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06-4147 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1-0-6=00004147 Property Address: 51596 AVENIDA'RAMIREZ APN: 773-131-005-20 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 1500 Applicant: Architect or Engineer: Td4t 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ADAN HERNADEZ 51596 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/30/06 ---- Lrt1 DEC 01 2005 CITY OF LA QUINTA FINANCE DEPT. LICENSED CONTRACTOR'S:DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9.(commencing with I hereby. affirm under penalty of perjury one of the following declarations: Section 7060) of Division 3 of the Business and Professionals Code, and my License is in full forceandeffect. I'have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: - for by Section 3700 of the Labor Code, for the performance of the work,for which this permit is Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm undei penalty of -perjury that.l 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 apermit to construct, alter, improve; demolish, or repairany 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).: (�) 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. 70.44, 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 isisold 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.) (_) I, as owner of the property; am exclusively contracting with licensed contractors to. construct the project.(Sec. 7644, Business and- Professions Code: The Contractors' State License Law does not apply town owner of property who builds orimproves , thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. ' , B.&P.C. for this reason ' D� ate:: 10/'O 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 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 r 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, if I should become subject to the workers' compensation provisions of Section ' 3700 of the Labor Code, I shallforthwithcomply with.those provisions. / r>>,e. /l%!�./J'�n....r...�..,. �lu� �%�J � 7�V Yf/.t ✓i/7l � L 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 relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. �P .Date/ Signature (Applicant-or-Agentl:"Z<4P701y L_ ` L Application Number . . . . . 06-00004147 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 35.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1500 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 2.0000 HND BLDG 501-2,000 20.00 ---------------------------------------------------------------------------- Special Notes and Comments 60 LF 6' BLOCK WALL PER CITY STANDARD @ SIDE YARD(NORTH). Fee summary Charged ----------------- ---------- Permit Fee Total 35.00 Plan Check Total .00 Grand Total 35.00 LQPERMIT Paid Credited Due ---------- ------ --- ---------- .00 .00 35.00 .00 .00 .00 .00 .00 35.00 Bin # Crtyof La Qulnta Building U. Safety Division Permit ff P.O-. 60x.1504, 78 495.Calle Tampico 14 y La Quintar GA 192.253.- (760) 777-7012 Building Permit Application. and Tracking Sheet Project Address: Owner's Name: A. P. Number. Address: Legal Description: vv� City, ST,:Zir ' Contractor: Telephone: Lai Address: _0 t Project DescripGoti: City, ST, Zip: , I Telephone: State Lic. I: _ City. Lic. #• . Arch., Engr., Designer: Address:. City.: ST, Zip: • Telephone: Constntctton T : YPe Occupancy: State Lie. .Project type (circlepne): New Add'n Alter . Repair Demo Name of Contact Person: FL. 1# Stories: #Units: Telephone # .of Contact Personi Estimated Value of Project: APPLICANT ..DO NOT, WRITE BELOW-:Mls UNE N Submittal Req,d Reed TRACKING. PERMIT FEES Plan Sets Plan Chetk submitted Item Amount Structural Cates.Renew txl,:read 'tor eorroctious.. y Plan Check Deposit Truss Cales Called Coutaet Peison Plan Check Balance Energy Calcs. Plan; picked up Construction Flood plain plan Plans resubmitted Mechanical Gradiag.ptaa 2`' Review, ready for eorrectiogs/issue Electrical Sabcoatactor ListCalled Contact Person Plumbing Grant Deed.Plans picked Up . . ... .. S.M.I. H.O.A. Approval Plans resubmitted. Grading IN iiOUSE:- "4 Review, ready tor. corrections/issue Developer Impact Fee: ; Planning Approval Caped Contact Person A.I.P.P. .Pub. Wks. Appr Date of permit issue • ?: School Fees .. ;, .,::: .. ,.: ......:. ..:.......::.: I Permit Fees , ..... .:. ... B i I �78=495 CALLE TAMPICO = LA, QUINTA, CALIFORNIA, 92253 F o �9�' I TELEPHONE (.760). 777-7012 FAX (7,60) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed ;by property owners unless theyare personally performing their own work. If your work is being performed,by'someone other;•than yourself, you may protect yourself from possible liability if that person applies.for the proper permit in his or her"name. Contractors are required by law to be licensed.and bondedby the. State of California and to have a business license from the City or County. They are also required by law to puttheir license number on all permits for which they apply. If you plan to do your own work, with the exception of�various trades that you plan to subcontract, you should be aware of the following information for your benefit and:piotection. If you employ or otherwise' engage any persons other than your immediate family, and the work (including materials and other costs) is $200:00 .or- more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may an employer. If you are an employer, you must register with the.State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability;insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these -risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing. to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own' labor and material personally. Building -permits -are -not: -required -to -be signed=,byppcoperty'owners"unles"s`they are—perforrriing their own work personally. Information about licensed contractors.may be. obtairied by,contaetingr the Contractors' State License Board in your community or at 1020 N -Street,, Sacramento, California 95814. Please complete and return the. enclosed owner -builder verification form so that we can confirm that you are aware of these matters. -The building permit will not be issued until the verification is returned. . Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 _XAo.4tviw WNER'S $IGNATURE/DATE OSP o�EADDRESS� PERMIT NUMBER(S)