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06-0655 (BLCK)0 Ff. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 06-00000655_______ 79180 CORPORATE CENTRE 649-820-014- - WALL/FENCE COMMERCIAL PARK 900 Tity/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DR PAUL JAMES R VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/14/06 Ic FEB 14 20086 Date: 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. C.). Lender's Name: Lender's Address: LQPERMIT 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 state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propepW for inspection purposes. Signature (Applicant Contractor: ( CITY OF LA QUIN- A �° Applicant: Architect or Engineer: ORR BUILDERS FINANCE DEPT 39301 BADGER, SUITE #300 PALM DESERT, CA 92211 (760)360-6632 LiC. No.: 693077 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions 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 my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 693077 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - issued. Date: G Contractor: _ 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 OWNER -BUILDER CLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1242824-2005 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, shall forthwith comply with those provisions. 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).: ! li Applicant: 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 WARNING: FAILURE TO ECURE WORK S' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV( FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements 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 improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT 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, Business 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 contractor(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 Date: 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. C.). Lender's Name: Lender's Address: LQPERMIT 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 state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propepW for inspection purposes. Signature (Applicant Application Number . . . . . 06-00000655 Permit . . . WALL"/FENCE PERMIT Additional desc . Permit Fee . . . . 23.00 Plan Check Fee .00 Issue Date . . . . Valuation 900 Expiration Date 8/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 ` 4.00 2.0000 HND BLDG 501-2,000 8.00 ---------------------------------------------------------------------------- Special Notes and Comments 36 LF 6' BLOCK WALL TRASH ENCLOSURE PER ORCO STANDARD & APPROVED PLANS. Fee summary Charged Paid Credited Due Permit Fee Total 23.00_ 00 .00 23.00 Plan Check Total .00 .00 .00 .00 _ Grand Total 23.00 .00 .00 23.00 V LQPERMIT 02/14/2006 09:29 7603605591 ORR BUILDERS �� PAGE 04 B« # City ®f La Quin Building a Safety Mision P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Buildlncr Permit Application and Tracking Sheet Permit Proj cot Address: —A &; Owner's - Name: A. P. Number: ��� —if Addross:. Contractor:• z &J14 Dom- Telephone: Address:—gy-201 yz�,g�2 Sr svr7z-- Project Description: City, ST, Zip:,OW��.s2T Telephone: 7AO 2,,�Z2 7� 2 — O 0; cl- T 36 1,14 Stare 'Lie_ # : �p �. r . City Lie. A. I' Arch., Engr., Designer: Al -zza PCir � 6 4 f zad Address: 0 ^e— l e9GG7 LLQ City, ST, Zip: Telephorte:Construction State Lie. #: Name of Contact Person: ��a �vR Typc: Occupancy: Project typo (circle o : N A,dd'n Alter Repair Demo Sq. Ft : # Stories: #Units: Telephone # of Contact Pcrson. 2 Cfj!CJ Z/ Estimated Value ofFrojoa: ovd APPUCANT: DO NOT WRITE BELOW THIS LINE # Submittal Rey'd $ec'd TRACE3NG PERMITkx Plan Seta Pian Cheep submitted ltcm Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Culled Contact Pcrson Plan Check Balance Energy Calcs. Plans picked up Construction Flovd plain plan Plans resubmitted mechanical Grading•plan Zoo Review, ready for corrections4ssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plana picked up Ii.O.A. Approval Plans resubmitted Gmding IN HOUSE:- a ° Review, ready for corrcctio usur Deveioper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.'Wkg. A.ppr Date of permit imuc School Fees Total Permit Tees '