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06-2464 (BLCK)P.O. BOX 1504 78-495 CA'LLE TAMPICO LA QUINTA;'CALIFORNIA 92253 Application Number: �0_�_0_02464 Property Address: 81154. SANTA ROSA CT APN: 764-270-999-26 -300234- Application description: WALL/FENCE Property;Zoning: MEDIUM HIGH DENSITY RES Application valuation: 303 Arckitect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MOORE 81154 SANTA ROSA COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/21/06 Contractor::'' AMERICAN POOL CONSTRU. N INC q P O.:. BOX 1.1996 JUN PALM" DESERT CA 92255 J �V ' LICENSED,CONTRACTOR'S DECLARATION `• , .1 hereby -affirm under penalty of perjury that I.arrlicensed 'under provisions of Chapter 9 (commencing, with Section,70001'of Division 3 of the Business ann ofessionals Code, and -my .License is in full force and effect. License Cl s 53":. cen^se No'r 518742 ' ate: ontractor: •' 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, Businessand 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 Division3 of. the Business and Professions.Code) or that he or 'she is exempt therefrom.and the basis for the alleged exemptions Any violation of, Section 7031.5 by anyapplicanTfor a permit subjects the-applicanttda•civil,penaliy of not snore than five hundred dollars ($500):: (_ 1 1, as owner of the property, or my employees with,wages as their'sole:c&mpensation, will do•the work, and the `structure isnot intended or offered for sale, (Sec. `7044, Business and Professions Code .The - Contractors' State License Law does not apply town owner'ofproperty who builds"&r improves thereon, and who`does the work himself;or herselftthroughhis of her -own employees, provided that the improvements arenot 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 r she did not build or improve for the -purpose of.sale'). (_ 1 1, as owner of the property, am exclusively. contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode;: 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 am exempt under Sec. B.&P.C. for this reason Date: Owriec _ = CONSTRUCTION LENDING AGENCY., I hereby affirm under penalty of perjury thatthere 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 (760)340-2.588 LiC . ' No 518742 CITY OF �IRpNCE'DEPT. ,WORKER'S COMPENSATION DECLARATION I hereby affirm under ppenalty of: perjuryoneof the following:declarations:.. I have and,will maintain a ceriificate;of;conserit to self -insure for workers' compensation,. as provided ' for by Section•370d of the'Labor Code,.for the performance of the work for.which thia'permit is ' issued. • - :. . -V—I.have and will maintain .workers' compensation, insurance, as required by Section 3700 of,th&Labor Code; for the performance of the work.for which this permit is,issued. My workers `compensation -insurance carrier and policy numberare:: Carrier STATE -FUND 061icy,Numb_eC 0001188-2005 _W.' 1 certify that; in the performance of the,workJor which this.. permit is. issued, I shall not employ any' - person in any manner'so as to become subjecut6the workers' compensation laws of California, ,an agree that, if I should b ome subject -o the workers' compensation provisions of Section _ 00 of the Labor Code, a ll:fpitttvwo�R(F"c—omply—with those provisions. ,1fra-te: z4 ty, �f' 6 . Applicant:, WARNING: FAILURE TO SECU E RKERS? COMPENSATION COVERAGE IS. UNLAWFUL, AND SHALL SUBJECT AN.EMPLOYER YO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St 00,000)%IN ADDITION TO YHE.COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN '. SECTION-3706'OF THE LABOR CODE -INTEREST, AND ATTORNEY'S FEES. c. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety fora 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 theapplicant, each agrees to, and shall defend, indemnify and hold harmless theCity 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 aresult 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 o dinances and state laws relating to buildi onstruction, and hereby authorize representatives of this y to nta, upon t above -mention( f in r n purposes. f V� i ate: Y, `� " �' 'nature (Applicant or Ag Application Number . . . . . 06-00002464 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 303 Expiration Date 12/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 14 L.F. 5' EQUIPMENT ENCLOSURE, CITY STANDARD Fee summary Charged --------------------------- Paid Credited Due ---------- Permit F -_e Total 15.00 ---------- .00 ---------- .00 15.00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 .00 .00 15.00 LQPERMIT Bin # City of La..Quinta `Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: s 97 Owner's Name: �O A. P. Number: .-Address: Legal Description: Contractor: City, ST, Zip: Za Telephone: Project Description: Address: - City, ST, Zip: Telephone: 3 ZQ i Z� City Lica #: State 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: Sq. Ft: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 300 - APPLICANT: DO NOT'WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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"d 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