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BLCK (08-1797)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253.. Application Number: Property Address: APN: Application description. " Property Zoning: Application valuation: Applicant: �V T4ht 4 44urKrw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 08-00001797 51431 AVENIDA NAVARRO 773-103-011-5 -000000= WALL/FENCE COVE RESIDENTIAL ;. 1975 Architect or Engineer: 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 Profes ' 1 od rend my License is in full force and effect. License Class: C 39j c e No.: 809220 fi._Datt�O �/ O �Contracto 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).: 0-1 (_) 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* , 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: BERG, TOM 5.1431 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)391-2330 Contractor: ORTEGA MASONRY P.O. BOX 2772 INDIO, CA 92201 (760)342-1726 Lic. No.: 809220 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/31/08 D Q Q OCT 31 ZC�QO CITY OF LA QIIINTA FlIvAtur..- __- 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 1769129-2005 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 subje to the workers' compensation laws of California, and agree that, if I should become subjec o t kers' mpensation provisions of Section k 70Aof the Labor Code, shall forth wit ose provisions. Date. /Applicant: WAR NG: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUB ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI 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 o ark for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informati is c ect. I a e o comply with all city and county ordin ces and state laws relating to building constructi , a ereby a orize representatives of this count to e jr �pon the above-mentioned pr for inspect p ses. Date ��ignature (Applicant or Agei Application Number . . . . . 08-00001797 Permit . . . . . WALL/FENCE PERMIT - • Additional desc . Permit Fee '45.00 Plan Check Fee 00 Issue Date Valuation . . . . 1975 Expiration Date 4/29/09 Qty Unit Charge Per Extension BASE FEE 15.00 ' 15.00 2.0000 HND BLDG 501-2,000 30..00 - -- - --------------------------------------------------------- Special Notes and Comments PERIMETER BLOCK WALL PER ORCO STANDARDS 79 LN FT X 6 FT HT ;6 FT FROM FG @'HIGH SIDE. 43 LN FT X 2 FT HT PLANTER. PER AJ Fee summary Charged Paid Credited Due Permit Fee Total 45.00 .00 .00 45.00. Plan Check Total- .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00 LQPERMIT I TANDARD 6'TO 8'CMU SITE WALLS ORCOSIfl - - - opritx"L mArcAp.Di GN :74ITEI�LQ: P6zi - - -------------- ISWPV &-,.Y-Wb InW?. ?M2V Ma $E WqBV -oHP XE7J,P4M VERT.TVI. 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""rtmrxwa w,K+nwrn�r ..eursaa a movu+c�ai ' QP�F55S/OMq� � U C3!9Z6 EYP. 4-31-200? f 0077NG STEP DETAXL Q, f 1 'J -� j• OF CA�� 'ti 0 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # lot Project Address: t 1-14 31VA f`( Owner's Name: ip yyx V. A. P. Number: Address: 1 ve Legal Description: Contractor: O -q 0-n City, ST, Zip: Q Cut L, Telephone: p? 3 Address:tgne- , Y Q r. Qv, Project Description: �e d.`�,� wn , 44 City, ST, Zip: A; a; k 4 - Telephone: 70 ,3 a-' 3S -e State Lic. # : �0 Arch., Engr., Designer. City Lic. #: r ®�1 Y3 / /� h Gt h�•rr / ` e= Address: City, ST, Zip: Telephone: Construction Type: Occu Occupancy: Vtl r P Y= State Lic. #: Project type (circle one)./ew Add'n Alter Repair Demo Name of Contact Person: ey r) Ile a 1125- Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 6 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" 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