06-1256 (BLCK)-P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-0.0001256
Property Address: 46177 ROADRUNNERJLN
APN: 649-040-007-6 -31816 -
Application description: WALL/FENCE
Property Zoning: MEDIUM DENSITY RES
Application valuation: 2500
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
--------------------------------------------
LICENSED CONTRACTOR'S RATION
I hereby affirm under penalty of perjury that I am licensed under pr ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busj ess ak Professionals fAife, and m License is in full force and effect.
Liilcw Class: H 01Li6'4_e No.: 0821
tract. .
41
VWNER-BU,PDER DECLARATION
I herebyaffirm under penalty of perjury that I am xem m hContractor'si n
p y p l y e p o the State License se Law for the
following reason -(Sec. 7031 .5, Business and Professi Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any str cture, 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.l.
(_) 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.).
(_ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/28/06
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.
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 ich his ermit is issued, I shall not employ any
person in any manner so as t become subjec to e w kers' compensation lawsof California,
and agree that, if I sh Id be me subject to w ers' compensation provisions of Section
3700 of the Labor 2Y, I s II forthwith ith those provisions.
WARNING: FAILURE TO SECURE WORK ERSAOMPE ATION COVERAGE IS UNLAWFUL, AND SHALL .�
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE§OKNO CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,0001. 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 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 r 180 days will subject
permit to cancellation.
1 certify that I have read this application and state that th abov information is ect. I ree to comply with all
city and county ordinances and state laws relating tp'b ' ing c4 struction, a _ ereby thorize representatives
of thi ounty to eAt Pon the above-mentioned p�efor ection pu o
Y//J nature (Applicant or Agen ,
Owner:
LA QUINTA NORTH PARTNERS LP
2 CROOKED STICK DR
NEWPORT BEACH, CA 92660
(949)533-9408
d
ontractor:
CONSTRUCTION
®�q®
tr�prl
881 29 PALMS HIGHWAY
3 0 y�O
6 00
_RONGO VALLEY, CA 92256
®
760)363-7740
C OFA
ic. No.:. 820821
�eN�an►c,� �ur�
l
VWNER-BU,PDER DECLARATION
I herebyaffirm under penalty of perjury that I am xem m hContractor'si n
p y p l y e p o the State License se Law for the
following reason -(Sec. 7031 .5, Business and Professi Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any str cture, 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.l.
(_) 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.).
(_ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/28/06
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.
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 ich his ermit is issued, I shall not employ any
person in any manner so as t become subjec to e w kers' compensation lawsof California,
and agree that, if I sh Id be me subject to w ers' compensation provisions of Section
3700 of the Labor 2Y, I s II forthwith ith those provisions.
WARNING: FAILURE TO SECURE WORK ERSAOMPE ATION COVERAGE IS UNLAWFUL, AND SHALL .�
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE§OKNO CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,0001. 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 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 r 180 days will subject
permit to cancellation.
1 certify that I have read this application and state that th abov information is ect. I ree to comply with all
city and county ordinances and state laws relating tp'b ' ing c4 struction, a _ ereby thorize representatives
of thi ounty to eAt Pon the above-mentioned p�efor ection pu o
Y//J nature (Applicant or Agen ,
4
Application Number 06-00001256
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
------------------------------
-
Spec
Special Notes and Comments
-------------------------------
-------
100 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged. Paid
Credited
Due
y Permit Fee Total 54.G0
.00
.00
54.00
Plan Check Total .00
.00
.00
.00
Grand Total 54.00
.00
.00
54.00