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05-5050 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00005050 Property Address: 46365 CAMEO PALMS DR APN: 643-181-019-17 -2043 Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6549 T4"!t 4 4v Q" 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 Busine and Professionode, and my License is in full force and effect. s License Class: _ /B� L nse No.: 499742 jt� ate: ��I_t/� Cy actor: - 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 lo 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_) 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: A LQPERMIT Owner: ROMAN CATHOLIC BISHOP OF SB C/O THE DIOCESE OF SAN BERN 1201 E HIGHLAND AVE SAN BERNARDINO, CA 92404 3: Contractor: DAVIDSON CONSTRUCTION COMPA 53875 AVENIDA MADERO LA QUINTA, CA 92253 (760)910-3627 Lic. No.: 499742 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 G Date: 11/16/05 Nov 16 2005 D ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 1 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 Y4 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 thyorkers' compensation provisions of Section / 3700 of the L 'r II forthwith co ly ith those provision . �I—`(� pplicant: /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 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 lain® co ruction hereby authorize representatives of/thi/s county toenterupon t eabove-mentioned open r sectio pur oses. bate: —V� gn� (Applicant or Ag Application Number . . . . . 05-00005050 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 6549 Expiration Date . . 5/15/06 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 ---------------------------------------------------------------------------- Special Notes and Comments 197 L.F. 6' GARDEN WALL, 75 L.F. 5' GARDEN WALL, CITY STANDARD Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 90.00 ---------- .00 ---------- .00 90.00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00' .00 .00 90.00 1 ` LQPERMIT 9 C'. B`" # City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet, , Permit# _� 0 Project Address: LIU p�eA n/j , p�46 n4 C�2, Owner's Name: D (')C S ( S{jV tV_A.*a'fl 1A-0 A. P. Number:�UIMA-. C4 . Address: 7- (,v Nf v✓ S2. Legal Description: Contractor:. City, ST,,Zip: Ay (f2UIM4 CA �� 3 Telephone:" � =4 Address: �r%j ?S Leo VAP�f-f.� LZ Project Description: Woof t — 0 C $74&_6t0 City, ST, Zip: L.A, a old 1G C✓A-Cc Telephone: q I o- 3 7 State Lic. # : -qUq J 4_,)_ City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: ��l(,� Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: elko-3(0�7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd 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 for corrections/issue 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 A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees cl I) F ffju.C.K AAu c dSti v k16- G q(, c 7 Y I 0 s3 'Ms PROPOSAL M p14 3&2-7 Page No. of -2 PROPOSAL SUBMITTED TO: PHONE DATE g -as NAME I.InR NAMF Pages We herebysu ecifications and estimate for: /6 , ~S,7r?aCJ 4 11Q4.00C i -,A -CC. Gr %AZC: ,4.a 7vfve l3aGic >fA-rz.-D G ,., �� S 1 o c S -r- P,-- -zck. Yli1.l3 To U.( L � ��y-c l`7 04t CC,LC ia� 0.79!,- -To i'26YV-4-br 0t_0 C,6 A n40 A IF* 4 ►S /9,0-V D/sPLkC.c» Dla.7.INC�v�rS 7 Cvi7 61TY Or- LA Qvi-44 , NleGH-15045 1- A 14- (S&E- t10n(1nNn. C Corv2KAK-2S 1-7 ?c P` `' rL PA -Ila CLaeG .AZ Dl'uf A t-, rLc;owt, IJ o0 2 o GO.�ti �t,Z w �OIS'1 eve P,-r9ib SG,1-6 ApPlUx, 'x ;-4 / ING4-uoa-s f--ArdarL a- s�,—rw-m (mac RAAsH -ti VAA-?C-tf 67;Ws7, SWrNcLIAJG�z�S �� or�iv —74z eo S! S Z cLt;S A.� o ►v',O � i L �{j A",^D '7c7 � t, o S c� � � �GEC� 13�4-C-�.,/�20 , �� A-s2F tN�.aro s" -7 fir- A (-✓b - b /A/5 7A -U, eA A/ -771+o -Y s Z G -t- C. Ci A -Z ES Fp 62 jJ A,5 S X r4 OF' &'/ 7k� 5ou� rrf S t 0 WAG ccs 773�tC.��rs�-2n , I We hereby propose to furnish labor and materials - completedn accorklance with the above specifications, for the sum of � Citi Tti«r, ��D CO Kh i-IONO"D 5.--V c y 17 _170 dollars ($ with payment -to be made as follows: d>J6 4-7 QA- 6V Arbarr-D !tit>at C4SC C..i��2 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practice. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accident or delays beyond our control. This proposal subject to acceptance within days and is void thereafter at the option of the undersigned. Authorized Signature ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as yatlined above. ACCEPTED: DATE u t -L conlrac[ors rorms t-UHM NU. tL 11U-1 ABAA Signat rde Signature