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06-3719 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003719 Property Address: 54860 AVENIDA CARRANZA APN: 774-295-006-19 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 779 Tit!t 4 � 4 Q" Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 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).: (X) 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 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.). (_) I am exempt under Sec. , B.&P.C. for this reason _.-I /-% w Date/0 %9— 66 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: DAVIDSON PEGGY LEE 54860 AVENIDA CARRANZA LA QUINTA, CA 92253 ---------------------- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/06 Contractor: U OCT 1 9 2006 Owner C!FIN=AN --------------------------------- ------------------ 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 Policy Number I certify that, in the performance of the work for which this permit is issued, 1 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 hwith corrA with those provisions. Date: IO N-04pplicant: . WARNING: FAILURE TO SECURE 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 information is correct. I agree to comply with all city and county ordinances and state laws relatingto building onstruction, and hereby authorize representatives of this co ty t enter upon the above-mentioned propert pection p oses. /n i Datfi/ 40�/ �� Signature (Applicant or Agent): Application Number . . . . . 06-00003719 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 21.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 779 Expiration Date 4/17/07. Qty .Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 6.00 ---------------------------------------------------------------------------- Special Notes and Comments 36 LF 5' BLOCK WALL PER CITY STANDARD TO FORM FRONT COURTYARD Fee summary Charged Paid Credited Due --- ---------- ---------- Permit Fee Total 21.00 ---------- .00 ---------- .00 21.00 Plan Check Total .00 .00 .00 -.00 Grand Total 21.00 .00 .00 21.00 M LQPERMTT Bin # Permit # 1 I q J Project Address: A. P. Number • City of La Quinta . . Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 /B1�_�uiilding Permit Application and Tracking Sheet r .&�kel`L A Owner's Name: ��o G LCL 9 Address: 5 �� b N.� tvqfw f Ci1,t�tiJ City, ST, Zip: LA (.k (' k - )-,)-S 3 Contractor: `� .'V 0 . Telephone: ��. Address: `3 S N p� Project Description: LTelephone T, Zip: , r'j W S '- l N T Ct�l (� . : BC Lio. # �Icl Arch., Engr., Designer Address: City,, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Projecf type (circle one): New Add'n Alter Repair Demo Name of Contact Person: (e pN (�� Sq. FL: # .Stories: # Units:' Telephone # of Contact Person: (D Q 90 Estimated Value of Project: APPLICANT: DO NOT WRITE RFI nW Twic i Wr It Submittal Platt Sets Req'd _ : Recd TRACKING. PERMIT FEES 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 correctionstissue 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 correctionstissue Developer Impact Fee, ; Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue, School Fees Total Permit. Fees_:..: • : . A-1 Cesspool Service, Inc. P.O. Box 580188, North Palm Springs, CA 92258 JOB INVOICE — `Since 1959' (760) 329-6875 Fax (760) 251-3405 State Lic. #265214 www.alcesspool.com CITY SERVICE ❑ PUMP SEPTIC TANK HAS SEPTIC TANK BEEN DUG UP? (].Yes ❑ No ❑ PMT. ON SITE REQUESTED ❑ PUMP SEEPAGE PIT ATITS RISER 13,OFFICEBILLING GUANT_ DE RIPTION OF Dain. Amni INT Pumping Fee per 1000 Gallons (or fraction) 31C Waste Discharge Fee per 1000 Gallons Locating and Opening Fee (lhr. Min.) Out of Area Fee C/ C ❑ THE LEACHING SYSTEM HAS FAILED. E3 THERE IS AN OBSTRUCTION "UPSTREAM' OF THE SEPTIC TANK It will be necessary to contact a line cleaning company. ❑ WE RECOMMEND TENANCE PUMPING OF THE SEPTIC TANK EVERY [3 YEAR ❑ 0 YEAR ❑ 2.3 YEARS To remove built up solids. This will increase the life ofyour leaching system. ❑ THIS PUMPING WILL PROVIDE ONLY TEMPORARY RELIEF AND NOT SOLVE CUSTOMERS SEPTIC PRO` EM BECAUSE OF THE ABOVE. ❑ CUSTOMER HAS BEEN GIVEN AN "EXXPPLAINATION"PACKET. A SERVICE CHARGE OF"SZ2 WILL BE DUE ON ALL RETRUNED- CKS. A FINANCE CHARGE OF 1112% PER MONTH Ik% PER YEAR, WILL BE CHARGED ON PAST DUE ACCOUNTS O % R 30 DAYS. IF PAYMENT 19 BY CHECK DRIVERSLIC.It I STATE_ IherebSIGNAy�owledd/satlsiactorycoO+DXodtheab!adesWbedwork /V Il �� / 4cv"er Total Due