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BLCK (05-4336)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05 -00004336 - Property Address: 8-1295 NATIONAL DR APN: 767 -500 -014 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 64 Applicant: T4i!t 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 f 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).: (_) 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.). (_) 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: LQPERMIT Owner: EMERLING 81-295 NATIONAL DRIVE LA QUINTA, CA 92253 Contractor: PICASSO WCC: WC: CSLB: POOLS, INC STATE FUND 1709395 810111 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 12/01/05 07/31/06 Date: 9/27/05 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. 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 B C27 C53 Policy Number - - - ------ - - - - -- _ 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant: e L WARNING: FAILURE TO SECURE WORKERS' COMPggSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 walk 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 1 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 my to enter upon the above-mentioned prop y for inspection pur es. Date:' f0"JjSignature (Applicant or Agent). 4 f Application Number . . . . . 05-00004336 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 64 Expiration Date 3/26/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 4 L.F. 4' EQUIPMENT BLOCK 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.Tota'1 15.00 .00 .00 15.00 LQPERMIT Sep,21: 2005 10:05AM PICASSO POOLS CITY OF LA QUINT BUILDING & SAFETY DE APPROVED FOR CONSTRUCTION DATE 9 Qf- By A RE -INSPECTION FEE OF 130 WILL BE CHARGED IFTHEAPPRG ED PLANS AND JOB CARD ARE NO ON THE SITE FOR A SCHEDU D INSPECTION. NO EXCEPTIONS! Cons ruc Io on the following Code Holidays: }15 New Year's Day Dr. Martin Luther King Jr. Day president's Day +. Memorial Day ?� Independence Day. Labor Day \r rLteran's Day ihanlssg#mg Day , J ihri5itr�as Day `: ` 1�-O- EQ. 116.1229 P. 2. I n �RLINO RESIDENCE CITY STANDARD WALL 4' LONG, *HIGH, 6' WIDE EQUIPMENT BLOCK WALL STUCCO AND PAINT TO MATCH HOME LOT 28 NORMAN ESTATES j81=295-NATIONALR. LA QUINTA Sep -27. 2005 2:40PM PICASSO POOLS No•1239 P. 1 City. of La Quint2 Ml&raa.Er Safes Dive ion P.Q. Bax 1.504, 78495Q& Tampica Perp La Qlir M, 'CA 9=37 - (760) 777-70 t? . Building A�rmit ,`application and Tracldl u Sh e • IIOiL v� 7=,- I t1cElore: `Ti�aE7�i AdQr` CD`L' l Projc Ds4igcinn: ��- Can,•. ST_T�,� '1 r Sty:Lic .4ddtt� , c-ity, ST. Zip. ! Tc}ephanc Canstrucfion T% -p= ccx• -�. 5 �: - Prnj= type (circle o z)-. N=-,vAdd•n _ hcr- Rl�it- Demo Natnc:Qf C?ets�n Sq. FL: "Stones ' l,ils 'FciVp�ac �. s Ci?nrati Actsarc: - ��! KV—ed Value orProj� . ! AP'FPUCANT:•DO NOT WFJTF BELOW TMS l.JME j Submitzsi _ I rceq'd I Iic'd TRJa[�,�G r.Ti3 FF�S F`an I Pi2n Cheri; =bmitied ( Hera i hm�nnt Shusssl iilcs Rcyiewed. readr for correctiaos Plan Check Dcpo":4 Trim CjL-- CAAed CDUMCI Person. Pfsn (,hteI: B:alxnee j Ty!•ic � Cis. cke Plans Plid'u p p CORSiruction \ 'Flood 3L Ply I Pians rc�bmirLd ASecaanital �..Gradiu-, p_n I 2" RcX' vv. =A6, for corrcctionsTsnc Elrtrifal subco=amr I:ist ' Cjallcsl COn12LI PC1iSon PSrutbiQ� T Gisut Des Plans. pica rd tip 4LI_ I�O.�..Ataro�l -PSaRs resubini'isetl -Graditt� y ACaU�s "Revir,r. read - foe corretrioaV_wue ACYdaprr Impact r x Piaumin; prA.al CiI[ed COGtyct Aersoe •£'hlf. ii I s Dpr I I1atc a(permit i551lc r Total. P=miu r= , . .