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07-0210 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0700000210' _ Property Address: 80820 VIA PORTOFINO APN: 772-490-002- - - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL 'j Application valuation: 7000 a! Applicant: T4ht tP " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licenseder provisions of Chapter 9 (commencing with Section 7000) of Division 3. of the Busi ess a Professio al ode, and my License is in full force and effect. License Class: A -C -CS I Li nse No.: 840210 JAJDate: R = _ �� Cont�reciar' OWNER -B D 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 155001.: (_ 1 1, as owner of the property, or my employees with wages as their solecompensation, 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 theworkhimself 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 (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 tothe .Contractors' State License Law.l. 1 _ 1 I am exempt under Sec. , BAP.C.•for this reason Date: f' 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 1/19/07 Owner: STEVE KESSLER ! /1 80820 VIA PORTOFINOiD,) [/=L� LA QUINTA, CA 92253 1 SAN2 2 2007 �[ Contractor: CITY OF L CROCODILE CONSTRUCTION—-EINANCR 50660 EISENHOWER DR, #914 LA QUINTA, CA 92253. (760)360-5895 Lic. No.: 840210 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 fo'r 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 STATE FUND Policy NuMer 1828832-2006 I certify that, in the performance f the wor fo which this permit is issued, I shall not employ any person in any manner o as t ecoma s bie. to the workers' compensation laws of California, and agree that, if I shd be s )e to a workers' compensation provisions of Section 3700 of the Labor Cad , I s ��j forth c y with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSAftN 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 work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above fo ation is orr ct., I agree to comply with all city and county ordinances and state laws relating to buil con tr do , an here authorize representatives offtthis �.county to enter upon the above-mentioned pr_ y f r in a tion rp e . Date31s► D y f Signat'ure-lApplicant or Agent): Application Number . . . . . 07-00000210 Permit .". . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date Valuation 7000 Expiration Date 7/18/07 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 -=---------=-------------------------------------------------------- .!. Special Notes and Comments 280 LF 6' BLOCK WALL PER CITY STANDARD Fee summary Charged Paid Credited Due Permit Fee Total 90.00 .00 00 90.00 Plan Check Total .00 ..00 .00 .00 Grand Total 90.00 .00 .00 90.00 ct Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1�p Project Address: 0.9'a,() A('t��Inb Owner's Name: STF(t, A. P. Number: Address: Legal Description: Contractor: (�� l� ri5 ` City, ST, Zip: Telephone: Address: ��`a ' (� Project Description: FVOL City, ST, Zip: Q [ tkL 91OC—t LL)At 6 A4 Rg 10 Z Telephone: (,C}.`A- �VYI A-'6 W c State Lic. # : W46 ala City Lic. #: Arch., Engr., Designer: Uf �P_6" Address: City, ST, Zip: Telephone: `7 (p Q a -W-907 State Lic. #:�'� I'6 onstruction Type:Occu an taL� P cy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 6( �<� Sq. Ft.: # Stories: 1.#Units: Telephone # of Contact Person: p e) Estimated Value of Project: U ()00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Pians resubmitted Mechanical Grading plan' 2" Review, ready for corrections/issue Electrical Subcoutactor 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees