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06-1119 (BLCK)�iq - • P.O. BOX 1504 ��" VOICE 760 777-7012 ' 4 78-495 CALLE TAMPICO FAX (760) 777-7011 y LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT . • D e: 3/20/.06 Application. Number. 06-00001119��,` f Owner: Property Address: 80646 VIA PESSARO GROVER KENT APN:` 772-500-011- - 80598.VIA PESSARO Application description:. WALL/FENCE LA QUINTA, CA 92253 Property Zoning: -LOW DENSITY RESIDENTIAL s p Application valuation: 2625 �a 3 Contractor: �� p Applicant: Architect or Engineer. PINNACLE COMMUNITIES, INC. 15 ENTERPRISE," SUITE #250 ALTSO VIEJO, CA 92656 �... _ (949)609-0740 Lic.'Nb.. 755775 — — _ _ _ _ _ _ _ _ _ _ _ _ _ , _ _ _. _ _ _ _ — - _ _ _ _ _ J4 _ y penalty LIC NSED"CONTRACTOR'S DECLARATION - - ' Y r WORKER'S COMPENSATION DECLARATION. •s� r I hereby affirm under enalt of perjury' hat am license nder provisions of Chapter 9loommencing with I hereby affirm under penalty of perjury one of .the following declarations: ' • Section 00001 of Division 3 of the Bu es n r i rCode, andmy License is in full force and effect. I have and'will maintain a.certificate of consent to self -insure for workers' -compensation, as provided - - Lice lass: B icense No.: 755775 - - _ " �,4 for -by Section 3700 of the Labor Cade, for the performance of the work forwhich this permit is. ..issued. ,_, - • at tractor: 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 ' OWNER -B ILDER DECLARATION - - - c insurance carrier and policy number are: - Y• . - I hereby affirm under penalty of perjury that.) am exempt from the Contractor's State License Law for the - Carrier STATE FUND Policy Number 1594304 - following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the Performa a of a work for which this permit is issued, I shall not employ any _construct, alter, improve, demolish, or repair any structure; prior to its issuance, also requires the applicant for the - person in any manner so to b come ubj to the workers' compensation laws of California, permit to file a signed statement. that he or she is licensed pursuant to the provisions of the Contractor's State an agree that, if, I shout bec- e I t the rkers' compensation provisions of, Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 00 't the Labor Cod I s If c mp - ith those, provisions. 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).: plicant: 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 WARNING: AILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - - - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ,. . improvements are not intended or offered for sale. If, however, the building or improvement is sold within• - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .. ' 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.). APPLICANT ACKNOWLEDGEMENT - '.1 1: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. , IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1.. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, I am exempt,under Sec. , BAP.C. for this reason - 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. - Date: Owner. 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 suc permit, or cessation of work for 180 days will subject ,. CONSTRUCTION LENDING AGENCY - permit to cancellation. ""- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that t abo infor atio i correct. I agree to comply with,all work for which this permit is issued (Sec. 3097, Civ. C.). - cityAndount ordinances and state laws relating to bu ding on o , a here authorize representatives of It o e te�upont bove-mentioned prop y r i u ose Lender's Name: `tpplicant or Agent): Lender's Address:. •LQPERMTT Application Number 06-00001119' r Permit . . WALL/FENCE PERMIT - Additional desc. Permit Fee . ." . . 54.00 Plan Check Fee 00, Issue Date Valuation . . . . 2625 Expiration Date 9./16/06 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9..0000 THOU BLDG 2,001-25,000 9.00 ------------ -- ----------------------------------_------------- Special.Notes and Comments 105 L.F. 6' BLOCK WALL, 125 L.F. 30" BLOCK WALL; ORCO SYSTEM Fee summary Charged Paid Credited' Due ----------------- ---------- 11�----------- ---------- ---------- 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 # Cityof La Quints 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 # ' Project Address:'q Owner's Name: A. P. Number: Address: Legal Description: Contractor: City, ST, Zip: Telephone:, Address: Project Description: City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr.; Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: 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 Calcs. 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:- 7rd 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 a"�