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04-5333 (BLCK)t • e wc4j. i BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 .LLE TAMPICO FAX (760) 777-7011 k, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT. peri lumber :_04-00005333 '_ ; Date 7/02/04 roperty Address 80285 VIA CAPRI APN: 772-440-053- - - Applicat.iori description WALL/FENCE Property Zoning . . ... . LOW DENSITY'RESIDENTIAL Application valuation 10000 Owner Contractor BACIGALUPI FREEMAN'INC, D-. L.. .80285, VIA. CAPRI. 7:2880. FRED.: WARING DR, '...C13 LA.QUINTA.: :.CA 92253 PALM DESERT' 'CA 92260' • " .. (760) .773. -.9.024.• :. . WCC : STATE FUND : 229.0022.647 ;' 01./01/05 :CSLB: 706799 05/31/05 CCC : B. Permit WALL/FENCE .+PERMIT Additional desc Permit Fee' 11.7.00 Plan Check Fee ..00. Issue Date Valuation, 10000 Expiration Date 7/02/05 Qty'.. Unit Charge. :Per Extension BASE FEE 45.00 8.00 9.'0.000' THOU BLDG 2, 001-25, 000' " 72 .*00 Special Notes and Comments 400 LF GARDEN DLOCK WALL, ORCO STANDARD ':Fee summary.. Charged. Paid Credited Due Permit Fee Total 117.00. 00 .00 117.00' Plan Check Total .00' .00-.00. 00 Grand Total 117.00 00 .00 117.00 P.O. BOX 1504 • 'GC�� 78-495 CALLE TAmpico LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Address: Architect or Engineer: VOICE (760) 777-1012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and, Professionals Code, and my Llcen in full force end effect G, License CIasS '.'S License No. rte' Zate- Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any dty or county that requires a permit tD 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 Contractors' State License Low (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 hundreddollars.($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the wofk'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.). (, 1, 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) fcensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. BA P.C. for this reason Date Owner. WORKERS' 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 ,perfammanoe of the wok for which this permit is issued. _ 1 have and will, maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wok for which ifds permit is Issued. My workers' compensation insurancecarrier and policy number are: Cartier Policy Number _ 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions: Date Applicant Zj� 4 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 construction lending agency for the performance of the work for which this pemdt 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 lt)e work being performed under or following issuance of this permit 2. Any permit issued as a result of this application becomes null and vold 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. .1 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 Z�e<./4W= ction, and hereby authorize. representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature (Applicant or Agent): /L GGA X�✓� — ��J7 0 06/30/2004 03:52 7603467802 DIXON MASONRY PAGE 01 t -6"-8 " HIGH 0RC00" WALL .SYSTEM SITE WALL FOR 80 MPH WIND Cad EXPOSURE C -�- +� oPrrcrrAt KAT cap ORCU 6816, 6616` OR 6618. a4U L;ROV7ZD ONLr 0 VMT STM AC)TF• PROVIDE 44 DOWEL 8 P4 DROP -M ROR AT EACH SIDE Of COAMWI X71Nr OE9QV CgnE UA: 1. AU.OWAXESOM 86a M FRESS "-1500 fST= 2AU0lW4 LELATERALJAA.W AReWRE-150PCP' YCOAUWfZA2WXffS7RBUGM r 2000 PSS 0 26 DAYS. 4. R.iaNFM7W STEEL : GRADE 40 MR X4 BARS AlW 9qA [FR GUX 60 RIR 05 AND LARGFR 5. SU-9f9C - ZONt 4, 2+ A N MOM TYPEA SOURCE. 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LLAEARP rrW5MORTAR PRVPVR77ONED L 0VG UBC TABLE AV "� 'O� 21-A I PMTC£41VTTO1/7PART LIME TO4-W PAVY DAMP, (IB"O/C FOR IB'9.ONGOW) L005F-u„u If 8. GR()UTfgR WtKRE7PNi" TD 61 I PART tTA1ENT J03 16" PARTS sato (GRWTPWYCCWrALN2 PARTS 3101 PEA GRAVEL Y t HSI 1716R CONDITIONS ARE FAVORABLE AND BLOCK UUAC78STRULTED CELL SUE)SSLFFIC7FJff YO ALLOW GPM C-gOVTRiDWV. WATER SNAIL BEADDIA TO PROIOUCE &000 GOUT FLOW KV ROUT SLGRECr 77OH OF YK 07N97IAgaS. 9. BLOCX STIN MAYBE WET -SET I.W'BVTU m.F"ITNG WHILE THE COWl7+E7F 15 PL VX ixO(X STEM MAY OE PLA(TD 70 FITHE R EDGE OF THE IW" TYPE fOOTDVG: LEVR GRAMC 0077i SIDES 1O. F00TIM ML9T SEPOURED ON OR NM UND MAWW BUILDING SAF��YI 18%P P FOR CONSTRUCTION BY M IURAL SOIL OR 0'V CDlVAaW FILL WPNA MLNTHUM C OMPAC nON OF 90 96. 11, FIR5T 96PEC TION TO 66AF/E9? MaIMG MM6 fi£S' ARE R64DY POR CONCRE7EAh0 ALL REQUIRED STEEL A MVJN PEAOF SECOND BCAPWTION 70 BE WNHV THE REQVDW ✓ A = IS IN FLAcFMO TIE aocx WALL s RB00Y TO oovr e4 HORZ Ll N - (31DTAL) t2 M VNUM C40MMCX JOfNrSPACMG• 40'CYC OR 20' O/CIP 7ff WAIL LS TO BE f� :1 .1