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05-5306 (BLCK)4 VOICE (760) 777-7012 P.O. BOX 1504 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT NSP CTIONS (760) 777-7153 BUILDING PERMIT f — ��� I O Date:' 12/05/05. Application Number: 05=0.0.0.0.5.306 Owner: S Property Address: 54530 AVENIDA VALLEJO CORONEL ENTERPRISES INC APN: 774-282-002-23 000000- P O BOX 389 Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 750.0 . De Contractor: Il Applicant: Architect or Engineer: CORONEL CONSTRUCTION P.O. BOX 389 TFC 0 5 2005 LA QUINTA, CA 92247 C (760)564-4604 Lic. No.: 634981 CITY OF LA QUINTA FINANCE DEPT. n ------------------------------------- ------------ LICENSED CONTRACTO ' DECLARATION ----------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of r ry that I am licensed under ovi ons of Chapter 9 (commencing with 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 Section 7000) of Division 3 of the Bu •ass d Prof als de, nd my License is in full force and effect. 634981 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is License Class: B -C13 Lice se o.: issued. insurance, required by Section 3700 of the Labor X � ontractor: I have and will maintain workers' compensation as Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION I hereby affirm under of perjury that I am exempt from the Contractor's State License Law for the insurance carrier and policy number are: Carrier STATE FUND Policy Number . 174445305 ' ' penalty 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 whi his permit sued, I shall not employ any in as to beco a subject the workers' com nsation laws of California, construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the Contractor's person any manna and agree that, if I s ul becomes ject tot workers' c pen tion provisions of Section permit to file a signed statement that he or she is licensed pursuant to the provisions of the State 3700 of the Labor Co e, shall fort ith cam ly with rhos pro Bions. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or he is therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �„ that or she exempt any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:D 2•S'` _ scant: - - . as owner of the property, or my employees with wages as their sole compensation, will do the work, and WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL the structure is not intended or offered for sale (Sec. 7044, Business.and Professions Code: The SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND, -Contractors' State License Law'does not apply to an owner of property who builds or improves thereon, DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN and who does the work himself or herself through his or her own employees, provided that the SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 - APPLICANT ACKNOWLEDGEMENT improve for the purpose of sale.). (_) 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. . 1. Each whose behalf this application is made, each person at whose request and far property who builds or improves thereon, and who contracts -for the projects with a contractor(s) licensed person upon whose benefit work is performed under or pursuant to any permit issued as a result of this application, pursuant to the Contractors' State License Law.). the owner, and the applicant, each agrees to, and shall.defend, indemnify and hold harmless the City ( ) I am exempt under Sec. , B.&pens for this reason — of La Quinta, its officers, agents and employees for any.act or omission related to the work being Date: Owner: G"` .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 performed under or following issuance of this permit. 2. Any permit issued as a result of this applicationbecomes null and void if work pcad within 180 days from date of issuance of such permit, or cessation of work foill subject permit to cancellation. ' I certify that I have read this application and stat th the above i ormation is o act. I ay with all city and county ordinances and state laws relatin to uilding con uction, an hereby authtatives of this county to enter. upon th ve-mentioned op rty for insp ction pur Base 'LS;�S' gneture.(A'pplicant or Agent). Application Number . . . . . 05-00005306 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee99.00 Plan Check Fee-. .00 Issue Date . . . . Valuation 7500 Expiration Date 6/03/06 �i Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25,000 54.00 ---------------------------------------------------------------------------- Special Notes and Comments 150 L.F. COMBO WALL, 2' RETAINING, 6' GARDEN, 100 L.F..6' GARDEN WALL, 40 L.F. 5' GARDEN WALL, 24 L.F. 4' GARDEN WALL, ALL ORCO SYSTEM Fee summary Charged Paid ---------- Credited ------ Due ---------- - ---------------- Permit Fee Total 99.00 .00 .00 99.00 Plan Check Total .00 .00 .00 .00 Grand Total 99.00 .00 .00 99.00 LQPERMIT f DEC -05-2005 MON'08:53 AM Coronel Construction• FAX No, 760 564 4202 i F. 001 .4 ity of La Quinta Building 6T Safery Division e P.O. Box 1 SO4 Pr:lsi;tii'czr%::.�:i:.'" ='3; '.::t:i:t:e� 78-495 Calle'Tampico i�f<4Sf�fE£: M La Quinra, CA 92253 Building Perm.i,t f�pp�lica�tion and Tracking Sheet lrrmoc_4ddress:�47 �,e, p•� Qwrier's-N me: �y-3 Addiess; ;.i.e Ciry,ST, Zip:CA Ocseri tian: Telephoner �{ disY,ih;s •::a � ::onl -pc -� . Yk3:€oat;>€3 Pro eet Description' fir• ZIjJ:.:'; ^)` / I'Clci]hAn C. •eep�u Z�€f: '�Y£�t:fz ` f, s ZF61.dfi :YS:z�>:<i t i'�ti }�:a��'cYr:t;i:>��37'4S.gi €aiisEy^'i fia;a`4i.?'.i>�. E:1:R'•fi bi3:��°e:2,iS rte, C_ :la I..ic. ? �� �i ` li&1` City Lic. # `t-� finer., Designer: t C�`✓ �c-� , ity. -,T. . Zip: .. - __ - 3isz�g'3i'Yt:3�'r°%:� :.-•ssa'; tk'f:Z:#:3i2;i�{ CO�StNction T a: Occupancy! iv P i' CiCpi7l)n C: „kkS;`'r'.S 27" ,adye: "me 1„IC. ,1'.f:ixeS::l• : 4.C• iG:N LL .?r'f>>f)o,So��a� project type (circle one): New Add'n Atter Rep9ir Demo ^tank of C nntE,cl Person: Sq: Jit.: �N Stories: 4 Units: 3 !�nrtonc " of Contact Person: „xra;; Estimated Value of Project: . � _-_ _ •: %:�fc� �g't ca<E%: ... t E . ,,,; <'•(i<kkii'r :?63:ai g .,a y,<,. 9': `:.cxa :.',:. :<; k �;%','9•. ;csaisf: ;•;t•°.:is} `:i•: 3.>srY' +:✓:;[:: : >"..rt oY..Y::.Y..: ri : :'GS'4» r<.y s.aS: !. ., rt S � 24: J:: • s",. ,t ` r „>,. °c .'s''rF.° .[s.<>rtY?.4 4. ,;f'riiS, t . . ts.°' ...`.: ':•i �' � <.. > `.<.. ,:iia'.:Y.[14::::•.:`>:a`!i:::%i.>!...::. ):: >.2 :l 'n!�t, � r S Ya':):., ..C:" .!. t, "S. '°ttL 2 ..$• . ..E.. :Y•.x: :2a'4} a. 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