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07-2433 (BLCK)P.O. BOX •1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-ity 4 4 Q" Application Number: Property Address: c,f07-00002431,__- � 81739RANCHO SANTANA DR APN: 767-200-999-12 -312021- Application description: WALL/FENCE Property Zoning: LOW DENSITY 'RESIDENTIAL Application valuation: 325 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 effect. Licensee Class: � C53 License No.: 878400 ate: 3/" 7 tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am 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 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).:. (_ 1 I, 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 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 or she did not build or improve for the purpose of sale.). (_ 1 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 town 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,). , (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: 04 Lender's Address: -0/101 LQPERMIT Owner: CURT SECOR 81739 RANCHO LA QUINTA, CA (760)777-9920 SANTANA DRIVE 92253 Contractor: SKEEN POOL/SPA WATER PO BOX 11349 PALM DESERT, CA (760)766-5554 Lic. No.: 878400 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777=7153 Date: 8/30/07 92255 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. I 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 issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 44- I certify that, in the performance of the work 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 agree that, if I should become subject to the workers' compensation provisions of Section 337700 of the Labor Code, I shall forthwith comply with those provisions. v / cant: V ��tiJ / 9D L S 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 (5100,000). 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 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 nullandvoid 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 bove information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi g co ructio ,and hereby authorize representatives of�this county to enter up the above-mentioned prope r ins ction urposes. ' Date Signature (Applicant or Agent): Application. Number . . . . . 07-00002433 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation 325 Expiration Date 2/26/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 15 L.F. 5- EQUIPMENT WALL, ORCO SYSTEM Fee summary Charged Paid. -------------------- Credited -------------------- Due ----------------- Permit Fee Total 15.00 .00 .00 15:00 Plan Check Total .00 .00 .00. .00 Grand Total 15.00. .00 .00 15.00 Bin # City of La QuInta Building at Safety Division P=0. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking Sheet t Permit # I ` Project Address: j -7,3 Q R:3,41J Owner's Name: CC 9 ✓' �Co r A. P. Number. Address 1� S I - , -) /Cil �� lD S �i til A �tJ 'or--. Legal Description: City, ST, zip: L-4 CA, Contractor. 3 - SPA Telephone: Address:' (gam I'x�i� f- PrqJect Description: _ ! city, ST, Zip:,. ps tet t3 012 � Telephone: • -5 j State Lic. # : Q ° • ,�>o City Lic. #: Arch., Engr.. Designer. Address: City, ST, Zip: Telephone: Cowm'ctioa Type: J_ G K Occupancy: State Lia #: Project type (circle one}: New Add'n Alter Rtpaw Deoto Name of Contact Person: TA k E'_C ry S1- FL: # Stories: # Units: Telephone # of Contact Person: 26 Estimated-Vahie of Project .. Qa: Q ` APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACEING _ PEf3IYw FM Plan Sets Plan Check submitted Amount Structural talcs Reviewed, ready for cormcdons Plan Cheek Deposit Truss Calcs. Called Contort Person Plan Cl:etiic Balance Energy Caks. Plans picked up Constmetion Flood plain plan Plans resubmitted Mechanical Grading.plau 2"Review, ready foreorrectiousassue Electrical Subcoutaetor List Called Contact Person Plumbing Grant Deed Plans picked op SM L ILO—A. Approval ° Pians resubmitted Grading IN HOUSE:- '"' Review, ready for eorreetio Assue Devdoper Impact Fee - Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr -Date of permit issue School Fees Total Permit Pau