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06-1952 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001952 Owner: Property Address: 53100 AVENIDA VILLA BUILDING HORIZONS INC APN: 774-064-004-20 -000000- 42600 COOK ST STE 120 Application description: WALL/FENCE PALM DESERT, CA 92211 Property Zoning: COVE RESIDENTIAL Application valuation: 3250 Contractor: Applicant: Architect or Engineer: BUILDING HORIZONS 42600 COOK STREET, #120 PALM DESERT, CA 92211 (760)340-4748 Lic. No.: 812160 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of.perjury that am licensed u er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines d Pro fes ' als Code, and my License is in full force and effect. License Cla s: B License No.: 812160 Date:Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury tha am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city of 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 ($500).: I 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 ISec. 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 work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPEILAIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/10/06 D � D MAY 1 2 1006 CITY OF LA 0iD►A1TA 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. 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 Number 0003523-2004 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, if4WORKCOMPENSA1r1'0N subject to he workers' compensation provisions of Section 37 0 of the Labrthwi ply with those provisions. Date:plicant: WARNING: F LURE TO SECURCOVERAGE 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 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 county ordinances and state laws relating to buildin construction, and hereby authorize representatives oft is coun to enter upon the above-mentioned pro r inspection purposes. Date: Signature (Applicant or Age Application Number . . . . . 06-00001952 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3250 Expiration.Date 11/06/06 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------7------------------------------------------------ Special Notes and Comments 130 LF. COMBO WALL 2' RETAING WALL WITH 6' GARDEN WALL ON TOP 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 LQPERMIT Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701 Building Permit Application and Track-.ng Sheet Permit # Project Address:s&-lCO%{j/�� f� p Owner's Name: BV1aIdV6 �,�Z&NS A. P. Number: 77y- 06 , 00 y Address: 4-f -600 wed Legal Description: City, ST, Zip: Contractor: d dv fZ�`lLO�S Telephone: 3yQ - Address: Project Description: City, ST, Zip: I.3U �G • F Go»fBo a t/,Ii•dI oZ " /f eW AMN Telephone: City Lie. #: �� S• State Lie. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Persorr--�/,,W,/ Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: �► P .3 `�0 '`r/ %� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMrr FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Cteck Balance Energy Cales. Plans bicked up Constriction Flood plain plan Plans resubmitted Mechatical Grading plan 2°" Review, ready for corrections/issue Electri4al Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3.4 Review, ready for corrections/issue Develo ier Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �,�