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07-0059 (BLCK)'� fes.:• P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:07-000000519 Property Address: 80455 VIA PESSARO APN: 772-520-057- - - Application description: WALL/FENCE Property Zoning: 'LOW DENSITY_ RESIDENTIAL Application valuation: 3500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: 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 P fessionals Code, and my License is in full force and effect. License ss: C29 censeNo.: 497804 • ate: ` ontractor: R -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 theContractor's State - a 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 - 0 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.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 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.). (_) 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: Lender's Address: Owner: MCGUIRE 80455 VIA PESSARO LA QUINTA, CA 92253• VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 1/08/07 Contractor: ELLINGTON MASONRY, STEVE 68675 PANAROMA ROAD CATHEDRAL.CITY, CA 9 (760)320-9481 Lic. No.:.497804 D JAN O 8; 2007 ' - WORKER'S COMP NSATIONORK p� I hereby affirm under penalty, of perjury one of the followi 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. ' 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 STATE FUND Policy Number 0007283-2007 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 becoubject to the workers' compensation provisions of Section , 3700 of the Labor Code forthwith comply with those provisions. - `f7atea� WARNING:. FAIL RE,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 r 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 notcommenced 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 is correct. I agree to comply with all city and unty ordinances an tate laws relating to building construction, and authorize representatives of th' :unsty to enter upo eabove-mentioned property for ins ec ' urposes. ate v gnature (Applicant or Agent): - LQPERMIT , Application Number . . . . . 07-00000059 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . Valuation . . 3500 Expiration Date 7/07/07 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2;001-25,000' 18.00 --------------------------------------------------------------- Special Notes and Comments 140 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged Paid• Credited Due Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total. 00 .00 .00 .00 Grand.Total 63.00 .00• .00 63.00 Bin # City of La Quinta 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 # r„ ;J Project Address: _ �© TS Owner's Name: 1,�7 C 6 &11?, C A. P. Number: e i7 t Z�7� j Address: ZD—, Z 7-� I// V /?zjS �Z6 Legal Description: It- City, ST, Zip: j Q QfJ,fit�/� Contractor: Contractor:Sr�vr L GCljV670G1s /�jflS j,Qi'. Telephone, Project Description: ^�CG ,41X614 Address: �i4/�/�/�,f7/?7� City, ST, Zip: COi�/ 0 U/ 5' �.0 %ZZ T . �`Z,4J�i�� G L Cb SI V Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction T , ZS' ype�/yy,�F.�/ Occupancy: 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 Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Rcq'd Reed TRACKING. PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready lorhrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.pliiu 2" Review, ready for correctionslrssue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3' Review, ready for.corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees