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06-3307 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003307 Property Address: 52010 AVENIDA DIAZ APN: 773-212-001-22 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 153 Applicant: c&ht 4 4 Q" 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: License No.: 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 ($500).: (_) 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, ;r 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.). (_) I, as owner of the property, am exclusively contracting with lice on ors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' to Law does not apply to an owner of property who builds or improves thereon, and who co a s projects with a contractor(s) licensed pursuant to the Contractors' State license (_) I am exempt under Sec. , B . for thi so Date: 7i Owner: 0�' Tom{! TION LENDING AGENCY I hereby affirm under penalty of perjury th 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 Owner: VORWALLER EUGENE S 72875 PARKVIEW DR LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/06 Contractor: O Owner' 3 F'SE DOS LA QUINTA- 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 Policy r _ I certify that, in the performance of thew r hic is permit is issued, I shall not employ any person in any manner so as to becom j t to a workers' compensation laws of California, and agree that, if I should me ct t wo rs' compensation provisions of Section 3700 of the Labor Code, I wit c pl h those provisions. Dater �Z 0`' Applicant: WARNING: FAILURE TO SECURE W R ER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 r;or o ion related to the work being performed under or following issuance of this permit. I 2. Any permit issued as a result of this application beco s I a void if work is not commenced within 180 days from date of issuance of such per t, r ce ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the for ati s correct. I agree to comply with all city and county ordinances and state laws relatin nstr ct , and hereby authorize representatives of this coun to enter upon the above-mentioned pro ins c purpose Date: 9 /Z G Signature (Applicant or Agent): Application Number . . . . . 06-00003307 Permit WALL/FENCE PERMIT Additional dese . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 153 Expiration Date 3/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------7--------------------------------------------- Special Notes and Comments REMOVE EXISTING WOOD FENCE & REPLACE WITH 20 LF 6' ORNAMENTAL IRON FENCE WITH MESH SCREENING. Fee summary. Charged Paid Credited Due ------------------------------------- Permit Fee Total 15.00 ---------- .00 ---------- .00 15.00 . Plan Check Total .00 .00 .00 .00 Grand Total 15.00 .00 .00 15.00 LQPERMIT Bin # City of La Quinta Building $I: Safety Division P.O: Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: So�-��� �� • Owner's Name: ` Ido" © 1 A. P. Number: 3 _, ,2 _ Address: Legal Description: City, ST, Zip:- �. Contractor.: s .Telephone: � ��- ..Address: Address:.' Project Description: City, ST, Zip: Telephone: State Lic. # : Arch., Eng., Designer: Address:. 4/ IA City, ST, Zip: G� Telephone: ' , Construction . ype: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq: Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Proj A,- — APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called .Contact Person Plan Check Balance Energy Caics. Plans picked.up : Construction , Flood plain plan. Plans resubmitted Mechanical Gradingplan 20 Review, ready for correctionsrssue Electrical Subcontactor.List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H O.A. Approval ' Plans resubmitted Grading . INHOUSE:- '^' Review, ready for correctionsfissue Developer Impact Fee. Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees ' Total Permit Fees CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION a DATE / " - o 6 By D(A>M so tE�Tvf-101- 10 2►& �b l te,ebo,., or 07- � &Mt - A RE—INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED of INSPECTION. NO EXCEPTIONS! vo" l PS .Sol - o i v 4w1 r. bvG L: Dt'� C �t� I► b 010-'(5 QA �l �b. of