The URL can be used to link to this page

07-2044 (BLCK)a°"• a P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Applicatioh valuation: Applicant: 0 7'-'0 0 0 0-2044 57839 SALIDA DEL SOL 762-240-014-41 -34243 WALL/FENCE RL AG/EQ .OVERLAY 3991 Architect or, Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MADISON 58TH LA 1282 PACIFIC OA ESCONDIDO, CA -9 VOICE (760) 777-7012 FAX (760) '177-7011 INSPECTIONS (760) 777-7153 4D � LAC4ULTA LL':[ 2007 02 CITY OF LA QUINTA Contractor: INNOVATIVE COMMUNITIES, 'INC 20.0.E WASHINGTON AVE, S11,E41.100 ESCONDIDO, CA. 92025 (760)839-8238 .1 Lic. No.: 763187 LICENSED CONTRACTOR'S DECLARATION-:.± v -.WORKER'S COMPENSATION DECLARATION I hereby affirm;under penalty of perjury that 1_6* license'a underprovisions of•.Chapter 9 (commencing with I hereby affirm under penalty`of perjury one of.the,following declarations: Section 7000) of, Division 3 of the Business and Professionals Code, and iiyLicense is in full force and effect. _ I have and .will maintain a'certificate of consent to self -insure for workers' compensation, as provided License Cla s: -B ^\ lice se•No;^ 763187 - for by Section`3700 of the Labor Code,.for the performance of the work for which this permit is issued. t/ ) J tractor: - �� —1-I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor i / Code, for the performance of .the work for which this permit is issued:. My workers' compensation "OWNER -BUILDER DECLARATION _ insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt fromthe Contractor's State License Law for the Carrier STATE FUND Policy Number 756000304 following reason (Sec. 7031-.5, Business and Professions Code: Any city or county that requires a permit to _'I certify that, in the.performance of the'work for which this permit'is issued, I shall not employ any construct,, altar; improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the "person in. any mannerso as to become subject to the Workers' compensation laws of California, permit to file asigned statement that he or sheds licensedpursuantto the provisions of the. Contractor's State and'agree that,.if I should become subject to the workers"compensation provisions of Section License Law (Chapter 9 (commencingwith Section 7000) of. Division 3 of the Business and Professions Code) or 3700 of the Labor Code, shall forthwith comp) withthose provisions. that he or she is exempt therefrom and.the basis for the alleged exemption. Any violationbf Section 7031:5 byany applicant•for-a permit subjects the applicant to a civilpenalty of not more than five hundred dollars.($ 500).: te: % 1 v A ant: r (_) 1, as owner of the property; or my employees with wages'as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Sec. 7044 A E IS' ', Business and Professions Code:, the WARNING: FAILURE TO.SECU 'WORKERS' COMPENSATION COVERUNLAWFUL, AND SHALL Contractors' State License Law does not apply to an'ownerof property Who builds or improves.thereori, SUBJECT: AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who doesthe work himself or herself through his or her own employees, provided that the , DOLLARS ($100,000). IN ADDITION TO THE COST. OF COMPENSATION, DAMAGES,AS PROVIDED FOR. IN ' rovements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or, she did not build or • 4' .. improve for the puipose of sale.). APPLICANT ACKNOWLEDGEMENT (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT., Application is_hereby_made.to the Director of Building and Safety. for..a permit subject to the ' 7044;'13.6Aess.and Professions Code: The Contractors' State License, Law does not apply to'an owner of conditions and restrictions set forth on this application: property who builds or improves thereon, and who contracts for the projects with a-confractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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. , Date: Owner: 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 CONSTRUCTION LENDING AGENCY _ permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co , ty to enter upo the above-mentioned property for inspection purposes Lender's Name: te: / 6 ignature (Applicant or Agent): /•rsL1 Lender's Address: 7/13/07 LQPERMIT Lr' a Application Number Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . . . . 07-00002044 WALL/FENCE PERMIT 63.00 1/09/08 Plan Check Fee .00 Valuation . . . . 3991 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ----------------------------------------------------------------------------- Special Notes and Comments 69 L.F. 3141 RETAINING WALL, 69 L.F. WROUGHT IRON FENCE & 92 L.F. 6' GARDEN WALL, CITY STANDARD Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total LQPERMIT Charged Paid ---------- ---------- 63.00 .00 00 .00 63.00 .00 Credited Due ---------- ---------- .00 , 63.00 .00 .00 .00 63.00