06-3797 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-0000.3797
Property Address: 81874 COUPLES CT
APN: 764-060-010- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4900
T4ht
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
tn
�eIT 2 4 1006
� OF LA QUINTA
I hereby affirm under penalty of perjury thata em licensed under provisions of,Chapter 9 (commencing with
Section 7000) of Division,3 of the Business and Professionals Code, and my License Win fulfforce and effect.
Licen Class: B /J 'cense,No.:_ 710230
Det i� Ehtractor•
WNER$UI ER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State. License Law for the
following reason (Sec: 7031.6, 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 siatement%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 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 7031.6 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars,($500)
(_) I, as owner of the property, or my employees, with wages as their sole compensation; will do the work, and /
the structureisintended or offered for sale (Sec: 7044, Business and Professions Code: The
Contractors' State License Law, does not apply to an owner of property who buildsfor 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 orshe 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 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 Lew.).
(_) I am exempt under Sec. , B.&P.C. for this. reason -
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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:
LQPERmff
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/24/06
Owner:
DAVID DOWGIALO
PO BOX 1682
LA QUINTA, CA 92253
Contractor:
BOVENZI HOMES
P.O. BOX 1714
TRUCKEE, CA 9.6160
(530)613-1.173
Lic. No.: 710230
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WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I havwand 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.
have and will maintain workers' compensation insurance,.aSLrequired by Section 3700 of the Labor
'— Code,r for the performance of the work for which this permit is issued. My workers' compensaiion
insurancecarrierand policy number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, In the performance of thework 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,agrae that; if I should become subject toorkers' compensation provisions of Section
`37700 of the Labor Code f rthwit p�with those provisions.
�B e: �1) �r1 • I cant:
WARNING: FAILURE TO RE WORKERS' COMPENSATION COV GE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100;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�underor 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, 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 cor I to comply with all
city andcountyordinances and state laws: relating, to building construction, an a horize representatives
of this county to ant r upon the above-mentioned prop in 6n pur
ate ��-2.5� ure (Applicant or Ag 10
ell
P
LQPERMTT
Application Number . . . . 06-00003797
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 72.00
Plan Check
Fee
:00
Issue Date . . . .
Valuation
. . .
. 4900
Expiration Date . . 4/22/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
3.00 9.0000 THOU BLDG
2,001-25,000
.27.0.0
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Special Notes and Comments
-----------
196 L -F. 6' BLOCK WALL & 48 L.F.
< 35"
WALL, BOTH CITY STANDARD
Fee summary Charged
----------
Paid
Credited
-- ------
Due
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Permit Fee Total 72.-00
.00
.00
72.60
Plan Check Total .00
.00
.00
.00
Grand Total 72.00
.00
.00
72..00
Bin ff City of La Quinta ,
Building U Safety Division
Permit # (✓` P.O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit. Application and Tracking Sheet
Project Address: Co L I;S GT Owner's.Name: DA.,,,b Q oLA) &"4 a.
A. P. Number: (p 7q f -0& - I 0 Address: ox /613-)-
Legal
61jZLegal Description: pT. Q).)T- q —, -Z �i �J 83 City,, ST, Zip: Li A c 9 2 ? � 7
Contractor:Telephone: (
Address:, S (o 7 PA.- (, a► s fl Project Description:
City, ST, Zip: A ICA.' 91''25-3
Telephone: &5_ 30)
State.Lic. # : ;7/0`2,30 City Lic. #:
Arch., Designer: �O ✓ EA-" Z 1 j 11 gs.
Address: 5 (&6 -2 PA60, 5 Df --
City,, ST, Zip: ZA �' d,4 A . 5 7 7 5 .3
Telephone: t5 3o) 61-3-11 73 'onstmction Type: q (oc-k Occupancy:
State,Lic. #: Z 310 Project type (circle one): New dd'n)klter Repair Demo
Name;ofContact'Person: M A fL k O✓ .,�V Z , Sq. Ft : Stories: #Units:
Telephone:# of .ContactTerson: C, s 3o %/ 3 -117 Estimated Value of Project:
APPUCANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd : Reed TRACKING .• PERMIT FEES
Plan sets Plan Check submitted Item Amount
Structural Cates. Reviewed, ready for corrections Plan Check Deposit
Truss Coles. Called Contact Person Plan Check Balance
Energy .Cdcs. Plans ticked up Contraction
Flood plain phn Plans. resubmitted Mechanical
Grading.plan 2" Review, ready foreorrectionelasue Electrical
SubcontaetorI:ist Called ContactTerson Plumbing
Grant Deed Plans picked up $ALL
H.O.A. Approval Plans resubmitted . Grading
IN HOUSE:- Review,.ready for correctioasllssuel Developer Impact Fee:
Planning Approval Called Contact Person A.LP.P.
Pub. Wks. Appr Date of permit issue.
School Fees
Total.Permit Fees .