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04-5584 (BLCK)t�Gi6t/ O Tdf BUILDING & SAFETY DEPARTMENT 1504 (760).77777012 p9 7 -4 ALLE TAMPICO FAX (760) 777-7011 �U 211�Q Q IN A, CALIFORNIA 92253 INSPECTION REQUESTS (760) .777-7153 Of tj��Pq a BUILDING PERMIT F1H pplication Number . . . . . 04-00005584 Date 7/20/'04 Property Address . . . . . . 80832 BELLERIVE APN: 775.-360-001- - - Application description . . . WALL/.FENCE Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 2000 Owner Contractor ------------------------ ------ ------------- ---- SPITZER LEONARD MARTIN MASONRY, MARK 80832 BELLERIVE 78760 RUNAWAY BAY LA.QUINTA CA 92253 INDIO CA 92201 (760) 345-0977. WCC: PARTEE INS WC: WC5401132 05/11/05 CSLB: 784794 09/30/04 CCC: C277C29 Permit . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 45.00 Plan Check Fee .00 Issue Date Valuation . . . . 2000 Qty. Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 HND BLDG 501-2,000 30.00 ----------------------------------------------------------------------------- Special Notes.and Comments KIVA FIREPLACE PER APPROVED PLANS. HOA APPROVAL ON FILE. Fee summary Charged Permit Fee.Total 45.00 Plan Check Total, .00 Grand Total 45.00 Paid Credited Due ---------- ---------- ---------- .00 .00 45.00 ..00 .00 .00 .00 .00 45.00 P.O. Box 15044 �� VOICE (760) 777-7012 78-495 CALLS TAMP.ICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7.153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: fIN Applicant's Mailing A dress: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals. Code, and my License is in full force and a act. G 1V License ClasS C 2—I C L License No. f 7 c Date —21 ~ 0 L/ Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. It, 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.). U 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 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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. X41 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 ,A is, ued. My workers' compensation insurance caner and policy nurgber re: Z Carrier 1'4 it g Ce- zQC , Policy Number LJ D�� _ I certify that, in the performance of the work for which this�ssue , I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree , if 1 should become sub' to the workers' compensation provisions of Section 3700 of the Labor Code, l shall forthwith comply with those pr vi ions. n b Date / ^2 D Applicant 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. 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 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, indemnity 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 80 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 cone 1 agree to comply with city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this countyFe�ruponWovenbpnedp 'on purposes. 0� Date—2 / Signature (Applicant or Agent): FAIRWAYS ASSOCIATION June 2, 2004 Mr. & Mrs. Leonard Spitzer 80-832 Bellerive La Quinta CA 92253 ' RE: Kiva Dear Mr. & Mrs. Spitzer: The conditions for the approval of the Kiva installation have been met and approval is given for installation. If you have any questions, please contact this office. Sincerely, 1^ � U �Z1,,�i C�l✓✓t'�-� Nancy Duane, CACM, CCAM Association Manager N D/ncp a Post Office Box 1658 - La Quinra., California 92253 • Phone (760) 776.5 100 • Fax (760) 776-5111 CITY OF LA QUINTA CONSTRUCTION HOURS c � � 2 � � c BUILDING & SAFETY DEPT. APPROVED October 1st - April 30 H H --+ H Monday - Friday: 7:00 a.m. to 5:30 p m. -0 30 ca � � —� � c � '� � FOR CONSTRUCTION Saturday: 8:00 a.m. to 5:00 p.ro. 15- on E N 6?tc1„?faV: None -6- m a> ,: 2 m -� ca DATE. �Y Go srcrF,ment Code Holidays: None P T 1st - September 30th � 'day - Friday: 6:00 a m. to 7:00 p.m. :b gay: 8:00 a.m. to 5:00 p.m. �: •.,��� • None Code Holidays: None I r / 11 V- �•. + , ' , - �a 1�ae :a ce�e•� oa . 8Y oT�6R. ws�t�o F h �9'•'4"i �,s�,"�A Ory / `% fff a TROuf�1L L esS SaIA WAY "% L� STauCe-O F; aF PLACE 4 0%ec �f RRiSk 1b`� Si N SP) 0 C�., nci�icCE To Mpm,-%l i i l e �wtk��n QtiAn-ci,�e Pitt T MoLi R 4 i N +Jais " _ _ s'o yd. 3.G C N CD CD -A CD Tl�c-kem �� F U) LO"�cRE �J ui nJl n I I' m � m Z. SPITZEFR OF LA QUINTA 80-832 BELLERIVE ;"'NG & SAFETY DEPT. __ ROVED i r."� LA QUINTA,CA j v, I CONIST UCTION DATE? d g N FOOTING 5EGTI ON (TOP) N.T.5. M, C� 0 O — — _ — _. _ —#4 RE -BAR — — — -- Sn G rov -oz O� SAO r �--- --- -.-` W �®D� 1 -� M 0 0 0 Z I 6" BLOCK CONC.5LAB + : ` CON0.5LAB. - IL "- .) - , Q1,11 I::_�I -=-.I _.... _._ E. I_ , ;_._ R ,4 RE-BA� I , I- F-OOTIN6 5EGTION (FRONT N.T.5. -----04 RE -BAR C>C. Iq& SECTION N.T.5.1 'OF) GONG. SLAB--\ *q 0 C - `WHIM A. & IJ (e ej Pe ( cc_ b" BLOCK I i GONG. SLAB 7-1 - --- ---- I ir Mi- ------ V: FE -71 #4 12i=-BARF-E-Ulf, FOOTN6 SECT',iON (FRONT N.T.5.