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05-2986 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ' C705- 00002986� Property Address: 51667 VIA BENDITA APN: 772-270-010-9 -311231- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT / ),K23 E. S ' INTA PARTNERS A GUERRA kA, CA 93140 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/19/05 Applicant: Architect or Engineer: �\ /y�ARMAN CONSTRUCTION, RA 520 STONEBROOK COURT LA QUINTA, CA 92253 (760) 771-8191 ` Lic. No.: 681660 -----=-------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am ligtsejunder provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Businessand als Co , nd my License is in full force and effect. License Class:. B Lic a 681 ^ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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 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.). (_) 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.). (_ ) 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: n_ Lender's Address: F6 LQPERMIT 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 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 0014586-2005 _ I certify that, in the performance of the work for which 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 bec sub' tt to the workers' compensation provisions of Section 00 of the Labor Code, I ith a rovisions. ate: a plicant: 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 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, 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 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 permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat hat the above in r tion is correct. I agree to comply with all city and county ordinances and state laws relating to ui and hereby authorize representatives of this couu��tt t''o/��/��__^^ter upon the above-mentioned prooppee n s pate: !J S' ture (Applicant or Agent Application Number . . . . . 05-00002986 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00. Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2500 Expiration Date 1/15/06 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ----------------------------------------------------------------------------- Special Notes and Comments 100 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged --------------------------- Paid Credited 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 r LQPERMIT D r e BUI FyOFT� Owner VISTA LA kFETY DEPAR 7711(0 22005 N REQUEST LI E Contractor R.A. WASSERMAN CONSTRUCTION Permit Number 05-2986 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 51-667 VIA BENDITA 100 L.F. 6' GARDEN WALL, ORCO SYSTEM Lo -r d�k TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING/ WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF r"'4Y TO WRAP MING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS /STEEL BOND BEAM _ POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS), FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL -MBING _ 'HANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL-/ JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING