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06-1152 (BLCK)I - T-il4t 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT '7 Date: 3/21/06 Application Number: 06-00001152 / Owner: -Property Address: 51905 AVENIDA CARRANZA TUVELL MARK F APN: 773-164-021-9 -000000- 50855 WASHINGTON ST- #149 Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 1083 Contractor: Applicant: Architect or Engineer: TUVELL BUILDERS INC., K 77564 COUNTRY CLUB DR 209A PALM DESERT, Cn 92211 MR 2 1 2006 PIP (760)772-0004 N P Lic. No.: 838089 UIN7 CITY OF LA A I�INAKE DEP -----------------------7------------------------------------------------=------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 83 80 8 9 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /7t�� / ® issued. /ate:��J`U ractor. " �-' `t—�G X 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are:. I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1795095-2005 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that,.in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to b come subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should b e ubject to the workers' compensation isions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the or Code all rthwith comply with those pr isio that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by rSECTIONC3706 �any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: G "r/!!T pplicant: 1, 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 : FAILURE TO SECURE WORKERS'CO SAT COV UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED fOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_ I 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 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 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 permitissued 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 info ation is correct. I agree to comply with all city and co my ordinances and state laws relating to building c �on, and hereby authorize representatives of this my to enter upon the ove-mentioned property ns tion purposes. ture (Applicant or Agentl N Application Number . . . . . 06-00001152 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 27.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1083 Expiration Date 9/17/06 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 2.0000 HND BLDG 501-2,000 12.00 -------------------------------------------------'--------------------------- Special Notes and Comments 50 L.F. 5' GARDEN WALL, CITY STANDARD Fee summary Charged ------------------------------------- Paid Credited -------------------- Due �- Permit Fee Total 27.00 .0-0 .00 27.00 •^- Plan Check Total .00 .00 .00 .00 Grand Total 27.00 .00 .00 27.00 LQPERMIT Bi" City of La Quinta Building 8E Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit:{ 1 Project Address: �-(-�( a� �j¢JL) NZ Owner's Name: ltrt A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: /3 :r✓L. Telephone: Address: S"p-,�� l�,¢fNTjG?O,� rl- 'PL/99 Project Description: City, ST, Zip: 4,4 eV,,?ivTy 2t..i^ DrV t,J 4 1.L. Telephone:2 2.-G u 4 State Lic. # : ) ro $. City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: " - =,4 Construction Type:: r>1 57," Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �4R le,�t L Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 2 �, r -(a a iL .11 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan" 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" 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 pZ