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04-7735 (BLCK)41 r - DEC 16 2004 1.1" . O -Box 1504. OFTt�9 78'4'95:CALL}E:TAMPICo LA QUINTA, A, CALIFORNIA 92253 440ar�ra BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 A lication Number PP °:.� fl-_ ti Date 12/10/04 Property Address . . . . . 78982 -HIGHWAY 111 APN: 643=080 -047 -9 -000000 - Application description.. WALL/FENCE Property Zoning . . . . . REGIONAL COMMERCIAL Application valuation . . . . 944 Owner c .���!- Contractor .' -------------------------� --------- ------ --- -. ONE ELEVEN LA QUINTA ��-' � � •1•� �•�s.......... . � i `,CONSOLIDATED_CONTRACTING,IINC. C/O SABBY-JONATHAN -1�1 46753 ADAMS STREET 42620 CAROLINE CT STE 102 LA QUINTA CA 92253 PALM DESERT CA.92211 (760) 324-5488 WCC: STATE FUND •WC: 17707492004 01/01/05 :CS.LB: 824183 09/30/05 ------------------------------- CCC: B -C8 Permit .. -------------------------------------------- WALL/FENCE PERMIT - Additional desc . Permit Fee . . . . 25.00. Plan Check Fee .00 Issue Date . . . . Valuation . . . . 944 Qty Unit Charge Per.. Extension. BASE FEE 15.00 5.00 20000 HND -BLDG-501-2;5000 -I-1 10.00; ---_-----__ 1�•.3.;_� % ----------- --------------- S.pecial Notes and Comments ------------- 59 L.F. 3' RETAINING STANDARD,PER APPROVED WALL, CITY ,-� PRECISE GRADING r,y,•��`•�t t•`j j) PLAN Fee summary Charged ----------- - ----- -----_---- Permit Fee Total 25.00 Plan Check Total. .00 Grand Total 25.00 J - Paid Credited -------- -r ---------- .00 .00 .00 ,.00 . 00 " 00 i Due 25.00 .00 25.00 P.O. BOX 1504 ��Gl 78-495 CALLE TaMrtCo � VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 64 - -7 13 5 Applicant:. Date: o Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: lA Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Li se' .i u11 force and effect. cense Class cense No�ci' f� OWNER -BUILDER DECLARATION 1 hereby affirm 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 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 Contractors' 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).): U 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 or through his or her own employees, provided that the improvements are not intended or offered for. sale. If, however, the building or improvement s 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.). U. 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self4nsure 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' compensate n insurance, as required by Section 3700 of the Labor Code, for the performance of the work or which this permit is i ue My rs' o ensation ' mance career aq ar�shdallnot �rier olicy Number - _ I certify that i the erfo nce of the work for hich this permit is issy hny 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, 1 shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOR EY'S FEES. CONSTRUCTION LENDING AGENCY hereby arm under penalty of perjury that there is a constructio lending age cyfor the affirm the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address- IV IMPORTANT Application is hereby made to the Director of BuildingAP 8 N a Safety for aCKNOWLEDGEMENT set forth on this 1. Each person upon whose behalf this application is made, each person at whose regi est and for wect to the horse onp benefit work sandrestrictionperformed under or pulrsuant to an 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 permit officers, agents and employeesfor 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 relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date i'S gnature (Applicant or Agent)