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07-2419 (BLCK)P.O. BOX 1504 . 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 4 s BUILDING& SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 07-00002419 Owner: Property Address: 52185�FiVENIDA—RAMIREZ BARAJAS GUILLERMINA APN: 773-221-021-10 -000000 52185 RAMIREZ Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL (760) 578-0992 Application valuation: 3640 Contractor: Applicant: Architect or Engineer: O R D INC. 82950 WILLIAM THERMAL, CA 92 Q a (760)578'-0992 Lic. No.: 8935 AUG42 Q 200 7 ---------------------'------------------------------------.----FIKANC -----=- - A CITY OF LICENSED CONTRACTOR'S DECLARATION - WOR---FlB�A'iA'i6N�'Dl I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)ofDivision 3 of the Business and Professionals Code; and'my License is in full force and effect. License Class: B Lice' No.: 893549 D� ate; j .��_Cont� r�'�a�cfor: OWNER -BUILDER DECLARATION I hereby affirm under. penalty of perjury that I am-exemp6rom the 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, 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 S 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 (55001.: 1 1. 1, 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 Coder -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.). - - - (_) 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.applyto 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.). (_ 1 I am exempt under Sec. " , B.&P.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: LQPERDIIT Date: 8/28/07 fA------------ I hereby affirm under penalty. of perjury one ofthe 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 cariier.and policy number are: ` Carrier EXEMPT ':Policy Number EXEMPT 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 p�� 3700 of the Labor Code, I shall forthwith comply With those provisions. " tDatet±�L—.pplrc`�nt: 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 properI for inspection Urposes. Qr . (Datei �/ ZC4_ �Signature•(ApplicanCo, gentl'. �� Application Number . . . . 07-00002419 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee.. .00 Issue Date . . . . Valuation . . . . 3640 Expiration Date 2/2'4/08 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ------=----------------7---------------------------------------------------- Special Notes and Comments 120LN FT X 61GARDEN WALL 40LN FT X 4" GARDEN WALL PER CITY STANDARDS. Fee summary Charged --------- - ------- ---------- ---------- Paid Credited --- ------ ---------- Due Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 ..00 .00 63.00. LQPERMIT Bin #... City,of La Quinta Building, 8i Safety. Division P.O-,66i') 504, 78-495:-Calle Tampico L -a Qulnta; CA 92253.-.(760.) 777-_7012 " :3• Building Permlt:Appllcation and Tracking Sheet Permitfl 1 Project Address: r' .Z g s' Z_ Owner's Name: • J i L L f y� k N,o arc .a S A.. P. Number: Address: Legal Description: City, ST, Zip: �/�— cs:�,; Contractor: ,Telephone:. .?(.c:> q ; Address: g'Z �—Zj is .I L -L t;,,.. ljr/ Project Description: City, ST, Zip: Telephone: -)r-o S 1 Y State Lic. # : City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone:„ '-'Construction Type: Occupancy: State'Lic. #: Project type (circle one): New Add'n Alter Repair Demo. Name of Contact Person: � c/(1u.v .�►rs-�� 9.. S Ft.: #.Stories:. T# Units: Telephone # of Contact Person: P bU i ��3.:05' "�, . • . Estimated Value of Project:,:, APPLICANT: 'DO;NOT WRITE.BELOW .THIS LINE # Submittal Req'd Rec'd 'TRACKING , 1 PERMIT FEES, Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. CalledContact Person, Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.,, Mechanical Grading plan 2nd Review; ready. for.cori•ectiogs/issue Electrical Subcontactor List Called'Contact Person Plumbing Grant Deed : Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer. Impact Fee Planning Approval -Called Contact Person . A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees