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06-3244 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003244 , Property Address: 58537 QUARRY RANCH RD APN: 766-060-024- - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOWDENSITY DENSITY RESIDENTIAL Application valuation: .2000 Applicant: a 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 anViofessioIsde, and my License is in full force and effect.LicenseCl s: 53 i se 853887 '''�"ar`Date:B: Q Irl Contractor: 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 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.&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: LQPERDIIT ' Owner: } QUARRY RANCH 41865 BOARDWALK NO 214 PALM DESERT, CA 92211 Contractor: OUTDOOR SOLUTIONS INC 78034 CALLE BARCELONA S LA QUINTA, CA 92253 (760)777-1199 Lic. No.: -853887 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: 9/06/06 tSEP 7 2006 CITY OF LA QUINTA FINANCE DEPT. 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 vyoich t is permit is issued, I shall not employ any person inany manner so as to b ome subjec o th orkers' compensation laws of California, • and agree that, if I should co a sub' the rkers' co ensation provisions of Section 700 of the Labor C it mpl with th ovisions. ( Date: �`� Applicant: _ - i WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL r` 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 pplication,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 he above infor is cor c . I. agree comply with all city and cou y dinances and state laws relating build' , and.h y autho ' e presentatives of this u t enter upon the above -me erty inspec purpo - Dater ®� Signature (Applic g 0: IF LQPEILl1IT Application Number . . . . . 06-00003244 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 29.25 Issue Date Valuation . . . . 2000 Expiration Date 3/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 HND BLDG ---------------------------------------------------------------------------- 501-2,000 30.00 Permit ELEC-MISCELLANEOUS Additional desc -Permit Fee . . . . .17.25 Plan Check Fee 9.38 Issue'Date . . . . Valuation 0 Expiration Date 3/05/02 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 62.25 00 .00 62.25 Plan Check Total 38.63 .00 .00 38.63 Grand Total 100.88• .00 .00 100.88 1 LQPEILl1IT !�, x Bin z- City of La Quinta oG 3 yy Building 81 Safety Division P.O. Box., 1504, 78-495 Calle Tampico Permit # , I� La Quinta, CA 92253 - (760) 777-7012 Building. Permit Application and `racking Sheet Project Address: t �_ 53.7 �;�..tq/uY Owner's Name: x eh A. P. Number: Address: Q.,-, Legal Description: {-130&5 ) LoIr Contractor: DL1 v�o.a 1. c FTele hone: r% 1 ' 1 if SS: Address: <.:. ,.. Prtijeci DeSeription_ City: ST, Zip: _ rL -&.�. TAr C 92. 5. Gv�1.13 ate` ..5`P4.. .:. .. Telephone::: State L,c. # : 5 � Cir• Lic:H` 1907 Arch.. Ener.. Designer: g& g epi COv•15lL_ 2o' (2 • 38 Address: I3B B— I S s 7-2-1-59 City. ST. Zip: �2, 000 Telephone: State Lic. #: Name of Contact Person: � � ��k060&C_ Construction p Tv e:�� _ �' Occupancy: Project type (circle one):Ne,\ Add'n Alter Repair Demo Sq. Ft.: d,3 # Stories: # Units. Telephone # of Contact Person: (p� Estimated Value of ProjectlQ Submittal Plan Sets APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Recd TRACKING PERMIT FEES Plan Check submitted Item Amount Structural Calcs. Reviewed. ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance — Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted ;Mechanical Grading plan and Review, readh for corrections/issue Electrical Subconlactor List Called Contact Person Plumbing Q Grant Deed- Plans picked up S.hl.l. I-I.O.A. Approval Plans resubmitted Grading IN IIOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval C411ed Contact Person A. 1. P. P. Pub. Wks. Appr Date of permit issue School fees Total Permit Fees 4 ov444tl( CITY OF - LA QUINTA ,OB ADDRESS 5ff 537PERMIT NUMBER ' 'his form shall be posted on the job with the Building Inspection Card at all times in a co th'as iob An chap es to this list must be approved by the Building Division prior to co PL SUB -CONTRACTOR LIST - (Q � ' OWNER &J.4AA-Y' L*(- C nspicuous place. Only.persons appearing on this I- y g mmencement of work. Failure to comply will re: BUILDER . 0VFQ10 o'"-- got,.Qt-10J.j . list or their employees are authorized to work ult in a stoppage of work and/or the voidance If hl idriinn narmit Pnr Path .aoolicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. �1V .. 8u i .... ::.:.::.:::::::<::;::: ':.Cont r s License orke�s Com ensationrlrisurace:' .::` ;. City- s Hess Li' Trade / Classification Contractor State.. racto...cense:`:>..:: Company ?dame Classification License Number Exp. Date Carrier Name Policy Plumber Exp. Date License dumber Exp. Date (e.g. A,_8, C-8) (xxxxxx) 8 Z) o / (xx/xx/xx) (e.g : State Fund, CalComp) (Format Varies) (xxlxx/xx) (xxxx) (xx/xx/xx) IFAFtTJfwOR9C (C-12)�Zcmo C6_1T a . �}CC1�l�`�1� fk- ►11 C- I 0-7 Sr1'4•e �-jo Off) �Slg - ('CONCRET1.IC-8) .. FRAMING (C-�— S7rRl1CT-. STEEL it -51) ;l, s�a� �J lc_�al 5 A- �5.C7, �> 2 C� ?el �� 07 S u�� ti'��- 0�-73p-Zoos of r i. 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