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05-3916 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003916 Property Address: 8163.5 CHARISMATIC WY APN: 767-200-999-50 -312021- Application description: WALL/FENCE Property Zoning:. LOW DENSITY RESIDENTIAL Application valuation: 4550 Applicant: I hereby affirm under penalty of pe Section 7000) of Division_ 3 of the License C196: if Architect or En P !k T4ht °F 4 Qm&m BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner' DESERT ELITE, INC. 7840.1 HIGHWAY 111, SUITE G' LA QUINTA, CA 92253 (760')777-9.920 Contractor: HERINGTON DEVELOPMENT, JAMES O 40960 CALIFORNIA OAKS RD, #283 MURRIETA, CA 92562 (951)677-8415 Lie. No..: 753190 Date: 9/08/05 ENSED CONTRACTOR'S. DECLARATION WORKER'S COMPENSATION DECLARATION' am licensed under provisions of Chapter 9 (commencing with I hereby affirm,under penalty ofperjury one of.the following declarations: rid Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to setf-insure for workers',compensetion, as provided License No.: 753190 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Xthave and will maintain workers' compensation insurance, as required by Section 3700 of the labor Code, fortha performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION I hereby affirm under penalty of'perjuit(hat I am exempt from the Contractor's State LicenseLawfor the following reason (Sec. 7031.5, Business and Professions Code: Any city or county.that requires -a permit to construct,slter,,improve, demolish, or repeirany structure, prior to its issuance, also requires the applicent,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) ofDivision 3 of the Business and Professions CodeYor 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 (4500).: 1 _) 1, as owner of the property, or my employeeswith wages as their sole compensation, will do the work, and thestructure.is.not intended or offered for sale, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does.not apply toan 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 forsale. 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.forthe purpose of selaJ. (_ 1 I, as:owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor' 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.)., (_ 1 I am exempt.under Sec. _ , W&P.C. for this reason Dote: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty ofperjury that there is a construction,lending-agency for the performance of the work ,forwhich this permit is issued (Sec. 3097, Civ. C:): Lender's Name: Lender's Address: - LQPERMIT WARNING: FAILURE TO SECURE.WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 Quints, its;officers; agentsand'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 resulvoUthis application becomes null and void if work is not commenced within ISO days from date of issuance of s ch permit, or cessation of work,for ISO days will subject permit to cancellation.. I certify that I have read this application and state that t bove information'is correct. I agree to comply with all city and cou y d�=a a laws relating to bui construction, and hereby authorize representatives ofth' C envementionedprops orinspection purposes. T If licam or Agent):, insurance carrier and policy number are: Carrier STATE FUND olicy Number I certify that, in the,performan he work for which this permit is issued, I shall not empioyany person in any manner so as o ome subject.to the workers' compensation laws of California, and agree that, if.fshould c 00 of the I -bar Code, I: subject to the,workers' compensation provisions -of Section forthwith comply with those provisions. ate/�9� i plicant: WARNING: FAILURE TO SECURE.WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 Quints, its;officers; agentsand'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 resulvoUthis application becomes null and void if work is not commenced within ISO days from date of issuance of s ch permit, or cessation of work,for ISO days will subject permit to cancellation.. I certify that I have read this application and state that t bove information'is correct. I agree to comply with all city and cou y d�=a a laws relating to bui construction, and hereby authorize representatives ofth' C envementionedprops orinspection purposes. T If licam or Agent):, Application Number . . . . . 05-0000-3916 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check_ Fee .00* Issue Date. . . . . Valuation . . . . 4550 Expiration Date . . 3/07/06 ' Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.000.0 THOU BLDG 2,001-25,000 27.00 ------------------;----------------°----------------------------------------- Special Notes and Comments 182 L.F. 61 -GARDEN WALL, CITY STANDARD Fee summary Charged Paid Credited Due Permit Fee Total 72.00 .00 .00 7.2.00 Plan Check Total .00 .00 .00 .60 Grand Total 72.00 .00 .00 72.00 LQrERMre