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06-0652 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00000652 5.43 4 OyAVENI DA`VALLEJO 774-245-005-20 -000000- WALL/FENCE COVE RESIDENTIAL 5000 c&t!t 14 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Enginee VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/13/06 Owner: LAUENROTH RICHARD L 54340 AVENIDA,VALLEJO Dn � LA QUINTA, CA 92253 FEB 13 1006 Contractor: PENSANTI MASONRY, FRANK CITY OF LA QUINTA 74041 EL CONTEQ WAY FINANCE DEPT. PALM DESERT, CA 92260 (760)346-0892 Lic. No.: 806698 -------------------------------------------------- LICENSED CONTRA OR'S DECLARATION I hereby affirm under penalty of perjury that I am license ei provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proonals Code, and m . License Class: C29 6698 Dat t -4I U ��ctor: -` -BUILDER DECLARATION I hereby affirm under alty a exempt m the Contractor's State License Law for the following reason c. , Bu ' ess and Pro e: Any city or county that requires a permit to construct, alter, rove, d h, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed sta ent that he or she is licensed pursuant to the provisions of the Contractor's 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).: 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 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 ik, improvements are not intended or offered for sale. If, however, the building or improvement is sold within P 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.). (_) 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.). 1-1 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 (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT --------------- 7 -- WORKER'S 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 requ!W by Section 3700 of the Labor Code, for the performance of the work for which this per sued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number PT I certify that, in the performance of the work f hi this permit is issued, I shall not employ any person in any manner so as to become jec the workers' com ion laws of California, and agree that, if I should become ject the workers' c nsation provisions of Section - _ 370JD of the Labor Code, 1 sha orthw' comply wij;i* se provisions. WAy RJ FAILURE TO SECURCWOR COMPENSATICk'C6VERAGE IS UNLAWFUL, AND SHALL ' SUBJECT AN EMPLOYER TO CRIMI NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD O THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA C E, 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 rk being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if i t commenced within 180 days from date of issuance of such permit, or cessatio wor r 180 days will subject permit to cancellation. I certify that I have read this application and state that the above info ation is rrect. I agree to co ly with all city and county ordinances and state laws relating to building co ruction d hereby representatives of this county too Ie er upon the above-mentioned property inspecti pur DateV F Signature (Applicant or Agent • 4 6 _ _ - Application Number . . . 06-00000652 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 72.00 Plan Check Fee.. .00 Issue Date Valuation 5000 Expiration Date 8/12/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000. 27.00 ti--------------------------------------------------------------- Special Notes and Comments 71•LF COMBO 2' RETAINING WITH 6' GARDEN WALL .@ SOUTH P/L:50 LF COMBO 2' RETAINING/6'. GARDEN @ REAR P/L. 79 LF COMBO 2' RETAINING WITH 6' GARDEN WALL @ NORTH P/L. ALL PER ORCO SPEC. Fee summary Charged Paid Credited --------------------------- Due -----.--------------- Permit Fee Total 72.00 .00 ----------.. .00 72.00 Plan Check Total .00 .00 .00 .00 Grand Total 72.00 .00 .00 72.00 LQPERMIT Bin # C,'.1 Quintaof. La Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # / Project Address: .� D h �/ JA//(1T0_ Owner's Name: qr c,/ G•!!�� /'Z A. P. Number: Address: S' -/ 3 L(v(ic, dt-- (le? { To Legal Description: Contractor: [r— f4r kt City, ST, Zip:/"-,.�% C �� 92,)- s? Telephone: —Urf' Address: �c�-( �� v„-/ f Z t,L Project Description: City, ST, Zip: Ab-� C/4- VP40 t$I 4/r'vvnt,/ Telephone: r%60 —3 Y -V? City Lic. #: o State Lic. # : v Arch., Engr., Designer: Of 7'� Address: City, ST, Zip: % UIf` 02 1^L7r,i1 6 i Telephone: State Lic. #: Name of Contact Person: Gr- Y / tj Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ^ d �%�fVV Estimated Value of Project: / APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading,plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees IolA i