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08-1184 (BLCK)V • BOX 1504 VOICE 760 777-7012 P.O. ( ) 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/14/08 Application Number: 08-00001184 Owner: Property Address: 80245 VIA CAPRI LARRY LEVINE APN: 772-440-055- - - 80245 VIA CAPRI Application description: WALL/FENCE LA QUINTA, CA 92253 D Property Zoning: LOW DENSITY RESIDENTIAL (949) 533-1383 Application valuation: 2035 4 Contractor: Applicant: Architect or Engineer: CAL -TECH DEVELOP EN COKPZ % /! 78150 CALLE TAM ICO S 205A ` Q00 LA QUINTA, CA 92 3 Lic. No.: 683969 �� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu 'Hess a fessionals CLNo.: my License is in full force and effect. License Class: B j t/�e683969 Dat? r L ` A.ntractor OWNER -BUILDER DEC RATION hereby affirm under penalty of perjury that.l 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: .'1 _ 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 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.). 1—) 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: _ Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION - 1 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 1768839 _ 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 be subject to the worker ' compensation provisions of Section 37000 of the Labor C e I sY II ith co ly with se provi ' ns. Dat�`TiApplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to buying stru on, and hereby auth ize representatives of this county to eennnttteeerrr upon the above-mentioned prop f��}}{yr i on pur ' Date7^/3_ `"Signature (Applicant or Agent)z LQPERMIT .'3 Application Number . . . . 08-00001184 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee -. 54.00 Plan Check Fee :00 Issue Date . '. . . Valuation . . . . 2035 Expiration Date 1/10/09 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 94 LN FT X 5 FT HT BLOCK WALL PER CITY STANDARDS AND APPROVD PLANS & 30 LN FT X 3FT HT BLOCK WALL 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 LQPERMIT Bin # City of La. Quinta 'Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit # La Qultita, CA -92253 - (760) 777-7012 M Building Permit Application and Tracking Sheet Project Address: 2 S C Owner's Name: 4 t2 /� {�/ �e A. P. Number• Address: Legal Description: 51 de.,t 4LMC City, ST, Zip: ~ Contractor: C L `�� O Telephone:? f 533 —/ 38. Address: B-1s*6% !CD" S Zas' Project tion: LOG 4C ( s City, ST, Zip: rA Telephone -7&0'113 . -.17 73c; Acr— % Eli . State Lic. #: 9 6 Q City tic. #:. L a Arch., Engr., Desigger:50tjA �aS � — Cd// e / Address: `.3 CoR Pb � FE w 2A Z/0. City, ST, Zip: /�t� Aky— t, 'Q c /� 0.4 Telephone: '?'/f 72o -7022 Construction Type: Occupancy: State Lk. #: Project type (circle one : New Add'n Alter Repair Demo Name of Contact Person: f"/Q,6jJ Sq. Ft.: #Stories:. , .. #Units; Telephone # of Contact Person: Z 72b -76 Z -7Z Estimated Value.of Proj ev ; 400 # Submittal Plan Sets Structural Cafes. Truss Cafes. Energy Cafes. Floodplain plan, Grading. plan Subcontactor List Grant -Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees APPLICANT: DO NOT WRITE BELOW THIS LINE . TRACKING . PERMIT FEES qReq'dRec.'d Plan Check submitted Item Amount Reviewed; ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 20' Review, ready for eorrections/issue Electrical Called"Contact Person Plumbing Plans, picked up S.M I. Plans resubmitted Grading Review, ready for correctionsrssue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit Issue