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08-1745 (BLCK)• 'P.O. BOX 1504 - -VOICE (760),777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011. LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760).777-7153 BUILDING -PERMIT Date: 10/21/08 Application Number: 08-0.0001745 Owner: Property Address: 54922 SOUTHERN HILLS BOB & LINDA HAMMOND APN:. 775-120-048- - - 54922 SOUTHERN HILLS Application description: WALL/FENCE LA.QUINTA, CA' 92253 Property Zoning: LOW DENSITY RESIDENTIAL ' Application valuation: 341 Contractor: OCT 2 100 Applicant: Architect or Engineer: EDWARD$ CONSTRUCTION I BO]TIT'yOF�Q�INT v - 51455 DESERT CLUB DRIV FINq�O A ` LA QUINTA, CA 92253 E�EP7 ' (760)777-8202 Lic. No.: 684857 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION, DECLARATION I 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 , License Class: B License No.: 684857 for by Section 3700 of the Labor Code, for the performance.of the work for which this permit is - ►�( issued. ' iDate: / i ntracto _ "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 DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the Carrier GRANITE STATE Policy Number WC 555-61-55 - following reason ISec. 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, 1 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 should 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 3700 of th abor Cod u -fa thwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ����77 //�,L any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate:42Lf pA plicant: - (_ 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 SECURE WORKERS' COMPENSATI RAG FUL, AND SHALL Contractors' State License Lawdoes 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 1$100,000). 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 sate.). - APPLICANT ACKNOWLEDGEMENT '(_ 1 1, 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, •' 1 _ 1 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 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. Date: Owner: 2. Any permit issued as a result of this applicatiombecomes 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- CONSTRUCTION ubjectCONSTRUCTION LENDING AGENCY - permit to cancellation. - - Ihereby affirm under penalty of perjury that there is a.constructiontending agency for the performance of the • I certify -that I have read this application a t the ab rmation is correct. I agree to comply with all work for which this permit is issued'ISec. 3097, Civ. C.1. city county ordinances a d s aws relating to b ng const tion, and hereby authorize representatives - his coujto te`rml`oo th entioned pr rty f ection purposes. - Lender's Name:/ 7f Lender's Address: •� LQPERMIT Application Number . . . . 08-00001745 Permit WALL/.FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee— .00 Issue Date Valuation . . . . 341 Expiration Date - 4/19/09 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments 14 L.F. 5' SCREEN WALL, CITY STANDARD & 5 L.F. WROUGHT -IRON FENCING Fee summary Charged Paid Credited Due Permit Fee Total 15.00 .00 .00 15.00 Plan Check -Total. 00 .00 .00, .00 Grand Total ;' -15.00 .00 .00 15.00. • LQ?ER IT - - • _ Bin # Qty Of La QuIntd Building. U Safety Division . . Permit # ` P.O. Box 1504, 78-495 Calle Tampico IJC La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: i 2Z yo i n I �' 5 � �' E1�/ j �..[� Owner's Name: 30 � L N zvl A. P. Number: 7 7,1so - O q g_ Address: Legal Description: r Zq 17 • 2, g -% %G City, ST, Zip: C'A Contractor:o jcJL/t'L-1%S t�NS��JyJ Telephone: 7�j ©• Address: . �SS C L VQ Project Description: l City. ST, Zip: �} ( 5 ��' ` L F ✓�(Ir� l_ /A, Telephone: 1 7 7— 8 201;;L State Lic. # : G g y . gs`7 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Z) Telephone # of Contact Person: # Submittal Plan Sets Structural Cates. Truss Cates. Title 24 Cates. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN IIOUSE:- Planning Approval Pub. Wks. Appr School Fees 'd Lic. C I a. l A' Total Permit Fees JU E, ,• ""� <�. �•.�����`z,•:Q�;:'�`�>4��.�°;a�� Construction Type: YP Occupancy: Project type (circle one): New Add'n Alter Repair Demo n��\� / V N AI— L Sq. Ft:: # Stories: #Units: Estimated Value of Project: 7 7- OZ 0 -2- APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person --------------- Plan Check Balance' Construction Plans picked up Plans resubmitted Mechanical tad Review, ready for corrections/issue Electrical Plumbing Called Contact Person Plans picked up S.M.I. Grading Developer Icnpact Fee Plans resubmitted �N Review, ready for eorrectionsrssue Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees JU t STEPSTONE, INC. National Distribution C=, :1, � a ss, i eWAca !Visit Our Website' �I ?� See our latest lobs ----tr• Visit our website at ) �t www.stepstoneinc.com d l . _ _ .' • Classic Wall Cap �+ ,,r'(, . • Pavers P" Pool Coping + - y',� • Stair Treadsb Classic ' dll Cap r /''� ; ►- ~ by Stepstone, ...will chanje the way you- finish, concrete walls.; Classic Wall Cap combines distinctive- good "nooks with high strength, hardrock'` — --- _ con'crete,,,� I'ou will ��� •.+d�� '`• finthat•ti.._,: Clacsic. Wall Caps work perfectly asgarden.bench_`seats 'or'-_,` as _resign element , tha U_ ill"'refine youv; r..r, walls' as pearance. ' , I Classic Wall Caps are available s in twelve colors. The Classic)' Wall Cap System includes,cor- `- ' hers, end pieces,"ailius','. �., a. lx 1I �►+1ALL S ♦ straights and pilastere.column. 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