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06-0924 (BLCK)ctij ' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000924 Property Address: 52400 AVENIDA VILLA APN: 773-274-007-16 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: _ 2040 Applicant: IArchitect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect: License Class: License No.: Date: Contractor: OWNER -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 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 an,...y����7777applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (� 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 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.). r (_) 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.). ( ) I am exempt under, Sec. , B.&P.C. for this reason mate: , 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 ISec. 3097, Civ. C.). ' Lender's Name: - Lender's Address:' LQPERIVIIT VOICE (760) 777-7012 ` FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:, 3/07/06 Owner: WALKER JIM S C/O SEC HELD NOTES RM 6240 P O BOX 44813" WASHINGTON, DC 44813 Contractor: Owner WORKER'S COMPENSATION DECLARATION 1 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 -- - -- --- --- -------- ----- Policy Number 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 become subject to the workers' compensation provisions of Section /{3700 of the Labor Code, I shall forthwith"""co�npmpl witthhh those provisions. (/ plicant:(�(�[/(r�l�/ WARNING: FAILURE 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 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned pro y for inspection purposes. Sate: 3 % Q ignaturelApplicant or Agentl:�� Application Number 06-00000924 Permit WALL/FENCE PERMIT Additional desc . Permit.Fee 54.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 2040 Expiration Date 9/03/06 Qty Unit Charge Per Extension BASE FEE -45.0.0 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 -- - - - - - - Special Notes and Comments 190 LF. COMBO WALL 2' RETAINING WITH 6' GARDEN ON TOP & 50 LF. GARDEN WALL (ORCO SYSTEM) Fee summary Charged Paid Credited Due Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 .00 .00 54.00 LQPERDIIT P.O. BOX 1504' • ' APFLICATION ONLY �t7&105 CALLE ESTADO Address �Z j/lX� �U�` LLiT LA QUINIA,_C _ LIFE ORS 2TY25533 . Owner Mailing Address City,/ Contractor Contractor Zip� �i� L "� gl1 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 11,73 Fel. 7 - .�� � ega . escnp Ion Project, Description 5�7i Address��{j�w////// t •..: City zip Tec:: State Lic. i£ Classif. �p3 ���� City Lic. # �j GJ� Sq. Ft. �S 3� No.- No. Dw. Size Stories Units Arch., Engr., - Designer ZJ f�/NA 1"1550,e- —Ie -5 New ❑ Add O Alter ❑ Repair ❑ Demolition ❑ .. Address (� 570 di✓l/L bo/z-ar Tel.D/ G/y' S�� 3/6 ccs n err i�� c L a jc �a..4-�c s " L , Cit /) Zip State Lic. # } 1 LICE SED CONT9ACTOR'SIDECLARATION I hereby,affirm that'1 a4lic�nsed unde provisf 41 of Chapter 9 (commencing with Section 7000) of Diviislo/� of thJ B/usi`ness and,/rr.ffeessi ns Code, and m license is in full force and efiec���G1�i /��T�,G1/�� y SIGN-� {' /'" i' / DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the, applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that.he 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). 1-: 1, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his'own employees, provided that such improvements are not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) 1'1 I, as owner of'the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property wh builds or. improves thereon, and who contracts for such prole is with a contracto(s) licensed pu uant to the Contractor's License Law.)- % I am exer pt under Sec. B. 8 P.C. for this reason ��/ / Estimated Valuation PERMIT AMOUNT - Plan Chk..Dep. Plan Chk. Bal. Const. Mech. Electrical _ Plumbing + S.M.I. Grading y Driveway Enc. ' Dale OwnerIt frastructure n WORKERS' CO PEN SATION DECLARATION I hereby affirm that I have a.cerl ficate of consent to self -insure, or a certificate of Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) - Policy No. Company - nsz s -tn n R n n, 17 Copy is filed with the city. ❑ Certified copy is hereby furnished. , " .- TOTAL ��..LL. ^` i REMARKS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) • I certify that in the performance of the work for which this permit is issued, I shall not ein ploy any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: ' Minimum Setback Distances: ' Front Setback'from Center Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Rear Setback °rom Rear Prop. Line Side Street Setback from Center Line / Side Setback from Property Line Lender's Name . FINAL DATE INSPECTOR Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 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 building construction, and hereby authorize representatives sof this city to' enter the above.. mentioned property for inspection purposes. • �, Issued by: _ Date—Permit. 1 "Validated by: Signature of applicant Date Mailing Address Validation: _ 4r, City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES IST FL. SO. FT. g $ UNITS 2ND FL. SO. FT. L2 POR. SO. FT. (fid GAR. SO. FT. @ CAR P, SD. FT. WALL SO. FT. @ SO. FT. ESTIMATED CONSTRUCTION VALUATION $ MOBILEHOME SVC. POWER OUTLET YA11_ BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation COLL, AREA FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM OTHER APPJEOUIP. KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB GRADING I cu. yd. g -Plus-X$-=$ SO. FT. .@ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL FINAL INSP. SO.FT.GAR @ 3/ac USE SEWER PIPING PERMIT FEE VENTILATION PERMIT FEE EtGAS RMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL ' HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING I cu. yd. g -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL