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06-4206 (BLCK)P.O. BOX 1504 VOICE (760) 777-7012 79-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/06/06 Application Number: 06-00004206 Owner: Property Address: 54820 AVENIDA CARRANZA CAROL LOMBARD APN: 774-295-004-21 -000000- 54820 AVENIDA CARRANZA Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 1503 D Contractor: Applicant: Architect or Engineer: DESERT CONCEPTS LANDSCPE/MA T 41800 WASHINGTON ST, B-105 DEC 0 6 2006 BERMUDA DUNES, CA 92201--0 (760) 200-9007 Lic. No.: 849837 CITY OF LA QUINTA FINANCE DEPT. LICENSED CONTRACTOR'S DECLARATION 1 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: C27, C8 , C29 License No.: 849837 Date: 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).: 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 J improve for the purpose of sale.). 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 the reason ate: /.Z� `'-0 L caner: 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: �I l Lender's Address:/'t LQPERMIT 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. 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 REDWOOD FIRE & Policy Number W6734284 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 beco a subject to the workers' compensation laws of California, and agree that, if I should becom subject to the workers' compensation provisions of Section 3700 of the La Eod I sh h amply with those provisions. �c WARNING: FAILURE TOS E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above inf motion is correct. I agree to comply with all city and county ordinances and state laws relating to b ' ing c s uc ' , and hereby authorize representatives of thhiis/county lto enter upon the above-mentioned pro f ns ec purposes. Otte: iL� v� nature (Applicant or ent): Application Number . . . . 06-00004206 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 37.00 Plan Check Fee 00. Issue Date . . . Valuation . . . . 1503 Expiration.Date -. 6/04/07 Qty 'Unit.Charge Per Extension BASE FEE 15.00 11.00 2.0000 HND BLDG 501-2,000 22.00 ------ ------------------------------------------- Special Notes and Comments --------------------------- 44 LF 5' BLOCK WALL ALONG FRONT P/L & 22 LF 6' BLOCK WALL.ALONG NORTH SIDE OF GARAGE. CITY STANDARD. - Fee summary Charged -------------------- Paid Credited -------------------- Due ----------------- Permit Fee Total 37.00 .00 .00 37.00 Plan Check Total .00 .00 .00 .00 Grand Total 37.00 .00 .00 37.00 LQPERMIT Y vi I I % g &� .— — - -.- -- BUILDING & SAFETY DPT. APPROVED FO C NSTRUCTION 1 u tov DAT BY , A RE—INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! �r ;n r vi I I % g &� .— — - -.- -- BUILDING & SAFETY DPT. APPROVED FO C NSTRUCTION 1 u tov DAT BY , A RE—INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS!