05-1683 (BLCK)0 -
0
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7.01.2
OFT9 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (76.0).777-7153
BUILDING PERMIT
Application Number05 00001683___ - - Daae 5/03/05
Property Address . . 78685 AVENIDA NARANJA.
APN: 770 -106 -.0037115 -000000 -
Application description WALL/FENCE
Property Zoning . . LOW DENSITY RESIDENTIAL
Application valuation 1407`
Owner Contractor
ROLAND & ROXANNE REGNERY Owner
78685 AVENIDA NARANJA..
LA QUINTA, CA 92247
1�
..QTY of
P.O. BOX 1504 'G��
VOICE (760) 777-7012
78-495 CALLE TAMPICO. FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 `r_ Date: S'3—'
Applicant: I Architect or Engineer: .
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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
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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
1/Date OL Owner QD�� P'_�Ocm I
W RKE COMPE ATION DECLARATION
I hereby affirm under penalty of perjury one o 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
is a My workers' compensation insurance carrief and policy nyy3�b are:
C Carrier Policy Number _�U ('01-71
I certify that, in the performance of the work for which this permR 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.
Date -�ETO
Applicant
WARNING: FAILCURE WORKERS' MPENSATION CO E E UNLAWFUL, ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAN 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.
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.).
Lenders Name
Lenders Address
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 count enter upon the ,►�p(y/�l.-mentioned property for inspection purposes.
/'Date Signature (Applicant or Agent): , �,�
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Application.Number . . . . . 05-00001683
-----------------.-----------------------------------------------------------
Permit
Additional desc
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
ELEC-MISCELLANEOUS
16.50 Plan Check Fee . . .00
Valuation . . . . 0
10/30/05
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 .7500 PER ELEC
----------------------------------------------------------------------------
DEVICE/FIXTURE 1ST 20
1.50
Permit WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 35.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 1407
Expiration Date 10/30/05
Qty Unit Charge Per
Extension
BASE
FEE
15.00
10.00 2.0000 HND BLDG
501-2,000
20.00
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Special.Notes and Comments
65 LF 5' BLOCK WALL ALONG FRONT
P/L
WITH ENTRY GATE AND TWO LIGHT
FIXTURES.CITY STANDARD
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 51.50
--------------------
.00 .00
51.50
Plan Check Total .00
.00 .00
.00
Grand Total 51.50
.00 .00
51.50
I
Q
R ESTABLISHED IN 1918 AS A PUBLIC AGENCY
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 - COACHELLA, CALIFORNIA 92236 - TELEPHONE (760) 398-2651 - FAX (760) 398-3711
DIRECTORS: OFFICERS:
JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS,
PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER
TELLIS CODEKAS MARK BEUHLER,
RUSSELL KITAHARA ASST. GENERAL MANAGER
PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY
DAN PARKS, ASST. TO GENERAL MANAGER
January 21, 2004 REDWINE AND SHERRILL, ATTORNEYS
John Linfield
Remax
78-411 Highway 111
La Quinta, California 92253
Dear Mr. Linfield:
Subjecb`78-685 Avenida Naranja
Account No. 607061 068.0.5
File: 1112.
In researching our records, we found that the above -referenced property has not met the sewer
requirements of the district.
The district has no record of receiving a signed petition for annexation or the payment of sewer
fees, which would authorize connection to the sewer system.
If you have any questions please contact Rosie Anacleto, Customer Service Representative,
extension 2420.
Yours very truly,
Richard Shonerd
Customer Service Supervisor
RIA:ra
bc: City of La Quinta
Post Office Box 1504
La Quinta, California 92253•
TRUE CONSERVATION
USE WATER WISELY