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04-4376 (DSF)r MAY 18 2004 CITY OF LAQUINTA BUILDING & SAFETY DEPARTMENT FIN NCE DEPT (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . Property Address . . . . . APN: Application description . . . Property Zoning . . . . . . . Application valuation . . . . 04-00004376 Date 5/18/04 55915 TURNBERRY WY 767-560-005-39 -000000- DEMO - SINGLE FAMILY LOW-DENSITY RESIDENTIAL 0 Owner Contractor DR STEVE FOUNTAIN DURKTON, MARK 14010 JUNE WAY 69683 PLEASANT GROVE SARATOGA CA 95070 CATHEDRAL CITY CA 92234 (760) 578-4940 WCC: EXEMPT WC: EXEMPT 01/09/05 CSLB: 505442 02/01/05 CCC: B Other struct info . . . . . NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- -Permit . . . . . . DEMO PERMIT Additional desc Permit Fee . . . . 45.00 Plan Check Fee .00 Issue Date 1 Valuation. 0 Qty Unit Charge Per Extension BASE FEE 45.00 -------------------------------------------------------------------------- Special Notes and Comments DEMO OF EXISTING WALLS/WINDOWS/DRYWALL/STUCCO & CONCRETE IN PREPARATION FOR REMODEL. Fee summary ----------------- Charged =--------- 'Paid Credited Due Permit Fee Total ---------- 45.00 -------------------- .00 .00 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-701 I INSPECTIONS (760) 777-7.153 Application Number: 4 Date: Applicant: CONT�C.%2 Architect or Engin r: Applicant's Mailing Address: Architect or Engi eer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice�e is in full force and effect. License Class A w n Lice a No. OWNER -BUILDER DECLARATION 1 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 issued. My workers' compensation insurance carrier and policy number are: Came Policy Number 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 f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I� forthwith comply with those pro ' ' Date 1u�� U Applicant WARNING: FAILURE TO SECURE WORKERS' PENS N 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. ' CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of p rju that there is a construction lendingagency for the performance of the work for which this 9e cY Pe permit is issued (Sec. 3097, Civ. CJ. L�e'nders Namei Lenders 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. I. 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, indemnity and hold harmless the City of La Ouinta, 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 voi of 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 inf mwtio s correct. 1 agree comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this coun t nt the above-mentio ed property for inspection purposes. `Date V Signature (Applicant Agent): t, / Q671012004 16:44 FAX 7603637173 Jun 10 04 04:40p karen hail 06/10/2004 16:31 FAX 7603637173 06/10/2004 16:16 7603295387 BUSTER LAWRENCE GC 760 323-1600 BUSTER LIWPMWCE GC TRISHA TIFFAWy ggdbkh Buster Eawrenve Gene Gontram Lic #328825 phone'. 760463-7967 call: 70472 -SM ft=760463-71173 760463-7173 PROPOSAL 001/001 p.1 0001 PAGE 01 Happy Traft Creative Design Atm: MR. Hall 578-5696 f9X 323-1600 1-04 ernesT ' JOi NABS P.Q. Box 5433 MT. SrAM AN DZtr Dons Palm Springry CA 92263 SS825 Soft 4' high block wail wlsmceo Cit & 4iepow of OPPM 30 plows of wab & MAWA wben denim iestallod $125.00 each All The above work to be completed for the sum of-. ,See above Jost LAICAS v 5591.5, 5581 5, 55825, 55765, 55795 Tumbury :An work Ie to ea a mp(aw to ■ Wanaaonwa msmror accoidng Z.011= pa1tG�. arty a1QGf■ttan ""m om flom the aha rK &worvkg eaiw Man be urt*qwd 4 Important - Please None: All PMCM Mary at" -M be lak= to CMWg morerala Rom i cmcklr¢ Hm'06 (, Vv& cannot 1rrMMMV or guww taa eonwee apamst craccarg.Noim [1►rs omp"m m■v :Acceptance of Proposal-,r,,o.en,ro s�nm" prtue.. a�tFc.taa:aaa wnmtion..m..a■taatoy■ea are aernDby aeeeptod_ Vou arc �neiaoe tv Qo eiw waAc Dos speeNded Data of . i 18,622.00 15,222.00 16,mxe 16,920.00 17,010.00 S See above by w tr not omepw Wlthln 30 Gays. 16 1-19' pool mphotem eacl*mc I -pool deck with sme; 1-3400 91dewaW 55795 1 -pool deck with stole 1.3400 sida%yWk 149' pool agwP oasoot =dome $5765 1- pool deck w/stam 1-3x100 sidewalk 1 25'x24' blob* wall w/stueeo 1 -pool equIpment mclosure 55585 1-40'x48 idgb block wall w/skww l-peoi deck with stone ] 3'Xl OD' sidewaIIc ]-pool equiptleat enclosum 55915 fool deck w,4woe 1-3x100 sidewalk 3-59' —4' high block wall wAmi ro lrpaol e4UAPmem amlomm Cit & 4iepow of OPPM 30 plows of wab & MAWA wben denim iestallod $125.00 each All The above work to be completed for the sum of-. ,See above Jost LAICAS v 5591.5, 5581 5, 55825, 55765, 55795 Tumbury :An work Ie to ea a mp(aw to ■ Wanaaonwa msmror accoidng Z.011= pa1tG�. arty a1QGf■ttan ""m om flom the aha rK &worvkg eaiw Man be urt*qwd 4 Important - Please None: All PMCM Mary at" -M be lak= to CMWg morerala Rom i cmcklr¢ Hm'06 (, Vv& cannot 1rrMMMV or guww taa eonwee apamst craccarg.Noim [1►rs omp"m m■v :Acceptance of Proposal-,r,,o.en,ro s�nm" prtue.. a�tFc.taa:aaa wnmtion..m..a■taatoy■ea are aernDby aeeeptod_ Vou arc �neiaoe tv Qo eiw waAc Dos speeNded Data of . i 18,622.00 15,222.00 16,mxe 16,920.00 17,010.00 S See above by w tr not omepw Wlthln 30 Gays. 16