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04-5398 (BLCK)�b 00j- � �'� .r eon � ►A BUILDING & SAFETY DEPARTMENT N. ox 1504 (760).777-7012 QF5CALE TAMPICO FAX (760) 777-7011 F►�P LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153.. BUILDING PERMIT Application Number 04-00005398 Date 7/09/•04 Property Address . . . . . . 44060 DALEA CIR APN: 604-091-019-19 -22982 - Application description WALL/FENCE Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation.. 6150 Owner Contractor ARNSWALD TIMOTHY J/CHERIE DESERT CONCETS LANDSCAPE/MAINT 44060 DALEA CIRCLE 79469 COUNTRY CLUB DR, STE 'I LA QUINTA_ CA 92253 INDIO. CA 92201 (760) 200-9007 WCC: STATE FUND WC: 137332003 10/01/04 CSLB: 60'0533 10/31/05 CCC: C27 Permit . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date Valuation . . . . 6150 Qty Unit Charge Per Extension BASE 'FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 Special Notes.and Comments: 246*LF 6' SLUMPSTONE GARDEN WALL ALONGSIDE/FRONT P/L. CITY STANDARD DETAIL. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- ----- Permit Fee Total 9.0.00 .00. .00 90.00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00 .00 .00 90.00 P.O. Box 1504 - VOICE(760) 777=7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: r S� 3 gy Date: 7_ Applicant: - Architect or Engineer: — Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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. Pmfessionals. Code -and my od e;and-my Li se is"in full force Hnd effect. ��_ T) ("bb License Class - Z �% License Nom �'.1 �Da a /"— ' "0CPCon( tractor c `G�/1� �6�� L/��4.✓J�� iiG� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 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.). U 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.). 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: 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 theperfonnance of the work 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 work for which this permit is issued. 'M,,X�t workers' compensation insurance carrier 1 certify that, in the performance of the work f664tilch this perm 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, l shall forthwith comply with those provisions: Date Applicant 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 permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's 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, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any actor 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 I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize.representatives of this county to este pon above-mentioned property for inspection purposes. q�f-� 06 8 7�ft�- Goy ter' ( � to NTA TY DEPT. FOCONS RU E DATE ��8Y Ves'. Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE 4 w Date 11/18/96 APN # 604-091-019 No. 15025 Jurisdiction La Quinta Owner Name Michael & Maria Neatherton Permit # No. 44060 Street Dalea Cir. Log # City La Quinta Zip 92253 Study Area 3 3 Tract # Lot # Square Footage 200 Type of Development Residential Addition No. of Units 1 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 200 or $ 0.00 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By n/a Name on the check By Dr. Carol McGrew Administrator in Charge Fee collected /exempted by Signature Pauline Pearson Exempt Telephone $0.00 Check No. n/a Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting