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06-0757 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: c&ht 4-40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00000757 Owner: 52435 SHINING STAR LN DESERT ELITE, INC. 767-200-999-20 -31 2- 0 78401 HIGHWAY 111, SUITE G WALL/FENCE LA QUINTA, CA 92253 LOW DENSITY RESIDE 9 20 6 (760)777-9920 MAR 2 Applicant: Architec or Enc ------------------- LICENSED CONTRACTOR'S DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 �� Contractor: EDQ. HERINGTON DEVELOPMENT, JAMES O 40960 CALIFORNIA OAKS RD, #283 MURRIETA, CA 92,962 (951)677-8415 Lic. No.: 753190 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License.is in full force and effect. Licensee Class: B Li se o.: 7 3190 Date,3_'9- 6 tractor: �1 (► 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 1 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).: (_ 1- 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 proving that he or 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.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: ®ONSTRUCTION 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'ISec. 3097, Civ. C.1.. Lender's Name: Lender's Address: LQPERMIT ------------------ WORKER'S COMPENSATION DECLARATION Date: 2/22/06 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 STATE FUND Policy Number 1542746-2005 I certify that, in the performance of the work for which this permit is issued,,l 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 he workers' compensation provisions of Section 370/0 of the Labor Zodshall for with c ply th th provisions. ate• r -aG AI iL1/l - 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 ($100,000).' 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 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 c unty ordinances and stat aws relating to building construction, and her��ijjby authorize representatives of thi ounty to enter upon th ove-mentioned property for inspection purposp�/ lotate: :2 '06 atme (Applicant or Agent): W J t Application'Number 06-00000757 1 Permit . . . . . . WALL/FENCE PERMIT l Additional desc . Permit.Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 240 . Expiration Date 8/21/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 15 L.F..4' COURTYARD WALL, CITY STANDARD Fee summary Charged Paid Credited Due --------------- --- ----- - Permit Fee Total 15.00 .00 .00 15.00 r Plan Check Total .00 .00 y .00 .00 Grand Total 15.00 ..00 .00 15.00 LQPERMTT w _'A\ _ n- H d► % 11 P 17-- i Bin # M., �city�Qf'l;d �Qu iota BuBding 8i Safety DivWon P.O. Box 1504, 78-495 Calle Tampico Permit # La Quina, CA 92253 - (760) 777.7012 I' Building Permit Application and Tracking Sheet Project Address: Owner's Name A. P. Number. .,i Address: X "� ! ! S 7f G 1 Legal Description: City. ST. Zip: x L'A, ��— ��5' Contractor: ?( g16 SD �7 ./''� phi Telephone; Address: f RLI 9M Project Description: x� A� 0.�;• 7 $ City. ST. Zip: %yl (.0 Rpt r4 Ciq1=61 92 5 G�t-s a Ty" S X Telephone: x �r ! 9 95 7 . � 2 5 i E State Lic_ * : k, 7 0 Citv Lic. Arch.. Engr., Designer: C Address: Cj I- y City. ST. Zip: Telephone: 5'=:> p ;',,. Construction Type: State Lic. #: Project n pe (circle one): New Add'n After Repair Demo Namc of Contact Person: -Iz�-Srt Pj(�J\CJ Sq. Ft,: /'% Stones: # Units: Telephone # of Contact Person: 7(�Q 7 C5- 9�� Estimated Value orProjer,:t; APPLICANT: DO NOT WRITE BELOW THIS LINE d - Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calls. Reviewed. ready for corrections Plan Chcck Deposit Truss Cafes, Called Contact Person Plan Check Balance Title 24 Cafes. plans picked up Construction Flood plain plan plans resubmitted Mechanical '! Grading plan 2"' Review. ready for correctionsHssuc Electrical - Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 14-O.A. Approval Plans resubmitted Grading IN HOUSE:- "' Review, ready for correctionslissue developer impact Fee Planning Approval Called Contact Person A.I.P.h. Pub. Wks. Appr Dale of permit issue School Fees Total Permit Fees AM 'd 5t£L96£ 'ON XVJ VNVINVS OHOM Wd 010 GM 9002 -ZZ -81. Ra