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07-1105 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x'"-07-00001105 c&ht 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: 53188 VIA PALACIO - APN: 772-550-050- - - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8900 Applicant: A 10 Architect or Engineer: --------------------------------------------------- LICENSED NTRACTOR'S DECLARATION .. I -hereby affirm under penalty of pei42! er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Code, and my License is in full force and effect. ' Lice Cla C8 C27 C29 e No.: 656128 Date: l C ,actor. ER 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 thatrequires 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 _ 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode: 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 pursuantto the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: . CONSTRUCTION LENDING AGENCY 1 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: LQPERMIT Owner: PARKER 53188 VIA PALACIO LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 .Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 ' INSPECTIONS (760) 777-7153 Date: 4/11/07 . APR 11 2001 CITY AF IA QUINTA FINANCE ®EPi: ------------------------------------------------ WORKER'S COMPENSATION DECLARATION I 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 the performance of the work for which this permit is _Vissued. Lhave 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 nu er are: Carrier SEABRIGHT olicy.Number • BS1070510. I certify that, in the performance f the work for which this permit is issued, I shall not employ any person in any manneras to ecome subject to the workers' compensation laws of California, and agree that, if I s u beco a subject to the workers' compensation provisions of. Section - 700 of the La o , I shall rtcomply with those provisions. ate: - . D plicant: WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR MINAL 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 becom null and void if work is not commenced within 180 days from date of issuance of such permi or cessation of work for 180 days will subject . permit to cancellation._ I certify that I have read this application and state tha a bove in armation is correct. I agree to comply with all city and nun ordinances and state laws relating t, b ng cons M and hereby authorize representatives of this c n to tJerrupon th above-mentioned rope 'nsp ct, urposes. e: .l�/r/TSi ture (Applicant or A ent Application Number . . . . 07-00001105 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee" 108.00 Plan'Che.ck Fee 00 Issue Date . . . Valuation . . . . 8900 Expiration Date 10/08/07 Qty Unit Charge Per Extension BASE FEE 45.00 7.00 9.0000 THOU BLDG 2.,001-25,000 63.00 --------------------------------------------------------------- Special Notes and Comments 122.L.F. 6' GARDEN WALL, CITY STANDARD; 96 L•.F 7''GARDEN WALL, ORCO DETAIL & 138 L'.F. COMBO WALL 2' RETAIING, 6' - GARDEN ALSO.ORCO'DETAIL • Fee summary Charged Paid Credited Due - ---- Permit Fee Total 108.00 - 00 --- -------- --.00 ----108.00. Plan Check Total 00 .00 .00 .00 - Grand total 108.00 .00. .00 108.00- LQPERMIT Bin ## C*ty of. La Quinta Building 8i Safety Division Permit #P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 �` Building Permit Application and Tracking Sheet Project Address: _I b Owner's Name: ke-P-, pm. . A. P. Number: a �, J �J 0 , ©� Address: 5-3—) Al 1 � jk6 O Legal Description: ` V City, ST, Zip: Contractor: ,may. Telephone: i Address: ( Project Description: City, ST,N�p p� q _ _ Q1.bC�w,�LC. �. ' � ��� o�co A& 4 L Telephone: �� / ZZ Z State Lic. # : r!p S� t Z City Lic. #: Arch., Engr., Designer: ZZI Address: D City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: _ Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Z o t•= # Stories: # •Units: Telephone # of Contact Person: -I- G-0 _ Z Estimated Value of Projec APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd T ------ VG . Plan Sets Plan Check submits ed 0 Structural Calcs. Reviewed, ready fo Truss Caics. Called Contact Per Energy Cales. Plans picked up Flood plain plan Plans resubmitted Grading plan 2nd Review, ready G Subcontactor List Called Contact Per Grant Deed Plans picked up H.O.A. Approval Plans resubmitted IN HOUSE:- 3H Review, ready fo Planning Approval Called Contact Per Pub. Wks. Appr Date of permit issu, School Fces PERMIT FEES tem Amount corrections Plan Check Deposit on Plan Check Balance Construction Mechanical r correctionsrissue Electrical on Plumbing 5.114.I. Grading r corrections/issue Developer Impact Fee on A.I.P.P. Total Permit Fees l 4 a "I ff