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06-3009 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,. CALIFORNIA 92253 c&ht 4.4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003009 Property Address: 58521 QUARRY RANCH -RD APN: 766-060-023- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 eF` Applicant: G, Architect or Engineer: -------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed and provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Profess' al ode and my License is in full force and effect. ' License Clasn: C53 cense o.: 853887 Date: ` QOContr ctor: 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).: (_) 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 to an owner of - -property who builds or improves thereon, and who contracts for. the -projects -with acontractor(s) licensed.. pursuant to the Contractors' State License Law.). 1 _ 1 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: Lender's Address: LQPE%NIIT Owner: WALSH 58-521 QUARRY RANCH RD. LA QUINTA, CA 92253 Contractor: OUTDOOR SOLUTIONS INC 78034 CALLE BARCELONA STE LA QUINTA, CA 92253 (760)777-1199 / Lic. No.: 853887 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/16/06 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 I certify that, in the performance of the work for which this permit is issued, I shall not employ any persin any manner so as to become Ctotherkers' compensation laws of California, ,on agree that, if I shout b come sub- t' compensation provisions of Section 0 of the Labor o , I hall ithose provisions. . Date:_Applicant. 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 ($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 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 1 have read this application aM •nfor on is correct. I agree to comply with ail city and county or inances and state lawstru ' n, and ereby authorize representatives of this c my to te`r upon the above -p on Date: O Signature (App' nt Application. Number 06-00003009 Permit BUILDING PERMIT. Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue"Date Valuation- 3000 Expiration Date 2/12/07 Qty Unit Charge Per Extension. BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 Permit ELEC-MISCELLANEOUS Additional desc .: Permit Fee . . . . 17.25 Plan Check Fee 4.3.1 Issue Date Valuation . . . . 0 1 Expiration Date 2/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 <. 3.00 7500 PER ELEC DEVICE/FIXTURE 1ST 20 .2.25" Special Notes and Comments BBQ ONLY PER APPROVED PLAN Fee summary Charged Paid Credited Due Permit Fee Total 71..25 .00' .00 71.25 Plan Check Total 39.41 .00 .00 39.41 Grand Total 110.66 .00 .00 110.66 F - LQPERMTT - Bin # CXY of La Quinta Building & Safety Division . !Permit # —— La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and TrackingSheet Project Address-. Owner's.Name: x J4A. P. Number: Address: y �� , S2 r ca V*4AY 1944CAt 12n. Legal Description: [roT #Z Ciy. ST, Zip: K L �2 ZSR Contractor: Q"..DxPa — S��uho �3 T �' Telephone: .Address'- v0 3 t.Al15 `4 a 4 G Project Description: X City. ST, Zip: y_ LA&J j,� A (� 2 ZS TP 3 ele hone: X 6 7 � 7 — I 1 i 3 � 3 State Lic. # : X, S 3 City Lic. #: q fo 7 8aL CKs, zzr-sg-r9gS Arch., Engr.. Designer: Address: City, ST; Zip: Telephone: Construction struct ' to n Type: �.IL P g to Occ an v. uPc . State Lic. #• Project type (circle rc le one)( ' Alter Repair Demo Name of Contact Person: )C SC N Sq. Ft.:,Y, 2 ]� # Stories: # Units: Telephone # of Contact Person:—�j �/ S 11 Estimated .Value of Project: ao� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING Plan Sets PERIIIIT FEES Plan Check submitted Item Structural Calcs. _ Reviewed, ready for corrections Amount Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 20 Calcs. Plans picked up Construction"z Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Grant Deed Plans picked up Plumting . SM 11I.I- I- H.O.A. H.O.A. Approval Plans resubmitted Gradi ag IN HOUSE:- Revie rK eadv`forrcorrections/issue --�_ Develeper Impact Fee Planning Approval I I +i K Called ,ontact,Person w� �- kLA dl R$eh, 'Pub Wks. Appr v9YI -- _ .-&W'Vq�3 13t 5Ai'E�• D I Date.ofpermit,issue��p [.-p -'. h_ YS M.. Ji li A � ,�� I w School Fees 1 I'_"r V I I r r rr Y� r BY ' Total Permit Fees rC3.c `� L` A-V co I II .:� _ I i -,�-iddns >o0z� El-lGr-11�Ar ienci n!4Eis ci :3'O Z�4E3A00 ,,Z/I-1 EIAIEIO:�� Ol (FvINl'vzvtD CIN'G (gcaG X40-100 -i nNNr 1�1�0; E) sda9 I JV 10N - - ,ice, 1 M Lit,) `` .I I_1t, � r dllo'-sorl d Q \ r ° \` Ci%` _ ` h•. �'.:-•y �� - '.a; ,. .ti ,y� a�. �'So_1; , oi: rl ,�i �' I lZ) ciC9 � ; � ! ,�'-�• � �. I "� ri Alo ell nw r ; j ACJ �. Lz9 p .�� IIS o � ', • . �, 814 � ��I �; Sia �i� {,i r J •� I' � 41 cr/ 00 Cf / r X09\ - 4%q s / 10 rw aq iorl n' / �G J •I =18 f _ fa fes. r i :�d CISH �..,, _ 3:, :.',� 1 _L - ,� \/� � ;;; •r Q - � � _ ?f %~r1 r4 /��' /.. 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