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08-1698 (BLCK)14 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001698 Property Address: 77-224—CALLE—POTRERO APN: 774-262-040-14 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 800 T4ht 4 4 Q" Applicant: Architect or Engineer: a�A 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. Lire-') Class: B License No.: 431792 J'to?: i OWNER -BUILDER DECLARATION \ I hereby affirm u d r 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 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.). (_ ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Professions Coder 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.). (_ ) I am exempt under Sec. , B.&Y.�:. for thi reasog/2 ?at� CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury ere 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 1 ate: 10/13/08 Owner: SESTICH AVONNA �l 77224 CALLE POTRERO LA QUINTA,. CA 92253 OCT —13 2goa (1t cirvoF� c QU1 4 � Contractor: FI rV A E DEp7. TR CONSTRUCTION 77224 CALLE POTRERO LA QUINTA, CA 92253 (760)831-1863 Lic. No.: 431792 ------------------ 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 certify that, in the performance of t work for which this permit is issued, I shall not employ any person in any manner 0 as to b e subiec the workers' compensation laws of California, and agree that, if I sIt Id beco subject t th w rs' compensation provisions of Section 3700 of the Labor Code, forthwith ly those provision /�3 icant : WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001. 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 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 th the above' formatio is•corr t. I agree to co ply with city and county ordinances and state laws relating to nstruction and he y authorize r esentatives ' of this county to enter upon the above-mentioned property f inspection urpos _ Bate: *__-/S_&/u_re (Applicant or Agent): Application Number . . . . 08-00001698 Permit . .. . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 21.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 800 Expiration Date 4/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 6.00 ---------------------------------------------------------------------------- Special Notes and Comments ENLARGE EXISTING COLUMN (HEIGHT & WIDTH) AT ENTRY GATE TO 6' HIGH. ADD STEP DOWN DETAIL TO ADJACENT WALL. ALL PER APPROVED DETAIL DRAWINGS. Fee summary Charged Paid Credited. ----------------- Due ------------------------------ ' Permit Fee Total 21.00 .00 ---------- .00 21.00 Plan Check Total .00 .00 .00 .00 Grand Total 21.00 .00 .00 21.00 LQPERMIT I ?-X 2f MA y 7* Avo 1 Is CITY 01" LA QUINT A BUILDING & SAFETY DEPT. APPROVED FOR CO TION DATE-7hblL31rjA BY l C OF LA UN i A BUILDING & SAFETY DcPT FOR CONSTRUCTION 4 —546 ----DY � f DAr`_. T144 tk— -Pce> -% V Co gAtp9VG 6 P °77X,. e `Vr`Nr— :t Loll CZE �'' 131 yF��E�.4C.... w��-�-. �/�(�lt=E=-tZ.•�•�..g � !�-': �.c, , 0 77.2.IAY AA LJ- -H � Tom.: Q� -3.'( 4-1 A-1 ar IL BUILD -PT. NG & SAFETY DE I � : i - I F. D APP 10, FOR CONSTRUCT' By IL DATE kWA,4- 1:�0/144�7 47 Me 60 Bin # Ci of City La Quanta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # V�(J `,gyp Project Address: 717�ZAl eAj1_ J% Owner's Name:�� c� 2S �� y A. P. Number: Address: '77Z2-1-1 C,¢l-- Pt/?glzo Legal Description:City, ST, Zip: r dg L1Z25 Contractor: Telephone: 564 05-11i 3 " Address: 7 72 2_// jW/F POI&C&O Project Description: City, ST, Zip: .4 L(ww4,4- C'1Z25. G CDArt Telephoner P63J , State Lic. # : �/� f 7 Z City Lic. #: l d Af 73�ADD Arch., Engr., Designer: w wSM4peMeoO tv Address: f. City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: �v ec Estimated Value of Project: p e APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 1 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval ---------- Called Contact Person ! Pub. Wks. Appr Date of permit issue , School Fees Total Permit Fees