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06-0996 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C06"00000996" Property Address: 5174730`CALLE-HUENEME APN: 770-164-010-15 -000000- Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY RES Application valuation: 3583 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 736920 Date: Contractor: 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (9500).: (_ 1 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.). - (Ile ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. r 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason ,,,,Data: 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: lif LQPERMIT Owner: POWER FINANCE P.O. BOX 134. LA QUINTA, CA 92253 Contractor: CONTEMPORARY HOMES INC 75271 STARDUST LANE INDIAN WELLS, CA 92210 (760)568-1404 Lic. No.: 736920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 0/06 ----------------------------------------------- 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 S ATE FUND Policy Number 1576408-2005 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 become subject to the workers' compensation provisions of Section 3700,0, of the Labor Code, I shall rthwith comply with those provisions. at _11- 0 plicant: �', L 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. 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. 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 stat aws relating to building construc 'on, and hereby�authofize�epMsentalives of this c ty to oeorrdinances the ove-mentioned pro a or in pec rp te:5 I S1 ture (Applicant or Agent LQPERMIT •Application Number 06-00000996 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date Valuation . . . . 3583 Expiration Date 9/06/06 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 '9.0000 THOU BLDG 2,001-25,000 18.00 Special Notes and.Comments 100 L.F. 6' GARDEN WALL, 50 L.F. 5' COURTYARD WALL, BOTH CITY.STANDARD Fee summary Charged Paid Credited' Due Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total .00 .00 .00 .0.0 Grand Total 63.06 .00 •.00 63.00 LQPERMIT F5 J1 is •\ ' Binllt+ Cityv of La Quinta Building at Safety Division Permit # P.O. Box 1504, 78-49S Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet as Project Address: . 5 1 1 �j (� � .ktj-,_e � 4 Owner's Name: �� l� Q- - � t -Yt- C ,y` C A. P. Number: 777-0 • ' 1 41 O / D Address: Legal Description: t -vt K Contractor. ,/1� 2®- y �►' J-1V—r, � City. ST, Zip: �� . Address: . O. '3 Project Description: Cm' ST' Zip: v' ' aS 3 ' {' GZ�✓G� telephone: f µCity ,�Lt State Lie. * : -7-3 (p 9 Lic. tl: Arch., Engr.. Designer: -y �. /� J-fp7'.?/n-0 . Address: � Gt,zQ6ZJ City. ST. Zip: J� c Q— .O - P oL-o 3 Telephone: State Lie.q: .:'i�'��f .,y;�,',';� �.:. - s ^'::: `" Construction Type: Occupancy: Project circle one New Deo 1 type ( ). Add'n Alter Repair Sq. FL: N Stories: M Units: Name of Contact Person: Telephone d of Contact Paton: bj"' imated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE X Submittal Req'd R'ee'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amongt Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Plan Check Balance Truss Cales. Called Contact Person Energy Calcs. Plans picked rap COnttftletloq Flood plain plan Plans resubmitted 111ech30ie2l Grading plan 2" Review. ready for eorrectioWlssue Subcontactor List Called Contact Person [Electrical lumbing - AI.1. Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading Developer Impact Fee IN HOUSE:- Planning Approval ''' Review, ready for eorrectionslissue Called Contact Person A.I.P.P. Pub' Wks' Appr School Fees Date of permit issue Total Permit Fee TJ