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07-0998 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 . Tdy 4 4 Q"' Application Number: 0.0A-0;0-9=9_8�., Property Address: 81867 THOROUGHBRED .TR APN: 767-200-999-23 -312024- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2500 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT L- BUILDING PERMIT Owner: DAVE CARDEN 78401 HIGHWAY 111, SUITE G LA QUINTA, CA 92253 (760)777-9920 Contractor: DESERT PARADISE 78005 WILDCAT DR PALM DESERT, CA (760)360-7400 Lic. No.: 419309 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 771-7153 Date: 3/30/07 e ----------------------------------------------------------------------------- -- - - - -— - --- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLAFM 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 • LicenseClass: C53 C27 License No.:41419?309 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �, O% F/➢1��'�i�! .�' at ontractoc z=S /4S '-- ,� 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' compensatior OWNER -BUILDER DECLARATION 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 ENDURANCE WORK Policy Nurimber WVS001347901 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 shout 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 that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 3700 of the bor C , I sh rthwith comply with those provisions. _ any applicant for a permit subjects the applicant to a civil penalty of'not more than five hundred dollars ($500).: te: licant. 1 _ 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 WARNING: FAILURE TO E RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLO R 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS IS 100,00 1 N 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 E 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.). 1 _ 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: 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 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 1 have read this application and state that the above information is correct. I agree to comply with all city and cou ordinances and state laws relating to building stru n, and hereby authorize representatives of this my to enter upon t above-mentioned grope r inseldtion purposes. te�y� ature (Applicant or Ag Application Number . . . . . 07-00000998 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 2500 Expiration Date 9/26/07 Qty Unit Charge Per Extension . BASE FEE 45.00 1.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,0"01-25;000 9.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation 0• Expiration Date 9/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 Expiration Date 9/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4.OUTLETS 3.00 Special Notes and Comments BBQ - 31X816"X9 W.ITH 43 L.F. 1•" GAS •LINE, PER APPROVED PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 3.51 STRONG MOTION (SMI) --RES .50. Fee summary Charged Paid Credited Due Permit Fee Total 89.25 .00 .00 89.25 . Plan Check Total 43.91 .00 .00 43.91 Other Fee Total 4.01 .00 .00 4.01 Grand Total 137.17 .00 ..00 137.17 LQPERMIT