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07-1123 (BLCK)o P.O. BOX 1504 "`® VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 W 7lILelaafil l Contractor: LF644 y-7200! Applicant: Architect or Engineer: RZ LANDSCAPEL47764. TULIP PLACE m w INDIO` GA 92201CE�D r` (760)863-1369 Lic:.No.: 884908 LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under.- rovisions of Chapter 9 (commencing.with Section 7000),of.bivision3.of the Business and Professionals Code, ancmy License is in full force and effect. License'Class:' C27 License No.: 884908 Date: 'Contractor. OWNER -BUILDER DECLARATION I:heretiy affirm under penalty of per(ury.-that I am. exempt from the.Contractor's State.License Law for the following reason (Seca 7631..5 •Business and,Professions Code: Any city or county that requires 6 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 toaherprovisions of the Contractor's State. License:Law (Chapter:9 (commencing with Section 70001 ;of Division 3'of the Business and`Professions Code) or that ne or she is exempt theiefroin and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the,applicbnt to a civil 'penalty of not more than five hundred dollars -1$500).: (_) 1, as owner of -the property-,: or. my employees with wagesas their sole compensation, willdo'the work, and the structure isnot iniended or offered for sale (Sec. 7044: Business an&Professions Code: The ,. ,-Contractors' State License Law does not apply to an owner of property who'builds or'improves thereon, and who.does'the workhimself or herself through his or her own -employees, provided that Vie .'improvements are riot intended oroffered 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 withlicensed 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_ 1 I am exempt under Sec. , B.&P.C. for this reason - CONSTRUCTION LENDING AGENCY herebyaffirm 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 WORKER'S:COMPENSATION DECLARATION 1 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. - 1 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 Y insurance carrier and policy number are: - Carrier ENDURANCE REINSPolicy Number WEN000.8535-01 1certify 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, if I should -become subject to the orkers'.compensation provisions of Section 3700 of the Libor Code I shall forthwith m_with those proviswns. 11Applic . 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 TOTHE'COST OF COMPENSATION, DAMAGES ASPROVIDED FOR IN `19ECTION 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 ser forth on this application. 1. Each person upon whosebehalf,this application is made,.each person at whose request and for whose benefitwork is performed underor pursuant to•any permit issued as a result of this application, the owner, and thi `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 certify1that 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 iWpection purpom" /�,../� //�._/ Date: 4/16/07 Application Number: 07-00001123 owner: �l!(aL /1 (!r Property Address: 5282S�AVENIDA RUBIO ')2t 'E JOHN/KATHLEEN APN: 773-312-017-4 -000000- 52825 AVENIDA RUBIO Application description: WALL/FENCE LA QUINTA, CA 92253 Property. Zoning: . COVE RESIDENTIAL ^a Application valuation: 144 II//� ' 1 Contractor: LF644 y-7200! Applicant: Architect or Engineer: RZ LANDSCAPEL47764. TULIP PLACE m w INDIO` GA 92201CE�D r` (760)863-1369 Lic:.No.: 884908 LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under.- rovisions of Chapter 9 (commencing.with Section 7000),of.bivision3.of the Business and Professionals Code, ancmy License is in full force and effect. License'Class:' C27 License No.: 884908 Date: 'Contractor. OWNER -BUILDER DECLARATION I:heretiy affirm under penalty of per(ury.-that I am. exempt from the.Contractor's State.License Law for the following reason (Seca 7631..5 •Business and,Professions Code: Any city or county that requires 6 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 toaherprovisions of the Contractor's State. License:Law (Chapter:9 (commencing with Section 70001 ;of Division 3'of the Business and`Professions Code) or that ne or she is exempt theiefroin and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the,applicbnt to a civil 'penalty of not more than five hundred dollars -1$500).: (_) 1, as owner of -the property-,: or. my employees with wagesas their sole compensation, willdo'the work, and the structure isnot iniended or offered for sale (Sec. 7044: Business an&Professions Code: The ,. ,-Contractors' State License Law does not apply to an owner of property who'builds or'improves thereon, and who.does'the workhimself or herself through his or her own -employees, provided that Vie .'improvements are riot intended oroffered 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 withlicensed 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_ 1 I am exempt under Sec. , B.&P.C. for this reason - CONSTRUCTION LENDING AGENCY herebyaffirm 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 WORKER'S:COMPENSATION DECLARATION 1 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. - 1 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 Y insurance carrier and policy number are: - Carrier ENDURANCE REINSPolicy Number WEN000.8535-01 1certify 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, if I should -become subject to the orkers'.compensation provisions of Section 3700 of the Libor Code I shall forthwith m_with those proviswns. 11Applic . 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 TOTHE'COST OF COMPENSATION, DAMAGES ASPROVIDED FOR IN `19ECTION 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 ser forth on this application. 1. Each person upon whosebehalf,this application is made,.each person at whose request and for whose benefitwork is performed underor pursuant to•any permit issued as a result of this application, the owner, and thi `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 certify1that 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 iWpection purpom" Application Number . . . 07-00001123 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 144 Expiration Date 10/13/07 Qty Unit Charge Per Extension BASE FEE 15.00. ---------------------------------------------------------------------------- Special Notes and Comments 9 LF 4' BLOCK WALL WITH GATE PER CITY STANDARD. 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 LQPERMIT Bin # Gty of La (�uinta `-C Building 8T Safety Division P:O. Box 1504, 7849.5 Calle Tampico - La Quinta, CA 92253 -.(760).777-7012 Building? mit:Application and Tracking Sheet Permit # 2 Project Address: Owner's Name:. A. P. Number: Address: Legal Description: City, ST, Zip: (�— y„✓jy} . Contractor: Telephon : ° Address: sf 6 a• ' Project Description: City, ST, Zip: I t./D 10 'CA 2 i D 1'.bt Telephone:(7W). %5 — 3 6 l State Lie. # : CZj -_'488q 9 69 City Lid. #: Arch.,. Engr., Designer: Address:. City., ST, Zip: Telephone: .State Lid.. #: Name of Contact Person:. Construction Type: Occupancy: Noject-type (circle one): New. Add'n:. Alter Repair Demo, Sq. ft :. # 'Stories:. ; # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT. DO NOT •WRITE BELOW THIS LINE # Submittal .. ` Req'd: Recd TRAC_ PERMIT FEES Plan Sets Plan Cheek submitted' i �� .Item Amount Structural Calci. Reviewed, ready, for corrections Plan. Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. :: 'Plans picked up Construction Flood plain plan: Plans resubmitted Mechanical Grading, plan - Zn°.Review, ready for. corrections/issue Electrical Subcontactor List Called Contact Person -Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3w Review, ready fob correctionstissue. Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees NOTE. Not to scale. Alldimensions presented are approximate and should,be reverified by contractor and/or inspector when exactness is cnuial. Cl DEPT. BUILDING& S The House' off _ � : "� E Jolud �` h:�tle�eeia 'CTION. CON U FO R 52825 Rubio —Avenue.. La.Quitita, California92253: . (760) 564-2613, , Patio' John's cell ( in. where 141 in. Wa11 keight changes I�Fi�hi1�� - - Johns' yard ' _ . - - Sld✓_wallC d4 existiri brick wall existing fence - -.EMP-- Y (white) :34 ft . . 14 ft. 12-ft driveway 22 ft 1' 1 ft —� 16.-ft Updated. 4116107 Avenida Rub o NOTE. Not to scale. Alldimensions presented are approximate and should,be reverified by contractor and/or inspector when exactness is cnuial. s NOTE:e Height measureineints taken at 'exsst a location I'M;A llwhere height changes. hritti�all