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06-4402 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO • LA QUINTA, CALIFORNIA 92253 Application Number: .06-00004402 Property Address: 53677 VIA BELLAGIO APN: 772-510-052- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: . 7700 Td�/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------ 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 Busines Professionals Code, and my License is in full force and effect. License Class: B License No.: 820066 Datgy!5w 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).: (_) 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 provingthat he or she did not build or improve for the purpose of sale.). 1 _ 1 1, 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 I am exempt under Sec. , B.&P.C. for this reason 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1 12/29/06 /kt Owner: GARY CHASE 505 BALDWIN ROAD PATTERSON, CA 95363 0510 l tractor: ALPHA OMEGA COMMUNICATIONS INC 42829 COOK STREET SUITE 104 PALM DESERT, CA 92211 (760)568-1712 Lic. No.: 820066 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of the following declarations: I 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 AON RISK Policy Number 1488491 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ecome subject to the workers' compensation laws of California, and agree that, if I sho ome subject to the workers' compensation provisions of Section Da�700 of the abor shall forthwith comply with those provisions. ,Applic t: 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 ($100,0001. 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 state that thearinspection formation is correct. I agree to comply with all city and county ordinances and state laws relatingtob'ruction,andhereby authorize representatives of th's ou to enter upon the above-mentione purposes. D'� Signature (Applicant or Age Application Number . . . . . 06-00004402 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 99.00 Plan Check Fee .00 Issue Date Valuation . . 7700 Expiration Date 6/27/07 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25,000 54.00 ---------------------------------------------------------------------------- Special Notes and Comments .BLOCK WALL PERMIT, GARDEN WALL 308 L.F X 61 -CITY STANDARD. Fee summary Charged Paid ----------" Credited ---------- ---------- Due --------------------------- Permit Fee Total 99.00 .00 .00 99.00 Plan Check Total .00 .00 ..00 .00 Grand Total 99.00 .00 .00 99.00 LQPERM[T I Bin # I Permit Project Address:,* A. P. Number:? -7Z-510 _ Contractor: Address: 9 • City. ST, Zip: KrALM i _ Telephone:��� State Lic. # : r Arch., Engr.. Designe City, ST, Zi*�A„ M Telephhii)-1'71 'y State Lic. # Name of Contact Person:/ Telephone # of Contact Person: k7ld # •Submittal Plan Sets Structural Calcs. Truss Cales. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City Of La Quinta Building 8t Safety Division . P.O. Box 1504, 78-495 Calk Tampico La Quinta, CA 92253 (760) 777-7012 ABuilding Permit Application and Tracking Sheet :1 jo Owner's Name: X A > Address: X �Z City. ST, Zip: Kr �d�lcxt, GA . 4-53105 W� Telephone: � Project Description: .92211 8- Lic. •C 17 ,,J ) Construction Type: YP: Oc cu P an Project ect e (circle role one): ). a Add'n Alter Repair Demo Sq. Ft.: # Stories: # Uniu: —::: v`V Estimated Value of Project: x 3/t APPLICANT: DO NOT WRITE BELOW THIS LINE e'd TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check. Deposit Called Contact Person Plan Check Balance Plans picked up Construction 'Plans resubmitted Mechanical 2" Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.Nl.1. Plans resubmitted Grading Review, ready for correctionslissue Developer Impact Fee JCalled Contact Person AJ.P.P. Date.of permit issue ITotal Permit Fees OCT -31-2005 MON 03:20 PM GORDON ROSS FAX NO. 760 341 7631 P. 05 6' HIGH W WALL SYSTEM SITE WALL FOR 80 MPH. WIND 0 EXP05URE C DPTR7"t4ATCAv VEORITEW b AMOWAKe M=P=a a 150PS'r 1 ALi0W�8LE� lATEitAC PA6SlVE PRESS RE. MO PCF ZGVJYGIt ltrRE7rC,t1a2000MAP28rAYS. ,gpq;M llOVE{;X40tbRr1AAMANdS"WRA QRAOYr OOPDROANDLARGRR i egaWC , LCA t, of sW RMW r+7E A GR B SCUM4Z a �ac+vroreYoa,►wreas.�onrs�tcrrti. > aTrteasrs • Nowfa4 *WfcnoHNw. N. 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