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06-0665 (BLCK);7,p t`. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000665 Property Address: 78722 HIGHWAY 111 APN: 643-220-015-16 -000000- Application description: WALL/FENCE Property Zoning: REGIONAL COMMERCIAL Application valuation: 500 Applicant: Architect or BUILDING & SAFETY DEPARTMENT BUILDING PERMIT F111i&: C`�— 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 Busi as Professionals Code, and my License is in full force and effect. ;:license lass:: B C8 License No.: 824183 Date�'Contractor: I WNER-BUILDE DECLARATION I hereby affirm under penalty of perjury that I am exempt from t e 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, pri to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed purs ant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Di 'sion 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged a ption. 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 improve for the purpose of sale.). (_ 1 1, 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.AP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/14/06 Owner: ONE ELEVEN LA QUINTA, LLC 71-084 TAMARISK LN RANCHO MIRAGE, CA 92270 Contractor: CONSOLIDATED CONTRACTING, INC. 46753 ADAMS STREET LA QUINTA, CA 92253 (760,) 771-3345 Lic. No.: 824183 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 STATE FUND Policy Number 1770749 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 become subject to the workers' compensation laws of California, and agree that, PORKE me subject to the workers' compensation provisions of Section //r�3L7000 of the Labforthwith comply with those provisions. Data (� Applicant: WARNING: FAILURE TO SECUCOMPENSA ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND TORNEY'S FEES. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. . I certify that I have read this application and state that th ve information is correct. I agree to comply with all city and county ordinances and state laws relating to b onstruction, and hereby authorize representatives of thiscyto_u try tt encte`r/upon the above-mentioned rt i action purposes. - DL `LJ •[..$Y�,g ature (Applicant or Age t): Application Number . . . . . 06-00000665 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 500 Expiration Date 8/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments ADD 20 LF 6' BLOCK WALL TO EXISTING TRASH ENCLOSURE @ RED ROBIN TO DOUBLE SIZE PER CDD APPROVED PLANS. Fee summary Charged Paid Credited Due Permit Fee Total 15.00 .00 .00 15.00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 .00 .00 15.00 Blri #,. , , ury ®f Lei Quinta Building ar Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit #i 06 Project Address: -1 4 , i I I Owner's Name: pHE f,—Lwt,i LAt.>< UI N- L LG. ��-`' A. P. Number: - 1- Address: '11 .06+ 'WAAKtOK- I.M r; Legal Description fGj,: I�1' - �'' 'd � �'1Qi .• F� City, ST, Zip: klme00 M10*f'- xq VzZ- c Contractor: I i. rJ � � NG Telephone: d ' iD P �J J Address: �,'��s Project Description: —to City, ST, Zip: L4 HrA...G PN� Telephone: P ho ne: M � State Lic. # : 724 16� City Lic. #: Ci . "� � M�`� I.o1x , � V`�'`lit� Arch., Engr., Designer: L AIA � L Address: "( �j�, 4d, FftC } City, ST, Zip: I No 0 6k '11,9W I Telephone: ��®- I. ° <:w:;::::::<:>>.':,::;::>::.:;>::<::::.::;:>::.::>>::::> :• :s.??'>,:`:..'.:•.<.>.?:' j„'v:�':ii4; :}i}:i�:ijj;}^;: iii `�}:>;:'>�++:• State Lic. #:::...::...::::::. •::•,::<:::., ..;•:;;l.r:•:, G Name of Contact Person: ��„�� d�r1/ Const Occupancy:ruction Type: Project type (circle one) N6w._ Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: 5 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 Coles. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Calle&C'ontact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctslissue Developer Impact Fee Planning Approval Called Contact Person Ao6 A,I,P,P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees