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04-3566 (BLCK)a .;t 'LOOM 7 agwav BUILDING & SAFETY DEPARTMENT �x 1504 (760) 7774012 CALLE'TAMPICO FAX (760) 777-7011 NTA, CA6FOPN.IA 92253 INSPECTION REQUESTS (760).777-7153 BUILDING PERMIT tion Number 04-00003566 Date 4/19/04 perty Address . . . . • 52799 AVENIDA CARRANZA APN: 773 -321 -003 -3 -000000 - Application description.. WALL/FENCE Property Zoning . . . . . . . -COVE RESIDENTIAL Application valuation 3.775 Owner Contractor MAGANA JUAN OWNER 52799 AVENIDA CARRANZA LA QUINTA CA 92253 - ". Permit . . . . . WALL/FENCE-PERMIT Additional desc Permit'Fe'e.. 63.00 Plan.Check Fee .00 Issue Date Valuation 3775 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000. 18.00 Special Notes and Comments 125 LF 6' BLOCK 14ALL ALONG REAR &.SIDE P/L. 30 LF COMBINATION 36" BLOCK WALL WITH 2' ORNAMENTAL IRON ALONG FRONT P/L. PER CITY STANDARD. Fee..summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 63.00 .00 .00 63.00 P1an.Check Total .00 .00 .00 .00 Grand Total 63 A.0 .00 . 00 . 63...00 r P.O. Box 1504 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: D y 3- r; Date: Applicant: 19 S tel✓.✓ Architect or Engineer Applicant's Mailing Address: Architect or Engineer's Address: Uc. No. BUILDING PERMIT DECLARATIONS ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions o(Chapter 9 (Commencing with Section 7000) of Division 3 of to Business and Professionals Code. and my License Is in full force and effect License Class License No. Date Contractor OWNER•BULDER DECLARATION I hereby affrnh 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 re"res a permit to con ucL alter. improve. demof sK or repay any struose, prior b its issuance. also requires the applicant for the permit b lie a siprrod statement that he or she is licensed pursuant to the provisions of the Contractors' Stab License Law (Chapter 9 (commencing with Section 7000) of Division 3 offie Business and Professions Code) or that he or she is exempt theebor and the basis for the alleged exemption. Any viotation of Section 7031.5 ty any appicerht for a permit subjects the appicard to a civil penalty of not more than five hundred dollars ($5W0 r , er 1. as ownof 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 appy lo an vow of property who bunds or improves thereon. and who does the work himself or herself or trough his or her own employees, provided that the improvements are not intended or offered for sale. ff. however. the building or improvement is sold within aro year of completion; the owner4Ader will have the burden of proving that he or she did not build or i nprove for the purpose of sale.). (.a L ss owner a ire property, am exdw4vey contracting with licensed cohtractas to construct the project (Sec. 7044. Business and professions Code: The Contractors' State License Law does not appy to an owner of Property who builds or improves thereon, and who contracts for the projects with a conhacton(s) foense0 pursuant lo the Contractors' State License Law.). () I am exempt under Sec. . BA P.C. for ft reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pajury one of the following declarations: I have and will maintain a Certificate of consent to set -insure for workers' conpensatien, as provided for by Section 3700 of the Labor Code. for the performance of the work for which tis permit is issued. I have and will maintain workers' compensation insurenoe, as required by Section 3700 of the Labor Code. for the performance of the work ler which this permit is issi - My woken;' compensation insurance cam er and poky number are: Cartier Poky Number I Certify Murat, in the potommm of the work ler which this permit is issued. I chap not employ any person in any manner so as to become subject lo the workers' compensation laws of California, and spree Murat. 91 should become subject lo the workers' Compensation provisions of Section 3700 of Mme Labor Code. I shall fortmwfth comply with those provisions. WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 11UNDRED THOUSAND. DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm ander penalty d pajury that thea is a construction Iendmg agency for the.peramanee of the work for which this penNt is issued (Sec. 3097. Civ. C.). Lenders Name -A 11n Lenders Address // APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Director of Building and Safety ler a permit subject to the conditions and restrictions set forth on this appication. t. Each person upon whose behat this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any pemmit issued as a result of this appimtion, the owner. and the applicant, each agrees to, and shati, defend. indemnity and hold harmless the City o(Le Qui tit, its officers. agents and employees for any ad or omission related to the work being performed under or following Issuance of this pemrdL 2 Any permit issued as a result of this application becomes null and void If wok is not commenced within ISO days from date of Issuance of such pernk or cessation of work for 180 days will subject permit lo cancellation. I certiy 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'aboveanentioned property for inspection purposes. rD—r ate�7 T r —© signature (Appiicantc Agent): � CY jy OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of variuus trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder'! building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760)777-7012 FA}C (760) 777-7011 WNER'S SIGNATURE/DATE PROPERTY ADDRESS PERMIT NUMBER(s)