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06-1253 (BLCK)w P.O. BOX 1504, 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 6-0 6 6 1-2 5 3 if Property Address: \__46109 ROADRUNNER LN APN: 649-040-007-4 -31816 Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY -RES Application valuation: 2500 . Applicant: Architect or Engineer: PIA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LA QUINTA NORTH PARTNERS LP FMAR2 CROOKED STICK DR NEWPORT BEACH, CA 92660 ( 3 0 2006 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 �androfessi IsCode, and my License is in full force and effect. License Class: B Li se No.: 820821 OWN UILD ECLARATION I hereby affirm under penalty of perjury that I am ex t from the ontractor's State License Law for the following reason (Sec. 7031.5, Business and Profes ons 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.). 1 _ 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 whu cwttiacts for the projects with a controctor(c) liconced pursuant to the Contractors' State License Law.). (_ 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: LQPERMIT Contractor: MCD CONSTRUCTION 49881 29 PALMS HIGHWAY MORONGO VALLEY,, CA 92?56 (760)363-7740 Lic. No.: 820821 VOICE (760) 777-7012 -FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/28/06 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. 1 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 174857005 I certify that, in the performance of the work for whi this permit is issued, I shall not employ any person in any manner so as to become sl a orkers' compensation laws of California, and agree that, if I should come subjec the w ers' compensation provisions of Section /,tel, 3700 of the Labor d 1 hall forthwi am I ith those provisions. parts: � pplican WARNING: FAILURE TO SECURE WORKERS COMPS ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D 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 thea ove informatio correct. gree to comply with all city and county ordinances and state laws relating to ildin construction, hereb uthorize representatives of thiscountycoounty to enter upon t above-mentioned y o inspection rpo .Bga� � V nature (Applicant or LQPERMIT Application Number . . . . 06-00001253 l Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . .2500 Expiration Date 9/24/06 - Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 -------------- ------- Special Notes and -Comments 100 L.F. 6' GARDEN WALL; ORCO SYSTEM Fee summary Charged Paid -----------------------'-------------- .Credited -------------------- Due -Permit Fee Total 54.00 .00 _- .00 54.00 Plan Check Total .00 .00 .00 .'00 Grand Total 54.00 .00 .00 54.00 LQPERMIT In August 23, 2005 Mr. Timothy Jonasson City Engineer City of La Quinta . 78-495'Calle Tampico La Quinta, CA 92201 RE: WESTWARD SHADOWS Urban Habitat Tract No. 31816 Form Certification Lots 1 through 5 Dear Mr. Jonasson: I hereby state that the building pads and forms, for the above referenced Lots, within Tract No. 31816, were . surveyed under my direct supervision and have been found to be within substantial conformance, both horizontally and vertically, to the Precise Grading Plan, as shown by the table -below. Lot No. Address Permit Plan Field Difference Plan Field Difference No. Pad Elev. Pad Elev. FF Elev. FF Elev. 1 r4;6;;Q©c 047174 273.4 273.4 0.0 273.90 2 : 3.91 .+0.01 s, -,-Roadrunner 2 ..x„4:.6--0411 047175 272.4 272.4 0.0 272.90' 2'_'2.89 . -'0.01 Roadiuiiiler 3 x46.-075_ 053237 270.8 270.8 0.0 271.30 2'?1..30 0.00' -;Roadrunner- _ 4 4,6.-.10.9�r 053239 269.4 269.4 0.0 269.90 269.92 +0 02 Roadrunner 5 "14f 143"".— 053246 268.0 268.0 0.0 ' 268.50 -2-58.52 + 0.02 Roadrunner Sincerely, THE ITH COMPANIES; INC.. V RUSSELLJ.MUWNS p J No. 3712 R ss 11 J Mullins, PLS 371 Exp D ector of Survey Palm Desert Division �Q` Palm Desert Division OFC�� 73-733 Fred Waring Drive �/Ll� — Suite 100 Palm Desert Califomia 92260-2590 T: 760:346.9844 0:\40921\4092100\docs\CERTS\C-LQ.FORM CERT.URBAN HABITAT. WESTWARD SHADOWS.TR 31816.doc F: 760.346.9368 www.keithco.com