05-2493 (BLCK)3
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Applicant: D n1itect or
�u� � 1 zoos
T4ht 4 4. Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GATTI RICHARD D
79305 STONEGATE
6 LA QUINTA, CA 92253
Contractor:
WRIGHT GEN CONTRACTOR, PETE
P.O. BOX 580901
N PALM SPRINGS, CA 92258
(760)329-5490
Lic. No.: 735919
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/05
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Application Number:
05 0.0--0-0.2493
Property Address:
79305 STONEGATE
APN:
772 -040 -016 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RES DENTIAL
Application valuation:
n
Applicant: D n1itect or
�u� � 1 zoos
T4ht 4 4. Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GATTI RICHARD D
79305 STONEGATE
6 LA QUINTA, CA 92253
Contractor:
WRIGHT GEN CONTRACTOR, PETE
P.O. BOX 580901
N PALM SPRINGS, CA 92258
(760)329-5490
Lic. No.: 735919
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/05
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' LICENSED CONTRA oR DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of per ury hat I am licensed'ande ro sions of Chapter 9 (commencing with
within 180 days from date of issuance of s h permit, or cessatio of wor
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the
usi ass nd rofess' naIs e, nd my License is in full force and effect.
I certifythat 1 have read this application and state tha )1�abo e i for anon is orrect.
d this
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B
of this cottnty tqrent@typon the above-mentioned pr,tor p rp s.
Li n N .: 735919
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date. Contractor:
_
_ 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
OWNER -BUILDER DEC RATION
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 STATE FUND Policy Number - 12375-2005
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the pe ante of the work for whic t is 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 ma er s as to be me subject tot a orkers' 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 s Id be me bject�mp,the ork rs' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lab
r C
I
thy it se visions.
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 ($5006:
Date t A - icant::
1 _ 1 1, 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 SECURE 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 EMPLOYER TO 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 15100,0001. IN 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 THE 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.).
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
of La Quinta, its officers, agents and employees for any act or omis on rela
to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this applica 'on becomes null and v id if wo
is not commenced
within 180 days from date of issuance of s h permit, or cessatio of wor
r 180 days will subject
permit to cancellation.
I certifythat 1 have read this application and state tha )1�abo e i for anon is orrect.
d this
I ree to comply with all
g
city and county ordinances and state laws relatin to n n rut n, nd ereby ut orize re resentatives
g 9� p
of this cottnty tqrent@typon the above-mentioned pr,tor p rp s.
' Application Number . . . . . 05-00002493
cs
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Permit . . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . 54.00 Plan Check
Fee
.00
Issue Date Valuation
2350
Expiration Date 12/18/05
Qty -Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU 'BLDG 2,001-25,000
:
9.00
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Notes and Comments
94 LF 6' BLOCK WALL PER CITY --STANDARD
Fee summary Charged Paid Credited
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Due
Permit Fee Total 54.00 .00•.
.00
54.00
Plan Check Total .00 .00
.00
.00
Grand Total 54.00 .00
.00
54.00
i
LQPERMTT