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06-1864 (BLCK)4 P.O. BOX 1504 �VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760).777-7153 BUILDING PERMIT Date: 5/11/06 n-. Application Number: 06-00-00186`4 �, Owner: Property Address: 58553 QUARRY RANCH RD STEVE MUIR APN: 766-060-025- - - 58-553 QUARRY RANCH RD ei Application description: WALL/FENCE. LA QUINTA, CA 92253 D d Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1.250 MAY 12 2006 Contractor: Applicant: Architect or Engineer- RAM DEVELOPMENT CITYQ�tl�� A 75161 SEGO LANE, SUITE 3 PALM DESERT, CA 92261 (760)568-9335. Lic. No.: 529976 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. License Class: B License No.: 529976 n\ Date:% `�'(��� 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 ProfessionSLCode: 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 155001.: (_ 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 of 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 contractors) licensed pui`Wbht to the Uontractors' State License Law.): I—) 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: LQPERMIT --------------- - - - 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 STATE FUND ' Policy Number 0460009059 _. 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 3700 of the Labor Code, I shall forthwith comply with those provisions. �D e��;k " 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 ($100,0001. 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 ma.4e, each pgr;9n, at yuhg§g rg94lBSS ono 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 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to Cter upon the above-mentioned pro ert for inspection purposes. , Dam.. �I/- " Signature (Applicant_or ,Agent ,�� LQPERMIT -� ApplicationNumb e r. . . . .. 06-0000.1864 • .Permit 'WALL/FENCE PERMIT Additional.desc . .Permit •Fee 31.00 Plan Check' Fee 00 p Issue Date Valuation . . . . 1250 Expiration Date 11/07/06 Qty Unit Charge Per Extension .` BASE.FEE 15.00 8.00 2.0000 HND BLDG 501-2;000 16.00 ------------------------ Special Notes and Comments -----------------------------"-------- 50 LF 6' BLOCK WALL.PER CITY STANDARD. Fee summary Charged Paid Credited Due -- ---------- Permit Fee Total 31.00 ---------- .00 ---------- :00 31.00 Plan Check Total .00 .00. 00 .00 . Grand Total 31.00 .00 .00 31.00 LQPERMIT -� Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampito U Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Trackin._,, Sheet Permit .# Project Address:- (�j Pawl pA,,)c,,4 ►eo Owner's Name. A. P. Number: Address: � ver Legal Description:'S Contractor: Address: -7 Z_ _-J 124D AAA/ VU��-C_rUiIJAJC, (Z-() City, ST, Zip: L4 vttiT C4. Telephone: 0 fl Project Description: City, STZiP':T4ouwi(> (zrAL/,s,cA. 9 2-Z-7 (o Telephone: State Lic. # 5- Z`19 -7 6 City Lic. #: Arch., Engr., Designer: r J0 Llot Address: City, ST, Zip: 4 - Telephone: State Lic. #: Name of Contact Personi Construction Type-13:1/v4ja PA/'"_Occupancy: -Z__ Project type (circle one): _�Ee:w) Add..'n Alter Repair Demo 7-- Sq. Ft.: # Stories: T#Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqld Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans Picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading,plan 2" Review, ready. forcorrectionsfissue Electrical Subco ntactor. 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 -correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P.' Pub. Wks. Appr Date of permit issue School Fees ........ ... Total Permis Fees Q- .