The URL can be used to link to this page

04-3645 (BLCK)X4PQUMrw BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . X04-_000-0.3:645-- Date 4/22/04 Property Address . . . 53715 AVENIDA RUBIO APN: 774-112-021-10 -000000= Application description . . WALL/FENCE Property Zoning COVE RESIDENTIAL .Application valuation. 3720 Owner Contractor KELSEY EVELYN M SUNDOWN CONSTRUCTION, INC. 537.15 AVENIDA RUBIO 79,733 DANDILION DRIVE LA QUINTA. CA 92253 LA QUINTA CA 92253 (. (360) 899 WCC: STATE INS WC: 5790000908'' 07/01/04 CSLB: 792208. 03/31/05 CCC: B -C8 -C15-054 ------------- --------------------------------------------------------------- Permit WALL/FENCE PERMIT Additional desc Permit Fee,... 63.00 Plan Check 'Fee .00 Issue Date . . . Valuation 3125 Qty Unit Charge Per Extension BASE FEE 45.00• •2.00 9.0000 THOU BLDG.2,001-25,000 18.00 Permit ELEC-MISCELLANEOUS Additional desc Permit Fee 19.50 Plan Check Fee 3.75 Issue Date Valuation . . . 595 Qt.y . Unit Charge Per Extension BASE FEE 15.00 6.00 .7500 PER ELEC DEVICE/FIXTURE 1ST -20 4.50 Special Notes and Comments 125 LF 61 BLOCK WALL @ REAR & SIDE P / L PER CITY STANDARD.S.IX LIGHTS ON p INTERIOR OF WALL. 22 2�0�� p Fee summary Charged PaidCred,tedy. Du ----------- - - - - ------- - - - ------ - - - - -- - -- Permit Fee Total. 82.50 .00 .00 82.50 P.O. BOX 1504 a �`��/ 7E-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 44a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: It - 3 6 y s I Date: Applicant: Arr+%itect or >c ✓£LYAv KE-:sc Y Applicant's madmg Address: S 3- 7(.5- A -VI: .Bf� Eng rneer: 41-0 Al Arch ect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS I hereby affirm under LICENSED CONTRACTOR'S DECLARATION DefettY d tome a that I am licensed under provwans d ChWiar 9 (COn"wxsnp with Secbon 7000) d Division 3 d the Business and Nofeno mils Code. and my Liosnse is in tull brae and effect License Cuss license No. oats • Contractor 1 hereby alum under penalty or perjury that I am OWNER -81.111 -DER DECLARATION city or county thattun"" from the Contractors' Stab License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any statement that he k 1 b Ckahx. knpovs. denK tiv or repair any structure. prior b b issuance. also requires the appiant ler to permit b W a siprad and Professions that h �) � Nqt he d pursuant b the provisions d to Contractors' Stab Lbaae Law (CtMPbr 9 (commencing with Section 7000) d Division 3 d the Business tineProfesb •Clivi s� gmshonn and t basis for the maned exemiptiori. Any violation d Section 7031.5 by any applicant for a pemrit subjects t 1, applicant owner a the P� d not more than eve hundred dollars (i5oo).) DrePef1Y. Or niy w The CoThe Co with eusiress and Protesseonc Code: wspes as their sole eompausion, will do the work, and the structure is not intended or offered for sale (Sec 7044. tinned or herself or through his ntraodors' StabUcen*e Law does not apply b a property owner rovef>r who braids or improves tleneon and who does the work sold within ane a ler own employees, provided that the irprovenrerks are not Wended or offered ler sale. K, however. the building or improvement es L as owner d the iW a Completiont ownw4x*kw will have the burden of povip that he or she did not build or improve ler the purpose of ssle.). PopeAy, am 0xdusiveiy Contracbrg with ricensed cm*sdors to construct t P�ect (Sec. 7044. Business and Professions Code: The Contractors' State Lloenst Law does not apple to an owner of property who builds or improves thereon, and who contracts ler the projects with a contraetor(s) ioensed Pursuantb the Contractors' State L.banse Law.). (..) I am exempt under Sec . 8.6 P.C. for this reason paiec Q OvKar r WORKERS' COMP"TION DECLARATION 1 hereby affirm under PAY d perjury One d the following dedaratioms: _ I have and will rrr wl icdispel.. in a certificate issued. consent b seN4nuat ler workers' a the woklerwhicompensation. as provided lea performance by Section 3700 the Labor Code. for the perforh dt k I _ I have cad wi maintain workers' cwnpwm6On kwmncs, as required by Section 3700 a the Labor Code. for the performance a wf the work for mich this issued. My workers compensation insurance canner and Poicy number ace:Carrier —Policy Number txtmmnit k I1,cerify that, in the peAOrmance f the work lex which this pemvt a issued. I shall not empty any person in any mamer so as to beoome subject b the workers• can anon laws Of C NO"Il , and spree IhK If 1 should become subject b th forthwith e wakens' compensation provisions Of Section 3700 of the Labor Code, I OW comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' TION GE IS WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (=100.000). IN ADDMON TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR TI SECTION 3706 OF THE LABOR CODE. N�(TEREST, AND ATTORNEY'S FEES. .IN I hereby affirm ander CONSTRUCTION LENDING AGENCY penalty d perjury that there is a Construdbn lendsg agency ler the Performance Of the work ler which On Permit is issued (Sec• 3097, Civ. C.). Lenders Name Lenders Address IMPORTANT Application is APPLICANT ACKNOWLEDGEMENT hereby mtlde b the Director a Building and Safety for a Permit wbject b the condticns and restrictions set forth on this appica5m 1- issued *$ Each Person upon d hos app 5ornse behalf thi aaDP�ationowner.isis made, each person at whose request and for whose benefit work is pedoi n under orpursuanO b any penNt dioers• agents and employees forany odor omissia► mtaapplicant. each to t work to, and shaned defend, indemnify and hoed harmless the City a La ouYMa. its 2. Any permit issued as a result a this application becomes null and void N wo rnPd n coed w„under irtl n 1jp�dsys dissuance aate of k�ari� a wdn pemiiL or cessation a work ler 180 days who subject permit b canceftation. 1 certify that I have read this application and state that the above Information is cored I agree b comply with ori city and county ordinances and construction, and hereby astate laws relating b building authorize representatives a this county b enter upon t above-ncritioned property for inspecbon purposes ,; r,'Signatuni 000keritoiApenf n i^ Page 2 Application Number . . . .04-00003645 Date 4/22/04 Plan Check Total 3.75 .00 .00 3.75 Grand Total 86.25 .00 .00 86.25