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07-1501 (BLCK)P.O. BOX 1504 )8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001501 Property Address: 49285 AVENIDA EL NIDO APN: 658-290-043- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4405 Applicant: Ti&t 4 4a a" Architect or Engineer: W 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 Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 862631 ^^ r�/_?" Date (� e d7 Contractor: /`�L G �l G /7 �� r 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).: (_) 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.). (_) 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 1 I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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 Owner: BIRDSELL ROBERTA D PO BOX 630 LA QUINTA, CA 92247 Contractor: BIRDSELL BUILDERS P O BOX 630 LA QUINTA, CA 922 (760)409-7070 Lic. No.: 862631 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/21/07 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 STATE FUND Policy Number 0026491-2006 I certify that, in the performan e o the work for which this permit is issued, I shall not employ any person in any manner so to b co a ubject to the worker compensation laws of California, and agree that, if I sh Id.beco su 'e t to the workers' co enation provisions of Section 3700 of the Labor , I shall orth 't, comply with those pr visions. Dater P'62 Applicant: WARNING: FAILURE TO SECURE O <ER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES 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 pe it, or cessation of work for 180 days will subject permit to cancellation. � I certify that I have read this application and state that the a ove inf rmat is correct. I agree to dimply with all city and county ordinances and state laws relating to bui in co ruction, hereby authorize repr entatives of this c unty to enter upon the above-mentioned pr art f ction pulqses. Dat Signature Signature (Applicant or Agent): Application Number 07-00001501 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee 72.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 4405 Expiration Date 11/17/07 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------------------------------- Special Notes and Comments ---------------------------------- 100 L.F X 6' ORCO DETAIL, 88 L.F X 5' ORCO DETAIL Fee summary` Charged Paid Credited Due Permit Fee Total 72.00 .00 .00 72.00 Plan Check Total .00 .00 .00 00 Grand Total 72.00 .00 .00 72.00 LQPERMIT em- 58 y : Zoe //;z Bin # City- of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I Project Address: yJr'��� �(j�,���,� �` �/� �� Owner's Name: A. P. Number: Address: /1!1� ©x d3257 Legal Description: City, ST, Zip: G/a Contractor: 9 e L L /uiC f7C�/� 5//� L ' Telephone: Address: �Q ©x 6�� Project Description: City, ST, Zip: Z14- Qct /1 G/� . S'2� % ! �GOG �c i,✓ia L L (y f 'I iGd=1 Telephone: G State Lic. # : 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: p� SNfL Sq. Ft.: # Stories: # .Units: Telephone # of Contact Person- Estimated Value of Project: 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°" Review, ready for correctionsrissueElectrical 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 18 05 01:05p Rick Crain 760-772-2630 P.3 6 HIGH ORCO WALL SYSTEM SITE WALL FOR 7O MW WAND @ UPISURE C a4AAR Aimop �mA� @F7� �fAfYC�1! 611orAn� ays 1s�-s7ee� ay IQleTA10�i/AROO' 4�(�'ACRJRn'tAAllr? ORQ #0a1fl 1P P,04voc araw 7RAITA/1 a" 1 MAw I 2 —1 l im 1 . f S Yoa4nAw 4r Car AA;q COMM IAtta1RFLQ�iit11l46iEfoemm _igtp f l3TA � N � 2AQa f'gd 2A � t �: Qi��A'Af /VlIMlSARb9UTAA6r ! 6�iaAAxr6ARZrL1�R SAI��-,Z�t. 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