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06-2676 (BLCK)P.O- BOX 1504: VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/14/06 Application Number: XUIG: 0V0:002676 --r Owner: Property Address: S2030 AVENIDA VILLA SMITH SETH B " ARN: 773-234-001-22 -000000 S2030 AVENIDA VILLA D Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL --------------- - --------- - -- 4 Application valuation: 87 Contractor: Applicant: Architect or Engineer: Owner /j��4/0A a • LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty ol,perjury that I ani licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I -have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation " OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Policy Number -. following. reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the 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 as to be time subject 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 d agree that, if I should beco subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Code, 1VIorthwith comply with 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 (5500): ; ,4,Date: V f9PPlicant:� 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: F 'LU TO SECURE WO KE ' COMPENSATI IJ 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 P NA" ES 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 oroffered 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, 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 Licens aw.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( 1 I am exempt u erSec. , B.&P.C. or this reaso . S 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:_ �TLOwnec= - 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, 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 hal read this application and state that the bove ' formation is correct. I agree to comply with all work for which this permit is issued (Sec.'3097, Civ. C.) - - city and cou y o finances and state laws relating to buildi g struction, and hereby authorize representatives of t ' y togr er upon the above-mentioned propert r sped purposes. Lender's Name: - !/tO r--- -. Date�x D� Signature (Applicant or Ag Address: - LQPERMIT Application Number 06-00002676 '. .: `Permit WALL/FENCE PERMIT. ' Additional desc . Permit Fee 15.00• Plan Check Fee 00 Issue.Date Valuation 87 - Expiration Date 1/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------- Special Notes and Comment 4 LF 5' BLOCK WALL PER CITY STANDARD TO REPLACE GATE @ FRONT OF SFD PER CITY STANDARD. Fee summary Charged Paid Credited Due ----------------------- Permit Fee.Total 15.00 .00 ---------- .00 15.00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 .00 .•00 15.00 ' LQPERMIT 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 # Project Address: Owner's Name: L l A. P. Number: Address: 5o kqVev0e?q. V jO Legal Description: City, ST,_ Zip: Contractor: _ Telephone: �j Address: Project Description: 1 G C- wq City, ST, Zip: Telephone:MEW State Lic. # :. City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: - _ .J_ Telephone: + �I Construction Type: Occupancy: State Lic. #: 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 LINE # Submittal Req'd . Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Chedc Deposit Truss Cates. 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:- '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 Pernit Fees �; V�v AVIyU Dear Property Owner: 4LLE TAMPICO — LA QUINTA, CALIFOF )NE' (760) 777-7012 FAX (760) 777-701 OVWNER/BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder' you are the responsible p2.rty of record on such a permit. Building permits -are - not required to be signed by property owners unless they are personally performing their own work. If your work is bing performed by someone other than yourself, you may protea yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have 'a business license from the City or County. They are also required by law to put their license number on all permits for which they apply, Ifyou plan to do your. own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00_or more -for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. if you are an employer, you must register with the State and Federal Government as an emplcyer and you are subject to several obligations include State and Federal income tax -withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contriL-utions. There may be financial risks for you if you do not carryout these obligations, and these risks am especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal 3evenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State.. Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally orthroughtheir own employees, without a licensed contractor or subcontra;tor, only under limited conditions.' A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneodsly, implying that the' property owner is providing his or her own labor and material personally. Building permits are. not required to be signed by 'property owners unless they are performing .their' own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The.building permit will not be issued until the verification is returned. Very truly yours, - CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quint CA 92253 (760)7, 60)7 -7012 F 60 777 011 1� 06 OVER SI AT ,(RE/DATE / �Z, 7 PROPERTY ADDRESS PERMIT NUMBER(S)