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06-1441 (BLCK)Ir it r 057 P.O..BOX 1504 78-495 CALLE TAMPICO. LA QUINTA, CALIFORNIA 92253 Application Number: 0 O'600144;;fj Property Address: 53565 AVENIDA CORTEZ APN: 774-101,-003-3 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation:1275 c&ht 4 4 Quik& Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty ofperjury that I am licensed 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 affect. License Class: License No.: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's'.State4icense 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 snystrueture, 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 Lew (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exemptherefrom and the basis.for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit.subjects the,applicant,to a civil penalty of not more than five hundred dollars (9500).: (_) 1; as owner of the property, or my employees with wages as their sole compensation, will do the work, and the.structure,is'notIntended 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 herown employees, provided that the improvements are'not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden of proving, that he'ar'she did" not build or 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 ownerof property who builds or improves thereon, and who=contracts for the projects with a contractor(s)' licensed pureuantto the Contractors' State License Law:). (_) II am exempt under Sec. , BAP.C. for this reason r -.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. CJ. Lender's Name: Lender's Address: .Owner: ARREDONDO HERALDO 53.565 AVENIDA CORTEZ LA QUINTA, CA 92253 ---------------------------- Contractor• Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/10/0 "-APR 0 2006 CITY OF LA QUINTA FINANCE WORKER'S COMPENSATION DECLARATION I'hereby affirm under penalty of perjury one: of the following declarations: _ I haverand will maintain -a certificateof consentto 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 wlll.maintain workers' compensation insurance; awrequired by Section 3700 of the Labor Code, for the performance of the work.forwhich this permit:is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number _ 1 -certify that, in the'performanre of the, work for which this permit is'issued,,) shell not employ any person in any manner so as to become subjeet:to theworkers' compensation laws of California,. and agree that, if 1 should'become,subjecuto the workers' compensation provisions.of Section 3700 of the. Labor Code,,) shall fornthwV comply with se provisions. 4 "Ui� l beam - 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 0100,000). 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 Quints, its officers, agents and employees foranyact or omission related to themork,being performed under "or following issuance of this permit.. 2. Any permit Issued as a resulvof this application becomes null and void if work is not commenced within 180 days from data 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 ordinances and state laws relating tobuilding construction, and hereby authorize representatives of this-cou t/4e/nterupon the above-mentioned property for inspection purposes. Date: �! 6t6 (atureign�_4p_pHe'ant'or-Agent):- Application Number . . . . . 06-00001441 Permit . . . WALL/FENCE PERMIT: Additional desc . sr Permit Fee . . . . 31.00. Plan Check. Fee .00 Issue Date . . . Valuation . . . 1275 Expiration Date 10/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 8.0.0 2.0000 HND BLDG 501-2,000 16.00 ------------------------------------------------------------ Special Notes and Comments - 51 LF 6' BLOCK WALL,@ REAR P/L PER CITY STANDARD. Fee summary Charged. Paid Credited Due ------------------------------------- "` Permit Fee Total 31.00 ---------- .00 ---------- .00 31.0.0 Plan Check Total .00 .00 .00 .00 Grand Total 31.00 .00 .00 31.00 LQPMUMT Bi" # City of La Qunta Building at Safety Division P.O: Box 1504, 78-49S Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:' S' Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip:, Contractor: �j��v4 Telephone: Address: Project Description: City, ST, Zip: // fov D i,(- ti,,4 1 Telephone: City Lic. o e. -r o .State Lic. #: Arch.,.Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone.# of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIQNG • PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural. Caics. 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' V- Review, ready for correctionMissue Electrical Subcontactor List Called ContactPerson Plumbing Grant Deed Plans picked up S.M:L H.OA. Approval Plans resubmitted Grading INHOUSE:- ''' 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 Dear Property Owner: 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing -their own work. If your work is being, performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State .and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. SmI0 Busictess Administration). For more specific information about your obligations under State Law, contact the Department of Benefit. Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are'not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder"' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to ' be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that -you. are aware of these matters. The building permit will. not be; issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 y/oe�< OWNER'S SIGNATURE/DATE 6 -36 -e'6 -Ave" d' r--�6,16-- PROPERTY ADDRESS PERMIT NUMBER(S)