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05-1768 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA. 92253 Application Number: Property Address: APN: Application description PropertyZoning: Application valuation: Applicant: 05-00001.768 81699 CHARISMATIC WY 767-200-999.=54 • -312021- WALL/FENCE. LOW DENSITY RESIDENTIAL 2000 T4&t 4 4QSkrw Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING: PERMIT LIC CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 a under provisions of Chapter 9 (commencing with Section 7000) of Divi si 3 of the Business a / ✓ Lic"r Cl ionals Code, and m]nd,effect. License No.: r re: Contractor: X NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I & 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 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,Lsw (Chapter 9 (commencing wtth,Sect)on 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.applicantto`s civil penalty of not more than five hundred dollars (9500).: (_) I,. as owner of the property, or my employeas'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,Ucense 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 hsve:the burden of,proving that he:or she did,not build or improve for the purpose of sale.). (_ 1 1, as owner of the property, em exclusively contracting with licensed contractors to construct the project1w. 7044, Business and Professions Code: The Contractors' State License Lew does notapply 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 1 am exempt under Sec. , B.&P:C. for this reason Date: Owner: CONSTRUCTION LENDING. AGENCY I hereby affirm underpenaityof perjury that there is a construction, lerding•agency for the performance of the Work for which this permit is issued (Sec. 3097, Civ, C): Lender's Name:. Lender's Address:, LQL%RML'T Owner: DESERT CHEYENNE, INC. 78401 HIGHWAY 111., SUITE G LA QUINTA, CA 92253 (7'60)777-9920 Contractor: HERINGTON DEVELOPMENT, JAMES O WCC: STATE FUND WC: 1542745 11/0:1/05 CSLB: 753190 04/30/'0.6 VOICE (760) 777-7012 -a 0(760)777-7011 (760)777-7153 154- 1 /10./05 WORKER'S COMPENSATION DECLARATION I 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. Lhave and, will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for•the performance of the work for which this - - it is issued. My workers' compensation insurance carrier and policy n mbar ar safer B ,Polis umber - - - - - - _ I.certifythati in the performance the rk for which this permit is issued, I shall not employ'any person in anymanner so asSo cc ubject to the workers' compensation laws of California,, and agree that, if,I should to the workers' compensation provisions of Section 700 of the La�Ccdshe fo ith comply withdhose provisions. Des, _ �� rte- ApPlicam WARNING: FAILURE TO SECURE WORKERI CC(MPENSAT,ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ,PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (i 100,000). IN ADDITION TO THE,COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABORZ&E, 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 onthisapplication. 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.eresult of this application, the owner, and the applicant, each agrees to; and shall defend, Indemnify and hold harmless the City of La Quints, itsofficers, 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 omes null and void if work is not commenced within 180 days from date of! of such -mit, or cessation of work for t'SO days will subject permit to cancellation. I certify that 1 have, read this application and state that the ,a information is correct. I agree to comply with all city and'rounty.ordinances and state laws relating to building struction, and hereby authorize representatives of this sou a er upon the above-mentioned property i pection purposes. Date �i .Signature (Applicant or Agent): Application Number . . . . . 05-0.0001768 ' Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee .. .00 Issue Date . . . Valuation . . . . 2000 Expiration Date .. . 11/06/05 Qty Unit Charge Per Extension BASE FEE 15.00 15.-0.0 .2.0000 HND BLDG 50.1-2,000 30.00 --------------- - --- --- Special Notes and Comments 80 L.F. 6" BLOCK WALL P/L, CITY STANDARD. Fee summary Charged Paid Credited. Due Permit Fee Total 45.00 :00 .0.0 45.0`0 Plan Check Total .00 .00 .00 00 -Grand Total 45.00 .00 .00 45.00 LQPERMff I Bin # City of LQ Q uin to . But7ding 8L Safety Division Permit.# P.O. Box 1.504, 78-495 Calle TaMPkO La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 81-699 Charismatic Way Owner's Name: Desert Elite, Inc. A. P:.Number 'Address: 78401 Hwy. 111 Suite G Legal Description: City, ST,,Zip: La Quintal CA 92253 Contractor. James 0. Herington Development, Inc. Telephone: 760 777-9920 Address: 40960 California oaks. Rd. #283 • ProjectDescription: City, sT, Zip -.Murrieta, CA 92562 80LF• 6' Precision Block Wall -Telephone- 951 677-8415 .:;;Y< Property Line state Lic: # : 753190 City Lic. #:: 5091 C S Arch:, Engr., Designer: Address: City, ST, Zip: Telephone: �;fy,�M��.<��}}„•,c��n�:� Construction Type: Occupancy: ;•_.^':;::.:::.::; New Add'RAlter Repair DtRIOState Lic. #: PfQjCCt nPa circle on -T Name of Contact Person: Sq. Ft : #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO' NOT WRITE SELOWTHIS LINE k 1 Submittal Req'd Recd 1. TRACKING I PERMITTEES Total Permit Fees Plan Sets Plan Check•. submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Ttuss'Calcs. :Called Contact Person PlanCheck Balance Title 24' tales. Plans picked up Construction Flood plain plan Plans' resubmitted !Mechanical Grading plan 2"'Review, ready for corrections/issue Electrical Subcontactor List Called Contaet'Person Plumbing GranUDeed Plans picked up S.M.I. H.O.A. Approval' Plans resubmitted C.radift IN iiOUSE:- ''''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