for inspection purposes. � �.-r S' ature (Applicant or Agent):/ .. Application Number . . . . 05-00004807 a` Permit . . . .WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check'Fee .00 " Issue Date . . . . Valuation . . . . 64 Expiration Date 4/24/06 ` Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 4 L.F. 41 -EQUIPMENT WALL, CITY STANDARD Fee summary Charged Paid Credited Due -- - ------ ---------------- Permit Fee Total 15.00 .00 -- .00 -- - - - - - - 15.00 Plan Check =Total .00 .00 .00 .00 Grand Total 15.00 .00 .00 15.00 Oct,26. 2005 5:07PM PICASSO POOLS __ Gn•. ST. �: (� e � No,•1696 P. 2/3 C�amr_ -Chy of b Quinta. wcgr . E Safes Division j P.O. flax 1504, 78-7-95- Caftc I arnpim . ;Peca�i� to� _Ja .��r CA 'F 3 - (760) 777-701 ? ' LX Mimna- Permit Applicador1 and Tmcidn-c Shams. r 3..�&D�ipoon. • - Gn•. ST. �: (� e � ��� I • C�amr_ 1 e1�IlDItc, - Aaar� l 36 ea - 01. si, izp Caaat�ctiaa \ 0 � Teltuoanc ' `7iPo�' y titechanLLhl /IGTJ Rmirn•, r=dT for currrrtionsitssoc UL a C111c-d Cortrtrt rribon Ary r,vr bcsi' T. Plans pici-td LLp . M • d Gi. O. - . Ptags rbaartscd T Cay, ST- Z#_ - Tc3�hon� K ' Cm=r=on T}Tc: -z- Stain Uc. _: Q ' ` _ '�?� Pl aj x n pr- (circk oa:• J: 1v_ -i Add' _fir iL-*. Dano' ?�ia� tt%Ea�ct?asolrSq. Ftr ! r Stories R L' dS Tdcpia�te R of Q[ = F=Un:- L600 • au!d Value aTPTI jr i _Scat APPOCANT: -DO 111QT WfiM BELOW THLS LINE R I $abmisttl � R�•d I �'d TRa�� � 1� � • . 5 �p C�5 I � PiaA Cher.L• submitted I ltZui I Amauat iSEraaurai Cal= Tans Cai__ . ;eek piesis plan 5nucontaair Liz ' I E�O,b-peroral ScAod.F�s ' • TotaI.Pes•u:is�ers } ... 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