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06-3207 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPIC.O LA QUINTA, CALIFORNIA 92253 Application Number: 06-00.003207 Property Address: 544.2-5—AVENIDA_RAMIREZ APN: 774-243-021-10 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 452 Applicant: Architect or Engineer: 4'4 ®. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/06 Owner: CASTELLANOS GUILLERMO P 54425 AVENIDA RAMIREZ LA QUINTA, CA 92253 --------------------------------- Contractor:. VSEP Owner 0 12006 '. LICENSED CONTRACTOR'S DECLARATION -. -. WORKER'S -COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am hcensedunder provisions of Chapter 9 (commencing with I, hereby affirmunder penalty of perjury one of-the'following declarations: - Section' 7000) of Division of the Business and Professionals Cade, and my License is in full force and effect. I have arid'will maintain a'certificate of. consent to self -insure for. workers' compensation, as provided. License Class: : Ucense-No.: _ _ for -by Section..3700 of, the Labor Code, for the performance_ of the work for which this' permit is issued. - .. Date: Contractor: _ ' _ I have and will maintain wo-rkers'�compensation insurance; as required by Section 3700 of.the Labor - " Code, for the performance of'the workfor.which this permit is issued. My,workers' compensation - ' OWNER -BUILDER DECLARATION insurancearrier and policy number are: " c I hereby affirm under penalty oUperjury that I am exempt -from the:Contractor's State License Law. for the Carrier• Policy;Number - - following reason (Sec. 7031.5, Business and Piofessiomi Code:. Any.city or county, that: requires a permit to - I certify that, in the performance of -the work:forwhich this permifis-issued„ Ishall not employ any construct alter;,improve,,demolish, or repair any structure,.prior;to its issuance also requires the applicant for the - person in any manner so'as to become subject to the workers',compensation laws of California, permit to file'a signed statement that heoi she is'license8 pursuant tothe provisions of the Contractor's State and agree that, if I should become subject -to the workers'. compensation'provisions of Section License; Law (Chapter 9,.(commencing with Section 7000) -of Division'3 of, the Business and Professions Code) or --, - 3700. of the tabor Code, I shall ,fortKwitllcomply with those.provisions.. that he'orshe is'exenipt therefrom and the, basis for the alleged exemption. Any violation of Section 7031.5 by any applicant.for.a permit subjects the applicant toaciyil'penalty of,not more than five-hundreddollars (5500).: (�) I; as ownerof the property,or'my, employees, with wages as their sole compensation .will do the work, and the'structure is not intended or offered for saW(Sec: 7044, Business ;and P'rofess'ions Code:. The Contractors' State License Law does not apply to an owner of property, who.buildsor improves thereon, and who does the work himself br herself through his or her own employees, provided ttia. . . improvements are not intended or offered for sale. If, however, the,building or improvement is sold within . "one year of- completion,. the owner-buila rl I have.the buiden-of proving that,he or she did. 60t build or improve for the purpose of sale.). I, as owner -of the property, am exclusivelycontracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' Stateticedse 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 �r. pursuant to the Contractors' State License Law.). . (_ I I am exempt under Sec. , B.&P.C. for this reason 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 WARNING: FAILURE TO SECURE WORKERS'- COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES�UPO ONE HUNDRED•THOUSAND 66LLARS"(5100,000). "IN ADDITION TO THE - :T 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. ' 1 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 an upon the above_mentioned-property-for insppcti2Uu0pses. LQPERMIT ,.. Application Number . . .. 06-00003207 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee15..00 Plan Check Fee .00 Issue.Date . . . . Valuation . . . . 452 F Expiration Date 2/27/07 Qty 'Unit Charge Per. Extension BASE FEE 15.00 ---•---p----------------------.--=-------------------------- S ecial -Notes and.,Comments -------------- ---- 22 LF -.41 BLOCK ;WALL.' PER CITY,,STANDARD FOR.PROPANE TANK,•ENCLOSURE.,TWO •. PIliASTEgS .WITH' GATES ON EITHER. SIDE OF EXISTING.HOUSE PER;ORCO DETAIL.. Fee summary'.;'". ' Charged Paid Credited Due Permit"Fee ' Total ',.. 15.00 .00 0:0' • 15.0,0 Plan'.. Check Total" .00 .00 00 .00 ' Grand Total' . 15.00. 00'' ,..0.0.. 15,. 00 LQPERMIT Bin # _ City ''oft Quinta, .Building gT Safety. Division 'r P.0 ;Box 15.04, 78 495 Calle Tampico La,Qulnta; CA.9Mf - (760). 777-7012 Building.Permit A , lica ' „pp tion, and Tracking -Sheet Permit # Project Address: �,2 Owner's Name: a. A: P. Number: - Address .. Z)� 11— Legal Description: L .• ' . O c 1CCi ST Zi ` ty; L/�` p Contractor: • - Telephone: Address: P.rojectDescri-Q_�e� y City, ST, Zip:Ck Telephone: k '20'l.(.o-0 47�✓'e State Lie. # : City Ltc #: ' Arch., Engr.,.Designer: Address: City, ST, Zip:• �f �� ♦p Telephone: 3 Construction.Type; Occupancy: State Lie. #:rojecttype (circle one):. ew, Add'n Alter Repair Demo Name of Contact Person:i Sq'. Ft.:' # Stories: #Units: Telephone # of Contact Person: u Estimated Value of Projec 4„ A 37 -0 00 + APPLICANT DOt'NOT WRITE BELOW:THIS LINt, . # Submittal eq'd �ReNd . TRACIQNG.: _ PERMIT FEES Plan Sets .Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called'Contact Person,`' ' Plan Check Balance Energy Cales. Plans.pickedjup„ Construction Flood plain,plan Plans resubmitted.''` Mechanical Grading•plan 2"" R.eview, ready The corrections/issue - Electrical Subcontactor List Called Contact*Person' ' . mbing Grant Deed Plans picked' p� +` M.I, LGrading H.O.A. Approval Plans resubmitted IN HOUSE:- 'rd 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 S �Z q P"ER/BUILDER-INFORMATIO& 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 :,,sh6dl&be aware that as "OWrfer/Bbilder". you,. are. the responsible party of record on such a property they Are personally performing their permit. Bui.idingp.errfiits,a�te,inot required. tob''esigned 6Yroperty 6 "'�"" own work. If work isbeing­perfokimed,,by someone other tha-h 'yourself, yqii may:protect yourself from possible Y0 - I ­­, �� -ii� I liability if that person applies4pi"theyroper- permit in.: is or her name. a. Contractors are required by law 4o be licensed and bonded by. the State * of -California and to have a business license of County.. They �s required; by 4 , - t: 0' their from the City .0 y are o eqpir `law o put , eir license number ,on. all permits for which they apply. If you plan to do your own work, w.ithl the', exception. of various ious trades'that you plan .:,to subcontract, you should be aware of the following information'for your.ben6fit and protection: -` If you,employ or otherwise engage any persons -oilier than- your ',immediate fkmily', and the work -(including materials e A s c pp, and other costs)-, is $200.00 'or' ore for 'th e e rii i r." proje;ct,:.a h' are not licensed as contractors or subcontractors, then you- may be an employer. If you are_:an employer, you must register ,wiffiAhe State' 'and, Fedi.�,t.al Goverhment as an employer and you are subject to several oblig;ftibns, iriciude State and Federal: income tax withholding, fed`etal,4'o6al, security taxes, worker's . unemployment -'I . .; _., � '. ty compens4tion1n9u'ran&, disability insurance costs And ation,contributions. .,compens There maybe financial risks for you if you do, not carry., oup these 6blig ati ortsi and these r sks are esp6cially serious with respect to worker's compensations surance.- For more specific information about your obligations Winder Federal"L& contact theffiternad Revenue Service (and, if you wish, the U.9., Small, Business Administration).. 'For more specific 'informitioh-,'a'bout your obligations tinder State Law, contact the Department of Benefit Payments: and the I Division of -Ii-idustrial, . Accidents. If the structure is intended for sale, pkoper , ty'owneTs who.:Are not s'e'nsed' contracts are allowed to perform their work personally or through their owin.epiplo e 'd` tibcontractor, only under limited .employees, without i. lic rise contractor or s conditions. A frequent practice of unlicensed persons professing to. be.contract6ts,,is to *secure an "Owner/Builder" building permit, erroneously implying that the 'property owner "is proViding-.,his or*her own'I'labpr and material personally. y Building permits Are not required to`be ,signed by property owners unless they are performing their own work personally. `13't$y , Information about ' lic ' eqsed:contractors may b,e,,,p,, ained''j. coniiacting the Cohi ract6rs' State License Board in Your community or at 1020 treeft, Sacrame it*tb`,'California 95814. Please complete and-fe"turn-the encl6sedovVner­builder, verification form so, that we can 6onfirm that you are aware of these matters: Th '.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 S SIGNATURE/DATE PROPERTY ADDRESS PERMIT NUMBER(S)