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13-0091 (BLCK)1. ; P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: X13-00000091 Property Address: --x'52540 AVENIDA JUAREZ APN: 773-281-003-21. -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 2783 Iii 1 `•7 ,��� 1 �11� Applicant: Architect or Engineer: CIO BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty o rjury at I am ' .sed u er p visions of Chapter 9 (commencing with Section 7000) of Division 3 of a usin sand rofession s Co ,and my License is in full force and effect. License Class: B r - Lice a No.: 727199 Date: t -7-1-1_ Contractor• 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).: (_ 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 ur . improve for the purpose of sale.). (_ 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 who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is 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: LQPERN1IT -.1 fiI VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: .1/29/13 Owner: STOCKDALE RONALD 50855 WASHINGTON STREET 2C LA QUINTA, CA 92253 Contractor: (� u CORONEL ENTERPRISIFE.1i 42760 MADIO STREEINDIO, CA 92201 J ® 2093(760)775-1234Lic. No.: 727199 1 AAl Ji. s. ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 9033452-2012 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in anyIner so s to becomubjec o t e workers' compensation laws of California, and agree thatuld ecome s jecttorkers'compensationprovisions of Section 3700 of theLde, I hall fortwith coith thoseprovisions.Applican WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat t t the above in I agree to comply with all city and county ordinances and state laws relatin to buildi consauthorize representatives of this county to enter upon the above-mentioned p o erty r insp Date: `+�"'� Signature (Applicant or Agent z� . . Application Number . . . . . 13-00000091 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 16.50 Plan Check Fee 4.13 Issue Date . . . Valuation . . . . 0 Expiration Date . . 7/28/13 Qty Unit Charge Per Extension BASE FEE. 15.00 2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 ----------------------------------------------------- ----------------------- 1.50 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2783 Expiration Date 7/28/13 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 10 LN FT COMBO WALL 2 FT RETAINING 5 FT GARDEN WALL PER APPROVED PLANS 66 LN FT COMBO WALL 2 FT RETAINING AT 6 FT HT GARDEN WALL.6LN FT X 6FT HT GARDEN WALL 43 LN FT OF 5`FT HT GARDEN WALL (2) COLUMNS (6FT) HT 2 LIGHT FIXTURES.ALL CITY STANDARDS APPROVED B.H. -----------------_-_--------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 70.50 .00 .00 70.50 ' Plan Check Total 4.13 .00 .00• 4.13 Other Fee Total 1.00 .00 .-00 1.00 Grand Total 75.63 .00 .00 75.63 LQPERMIT V/ L 60, UH G, Gc A—C,,. W.\\ GA�.M,L- �i I f �t - i r 1 � I L— Az,�— V/ L 60, UH G, Gc A—C,,. W.\\ GA�.M,L-