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BLCK (05-4059)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:05-00004059 Property Address: C-81-24.0—NAT_IONALi DR APN: 1 767-500-.020- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 64 Applicant: Architect or Engineer: 01A 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT nor, wner: RTOLO 240 NATIONAL DRIVE QUINTA, CA 92253 ntractor: CASSO POOLS, INC 78078 COUNTRY CLUB DR, #206 PALM DESERT, CA 92211 (760)345-4600 Lic. No.: 810111 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. Licensee Class/: B C27 C53 License No.: 810111 Yontractor: 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).: 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 notapplyto 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, 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.). (_) 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 ISec. 3097, Civ. C.). Lender's Name:- /� Lender's Address: _JA LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/14/05 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. Al 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; 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Patti �icant: 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 anyact 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 bove-mentioned property 'rtspeetion purp s. D 29-_` ,^s ature (Applicant or Agent): LQPERMIT Application Number' . . . . . 05-00004059 Permit WALL/FENCE PERMIT Additional desc Permit, Fee 15.00 Plan Check Fee 00.. Issue Date . . . . Valuation . . . 64' Expiration Date 3/13/06 Qty Unit Charge Per Extension BASE'FEE .15.00 Special Notes and Comments 4 L.F. 4' SCREEN WALL, CITY STANDARD Fee summary Charged PaidCredited Due -------------------------------------------------------- Permit Fee Total 15.00 00 .0.0 15.00 Plan Check Total .00 .00 .00 00 Grand Total 15.00 .00 .00 15.00 r Sep -14. 2005 12:04PM PICA SSO POOLS No -107'1 P, 2 -0-ty of uin to Ruilcf¢i;_a Safety. Division F.O. Baz 1504, 78-4.95. Gale Tampico . IPerlait J� La Quin, C- 92 .5-J - (76'0) 717-7012 �o J Buiidinc Peruft Application and Tracking Shy. I e ! r PtI13GCI Si�QL> e..S .g Res N =c: a �e , 1 A� P. lvLsaber �Addr=: 1 °"�i (� '\.1 ];N ,2 -v oL�v . L 1 y-srslytion I Caauar�� Cin . ST. Zip: Ckpbo;--t::ca pp l.� l 2� i'roj�ct Dcscripti0tl: S Cn . ST. Zip: la.qL IA C.� TcicphmCQlw) 15 - 9 (00 Arch- FmF Dr =uma- A . a . •J L zip-. zip-.- . Telephone 5t�tr Uc a: ,, CanStrurYiari Type Jcct � �� - • • � .. - Projtxt n•pe icirdC onc1: Ala;• Add'a ,Aitcr Rrpzin 6r10• Alanue`nf Eo sec?rrsatt: S .-FL.' 5torits l'cits Telcpkmc -:f Cpntam Pisan: 1. �� Esiitna:cd value of Proirxs APPUCANfi: DO NOT WRITE BE -OW THIS LINE Submittal j Rcq'd 1 Rrz'd TfL.Ci;TNG PMlis FEES Ptu sets I 1'ian Check submincd item I :ora uat Strnezn;al Coles RcvieK Tc16y for rnrrections Plan Check Dqmsit Trays Cal= Ca lied Conner Puson . Pian Chcr•!t Bslancc •Tt�.2-4 C:.3cs Pans lpicked up Construction \ 71nad plai. plan I t Piaaz resubmirmd { �iCCtix6/csl , jit9d11lQ• g:1h �� Rn:inv. read-. for ev".enjonslissue- irlectrIcai 8ubcnnt2cDr list I Called con=es 11tison P4.rmbic •C'r uj DemS Plans pi&f:4 ap ISO i...AF�trovai Ptatu r esvibmitscd . Gftdiag '1V AQT7S - ( '-'Rt rw. re2dy for corrcctioaslMue DcYt lopes Ita.paca Ftr 'PSanaiAg Approrsl I Called Conran Person ,Yvb. ti'1¢ .�:ppr 1?atc of permit isuc Schod'.Ft-- Total Permit'Fc= SeP-14- 2005 12:05PM PICASSO POOLS Nod 071 P. 3-�� . LOT 45'NORMAN ESTATE 1 EQ. BARTOLO RESIDENCE CITY STANDARD WALL 4' LONG; 4' HIGH. 6" WIDE EQUIPMENT BLOCK WALL STUCCO AND PAINT TO MATCH HOME LOT 45 NORMAN ESTATES 81-244 NATIONAL- DR. LA QUINTA