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08-1705 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001705 Property Address: -56840 JACK NICKLAUS APN: 762-070-046- - - _ Application description: -SPECIAL .LNSPECTION - Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 100 Tiht 4 4 Q" 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: 'cense No.: ate: 5ctor: �and' ECLARATION I hereby affirm under penalty mpt fr a Contractor's State License Law for the following reason (Sec. 7031. , ons ode: Any cityor 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 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.). 1 _ 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.). 1 _) 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: 11 M Lender's Address: LQPERMIT Owner: BEL ESPIRI 22522 AVEN RCH.SANTA Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/08 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 r 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 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 V;iaflrlort ith comply with those provisions. ate: ID/Si%pplicant: WARNING: FAILURE TOS CUR;%' RKERS' COMPEN N 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. I certify that I have read this application and state that the above in aticn' scorrect. I agree to comply with all city and county ordinances and state laws relating to buildin truction, d hereby authorize representatives of this county to enter upon the above-mentioned prop f spection rposes. Date: /0 nature (Applicant or A(ent): LQPERMIT Application Number 08-00001705 Permit ... . SPECIAL INSPECTION Additional desc Permit Fee 100.00 Plan Check Fee .00 Issue Date . . . . Valuation 100 Expiration Date 4/12/09 Qty Unit Charge Per. Extension BASE FEE 100.00 _ __ ---------------------------------------- - - Special Notes and Comments SPECIAL INSPECTION AFTER SFD HAS BEEN _ STABILIZED. MAY REQUIRE GAS TEST.. ARCHITECT/ENGINEER OF RECORD TO BE PRESENT AT FINAL. ARCHITECT/ENGINEER ACCEPTANCE LETTER REQUIRED, PER JLJ. Fee summary Charged Paid Credited Due Permit -Fee Total 100.00 .00 .00 100.00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 .00 .00 100.00 LQPERMIT CITY OF LA QUINTA SUB-CONTRA,,TOR LIST JOB ADDRESS -��- $qo �� --�� PERMIT NUMP-til'-'." 7057 OWNER'" BUILDER This form form shall be postpd, on the job Nrith the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list. -must be approved by the Building Division prior -,to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of buildina Dermit. For each anols able trade. all information requested 6elnw misthe r_mmnlPtPd hv annlir qnt "On Pilo" ic nit nn aerpntahlo raennnca Trade CIassifc Contractor aois L�n .... _. onsuatn . : . m �ance:.;'. -ice City Busiies Company Name Classification (e.g. A. B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number lxxxx) Exp. Date lxx/xx/xx) EARTHWORK (C-12) CONCRETE (C-8) e (, ES IPR 1 —C' -20 703 31 .?olu , u w 5 G V 0 0 11).11' Oct FRAMING (C-5) STRUCT. STEEL (C-51) MASONRY (C-29) PLUMBING (C-36) LATH, PLASTER (C-35) DRYWALL (C-9) -. HVAC (C-20) I ELECTRICAL (C=10): .'. ROOFING (C-39)..::. SHEET METAL (C-43) r FLOORING (C=:15). GLAZING (C-17). = — L X An INSULATION (C-2) . SEWAGE DISP. (C-42) PAINTING IC -33) CERAMIC TILE (C-54) CABINETS (C-6) , FENCING (C-13) , LANDSCAPING (C-27) ` POOL (C-53) P.O. Box_ 1504 LA QUINTA, CALIFORNIA.92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 September 23, 2008 Bella'Esprite Builders c/o HaryPerkins 22522 Avenida Empresa Rancho Santa Margarita, CA. 92688 Dear Mr. Perkins: An inspection of the property located at 56840 Jack Nicklaus Blvd. on July 23; 2008, revealed substantial damage to the foundation".of the dwelling and garage area caused by the differential settlement of soil and the dwelling was posted unsafe to occupy. I would like to take this time to make sure you are aware of the condition of the property and that we have recorded a Notice of Pendency, of Administrative Proceedings on the property. As per your conversation with our City Attorney, Kathy Jenson, the house.can not be occupied until the deficiencies are remedied.; That plans are required for any construction/remodel along with;a soil investigation report by an engineer. Any ,question please feel free to contact me at (760) 777-7021. in rely, SCC ackie Misuraca Code Compliance Officer Enclosure ' c: KSL Resorts Monica E. Amboss, Senior Attorney _50905 Avenida Bermudas La Quints, CA. 92253 (760) 777-7000 FAX (760.) 777-7101