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04-4777 (BLCK)4 j 0 BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760),777-7012 9 e 'l8-495 LLE TAMPICO FAX (760) 777-7011 LA QUI , CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 JUN 09 2004 BUILDING PERMIT " CIN OF LA QUANTA __ _ APP F _ T. r . . . . .�04-0,0004777' Date. 6%09/04 Property Address . . . . 50482 VIA AMANTE APN: 772-400-.062-B -298581- Application description WALL/FENCE Property Zoning.. LOW DENSITY RESIDENTIAL_ Application valuation 1500 Owner Contractor' - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - -t R J T HOMES RJT HOMES LLC .14251E UNIVERSITY DR 1425 E. UNIVERSITY DRIVE PHOENIX AZ 85034 PHOENIX AZ 85034 WCC: STATE FUND :. WC:, 1583906 10/01/04 CSLB: 69064.5 06/30/04 CCC: A -B Permit . . . . . WALL/FENCE PERMIT --Addit:iona.l desc__.�.------ Permit Fee 35.00 Plan Check Fee 15.00 Issue Date Valuation 1500 Expiration Date 12/09/04 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 2.0000 HND BLD&' -501-2';000 20.00 ----- - - - - -- - - - - -=--- ---------==----------------=--------------------------- Special Notes and Comments - MAIL BOX SENTRY- Fee ENTRYFee summary Charged Paid Credited Due 7 77 Permit Fee Total 35:00 .00 00 35.00 Plan Check Total 15.00 00 .00 15.00 Grand Total 50.'00 .00 .00 50.00 t ���I1�1 P.O. Box 1504 � VOICE (760) 777-7012 78-495 CALVE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: 'o Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or En ineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed und? rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ,Code, and ss Licen�g i full force and effect. �� / License Class (� L License No. Date 7�1nth .actor A` .— .��✓1���1 �,/� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensad pursuant to the provisions of the Contractors' 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).): U 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 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 or through his or her own employees. provided that the 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 improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting Win 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.). U I am exempt under Sec. BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent tc- 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' compen ' ' surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is �-1ss d. M rk compensa ' nsuranee :.arrier and , n ber are• Carrier G1 �%�od &.^ 17 Policy Number ! J 24C _ I certify that, in the performance of the work for vJhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Applicant WARNING: "FAILURE TO SECURE WORKERS' COMPENSATION "COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a constnxtion lending agency for the performance of the work for which this permit is Issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address 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.pernit, or cessation of work for 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and here bysentatives of this county to enter upon thea entioned property for inspection purposes. /te �/ V Applicant or Agent): i t � ��'`�., :�.,.� ';j ".:" ^�::.•�; ,.`.4. \A.:,.,�I�: -Y - `t l" ' lY' .:t� j5'Z� � �-T 4��A' �Y:.i''{''•(h�i'.-: }Y �Y.' .fit`• _:: ,?Sj',: �.::: , . U st.. `~~ • rsa.-Waxy-wU"r� pis • � FOR :•OUT , pO:OR;GENRAkIzD MAIL DELIVERY Type 1'.'8 Box Unit Installed Height: 62" Depth: 17-121, <.� ;'` Width: 28 +`....� ..:Weight (with pedestal): 122 abs. _,..,. c -�� . Qty of Standard Corhpartrnents: 8 Standard Compartment Height 3" -- Qty. of Parcel Compartments; 2' ` Parcel P Compartment Heights: 10" & 13" Outgoin • :;� ifr`i'��cs:�;a�>,..:,.;,. ,.. g Mail Compartments: encs: 1 `(• z= ; r»ii? Type .(1 -12 Box Unit _ installed Height: 62„ _ Depth: 17-12" Width: 28-12" Weight (with pedestal): 122 lbs. Qty of Standard Compartments: 12 Standard Compartment Height: 3" -`.' Qty, of Parcel Compartments: 1 Parcel Compartment ,�; •=� :• . = Height: 10" fixil''�"•,r "'r` Mall ',' � �ti.;,.,y�•;r��.;:, � .:. Outgoing Compartments, 1 - - Type III 16 Box Unit ya �` f .>;�.:-- 'a��:;:�• ... Installed Height: 2.1. .. ,j. �+ ,,_� ;,: :<::: Depth: 17-12" Wldtli; 28-12" Ire. _ ;.,;, •� §�Y� �;�_�,��'z�:!s•>`'lir?"s"•'�'i' Weight (withpedestal): 148 lbs. ;wf ` `�:,,�•�<.n:�..;... .:,t,w;.::.;.-. Qty of Compartments . 6 • -�,��•,;. _ Standard Compartment Height: 3" Qty. of Parcel Compartments: 2 Parcel C ompartmerit Heights: 10" & 131 �� •�_�:� ���,�;; f ,..��.fi�t,�4„�,. _ Outgoing Mail Compartments:.l -,';.,:�....: ,a�r::':::,x.� ��:•�•;:. Type IV 13 Box Unit .Installed Height; 62” : =:t'• i A�, Depth: 17-1/2" Width:' 28-1/2' with ht ' - :�.::•�#:�f�'(1 :'�': - R� ( pedestal): 143 Ibs. o dard Compartments': 13 r •�„i:.�,::�: ;�;,. ;-��--v`:: -•:' Qty. . :<,,...,,�: „ ; �, Stand ment 31411 • � _U�P�:.,:ii and Co t Height: 4- :..,:, Qty of Parcel Comp nts: 1 K,j.. S. '' 'i•;ti. , ; ,x: s . j ;;..*�r �: Heigh J. Parcel Compartment pa tment =�$`� p o Mail Compartments: l - ;.:,5- Utg Ing. .. eiS•i”. �Ol Ceiliried: s�+;13S J: I : K3111: �•t:-::' . V',�:::^_}.v<. ��'rr:(?.F:. iy.,:�r;'k;::... i;n'>K '•.'�. i.: