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04-8749 (BLCK)AUG 17 2004 �IGGiiV V CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT IN NCE DEPT. (760),777-7012 `SOF Ll 78-495 CALLE TAMPICO , FAX (760).777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQ.UES'T'S-,(760) 777-7153 BUILDING PERMIT Application -Number 04-00005849 Date 8/17/04 Property Address . . . . 78275 CALLE TAMPICO APN: 770-130-001- - - Tenant nbr, name BLK WALL & SITE LTG. Application descr:iption.. . . WALL/FENCE Property Zoning . . . . MAJOR COMMUNITY FACILITY Application valuation �.. :' 4000 Owner Con -tractor ------------------------ CITY OF LA QUINTA - TAYLOR FRAGER, INC. r C/O AKLUFI & WYSOCKI 41661 ENTERPRISES CIR. N. ##217 3403 10TH ST.STE 610 TEMECULA CA 92590 RIVERSIDE CA 92501 (909) 296-9892 WCC: STATE FUND WC: WVK6301221 04/01/05 CSLB: 598277 07/31/06 CCC: A -B ------------- Permit ELEC-MISCELLANEOUS f Additional desc Permit Fee . . 44.8r-, Plan Check Fee 11.21 Issue Date . . Valuation G Qty Unit Charge Per .a� F t. Extension BASE 'FEE 15.00- 20.00 5.00- 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 33.00 .4500,.EA ELE�C DEVICE/FIXTURE >20 14.85: ------------------------------- ---'--------,--------`---------- '- - ----- Permit . . . . WALL/FENCE PERMIT Additional desc Permit Fee ? 63.00 Plan Check Fee .00 Issue Date Valuation 4000 Qty Unit Charge Per Extension BASE FEE 45.00 2.00- 9.0000 THOU BLD -3 2,001-'25,000 18.00 -------------------------- Special Notes.and Comments BLOCK WALLS.- 142 LINEAL FEET x 8 FT. HGT. @ TRASH ENCLOSURE, MECHANICAL YARD AND COMMUNITY.GARDEN. 2.0 LIN.•FEET'X '8 FT. HGT. COMBINATION RETAINING AND i P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04(- (5-8 Ye! Date: ' Applicant: COW rV4c/?�. Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Licenses in (W► force and effect. 7 License Class_ H (3 License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner. WORKERS' 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 issua1l. M worke compgnsation insurance carrier a0d jo_li�� m4er yeQ 2 2 r Carrier ✓ / ,#Fd ��/i> Policy Number W V (p 3 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 to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. f d Date r% b Applicant WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA 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. 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 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 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 property for inspection purposes. Date 7 V 7 Signature (Applicant or Agent): Page 2'i Application Number 04-00005849 Date 8/17/04 ------------------------------------------------------------------ Special Notes and Comments GARDEN WALL. PERMIT INCLUDES EXTERIOR LIGHTING. 2001 CODES. Fee summaryCharged Paid Credited Due Permit Fee Total 107.85 .00 00 107.85 Plan Check Total 11.21 00 .00 11.21: Grand Total` 119.06 .00 :47. FA% 619 591 KPFF SAN DIEGO �. VERTICAL REINF. --- #4 @ 24-" OC #4@24"OC H0RIZ. 8" C.M.U. SOLID GROUT ENTIRE WALL #4 @ 48" WHEN BASE EXCEEDS 3'-0 riAD #5@12" O.C. CONT. • • ' WALL FTG 9 O 0 r.J- MA50NRY ,FENCE WALL MW STEELE 11002 7'-0 4�-0H 8'-0» 4'-0„ SE WA TO rl II JI CN4EQTK SCHEDULE H„ ..: HBASL ii VERT. . REINF.3'-0� 2_ #5 @ 48 4 -0 2 - 'I #5 @ 48 51-011 2,-8" #5 6 4F 6,_0„ 31_411 #5 @ 21 7'-0 4�-0H 8'-0» 4'-0„ SE WA TO rl II JI CN4EQTK M. W S T E E L E New Trash ect on Enclosure GRQUP. INC. Wall c ARCHITECTURE I URBAN DESIGN 3 2 5 F I F T E E N T H S T R E E T ,Drawing Scale: 1u = 1�"�° Do Not Scale Drawing S ATJ D.I E.G.O I C A 19 2 1 0 1 Project Number: 0110 T.E L E P.H :O.NE��.. 6� 19. 2 3 0.0 3 2 5 F ACSLM•I;l�-' 619.230.0335 a Oi inta Public Library SKA Revision N IB# Issue Date