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05-4287 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: t0�5-000^ 0'4-287 Property Address: 80080 VIA PESSARO APN: 772 -550 -022 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2300 Applicant: Architect or Engineer: - - --LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed unrovisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Profession s de, a my License is in full force and effect. License Class: ;�� - ensa ' Date: - `'(J Contract r. 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 aril 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 apermit 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 astheir 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 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 workfor•which this permit is issued (Sec. 3097, Civ. C.)'. Lender's.Name: Lender's Address: LQPERMIT Owner: PRESTWICK DEV' P O BOX 980 LA QUINTA, CA 92253 Contractor: WHEELOCK•MASONRY, S.K. WCC: STATE FUND' WC: 1744382-2005 .CSLBr 381984. 06 07 ----------------------------- 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. XI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor �T Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C29 Policy Number - - - - - - - - - - - - -- -- I certify that, in the performance of the work for which this permit is issued, I shall not employ any personin any manner so as to become subject to orkworkers' compensation laws of California, and agree that, if I should become subject to er ' compensation provisions of Section 3700 of . e Labor Code, I forth ith c y wit ose provisions. - 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 willsubject permit to cancellation. - (-certify that I have read this application and state that the above informatio c rest. I agree to comply with all city and county ordinances and state laws relating to buildin constr triWa�O�Ael ize representatives of this unty to enter up the above-mentioned pro for i p cti I.:M_ ' nature (Applicant or Agent): VOICE (760) 777-7012.-,.`. FAX (760) 777-7011 INSPECTIONS (760) 777-7153,]-'�" Date: 9/23/05 Application Number 05-00004287. r Permit . . . WALL/FENCE PERMIT" ' Additional desc " Permit Fee- . . . 54.00 Plan Check Fee ..00 Issue Date Valuation 2300 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 45-00 1.00 9.0.000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------.------------- Special Notes and Comments 92 L.F...6' GARDEN WALL, OCO.SYSTEM.. Fee summary Charged, `Paid Credited Due Permit Fee Total 54..00 .00 .00 54.00 Plan -Check Total 00 .00 .00 .00 Grand Total.54.00 00' 00 54.00 "LQPERMIT Bin A, Cinta ty. of La Qui -Building _U -Safety- Division-:._....... --._..-- ---- ------ P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # q2S 7 Project Address: _ �� .,�7_ i747 Owner's Name - A. P. Number: 4� �— 20 5 vs¢ Addiess: Legal Description: City, ST, Zip: C' Contractor: r1) � lgGLer(e 0,015-d •Ur7j Address: Telephone: t)37 4��. � . Project Description: City, ST, Zip: / �? zS�J &JA°cam Telephone: 2 Z �j � ' o�C. v State Lic. # : 5' % City Lic. #: Arch., Engr., Designer: Address: O s, City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy:- P Y: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:. Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING 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 Cates. Plans picked up Construction Flood plain plan Plans resubmitted.. ` Mechanical Grading plan' 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing: Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees