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07-0489 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000489 Property Address: 52333 AVENIDA HERRERA APN: '773-263-029-5 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 808 Applicant: Tay/ 4 4 Q" Architect 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 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C13 License No.: 875156 Date: Contractor: OWNER -BUILDER DECLARATION 1 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 ($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.). (X 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: _11/6,a 07 Owner: s� 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: I..QPERMIT Owner: LEISKE KEVIN 52333 AVENIDA HERRERA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/14/07 Contractor: SAM'S FENCE INC D 66215 HIGHWAY 86 THERMAL, CA 92274 155 �E_ ( ; (760)397-0213 FF9 ` ) Lic. No.: 875156 CITY ®r- Le, -��" : T" � ----------------------------------------------- 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 ENDURANCE INS Policy Number WEN1002130-01 1 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 comply with those provisfins. n �Date:J rrJ G 7/Applicant: _ 157 ------- 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 property for inspection purposes. -�DatejVX�40Signature (Applicant or Agent): —� c Application Number . . . . . 07-00000489 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 23.00 Plan Check Fee .00 - Issue Date . . . . Valuation 808 Expiration Date 8/13/07 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ---------------------------------------------------------------------------- Special Notes and Comments 95 LF 6' WROUGHT IRON FENCE WITH MESH VIEW OBSCURING SCREENING ALONG NORTH PROPERTY LINE. Fee summary Charged Paid Credited Due Permit Fee Total 23.00 .00 .00 23.00 P1'an Check Total .00 .00 .00 .00 Grand Total 23.00 .00 .00 23.00 5 r LQMRMIT i Bin.# Permit # City of La Quinta j 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 ProjectAddress.`s2333 ASG, �!.. ✓ref Owner's Name: A. P. Number: Req'd Address: ' S Z3 Legal Description: Plan Sets City, ST, Zip: (_ �� �i ZZs 3 Contractor: Se— ti..'s e—,, e -x ., Telephone & Address: Structural Cales. Project Description: G cz City ST Zip: , : 7 ,:.;� - y �z ZZ % . ., U'V v� 4 �-- �•- �-- � � a ., . Telephone G D) . 3 ys - 2- Called Contact Person State Lic. # : S tite Arch., Engr., Designer. City Lic. #: c J C d Address: Plans Oicktd.ap Construction City, ST, Zip: Flood plain plan Telephone: State Lic. #: M Construction Type: Occupancy: Projecttype (circle ene): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: I# Units: Telephone # of Contact Person: Estimated Value of Project: . APPLICANT: DO NOT WR1TE'BELOW THIS UNE # Submittal Req'd Recd TRACIMG . PERMIT FEES Plan Sets Plan Check submitted Item Amount . Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calc=. Plans Oicktd.ap Construction Flood plain plan Plans resubmitted Mechanical Grading. plin 2'' Review, ready for correctionstissue Electrical SubcontactorUst . d Contact Person Plumbing Grant Deed picked up SALL H.O.A. Approval resubmitted Grading IN HOUSE:= view, ready for corrections/issue [Dati� Developer Impact Fee Planning Approval. d Contact Person A.I.P.P. Pub. Wks. Appr of permit issue School Fees Total Permit Fees ® Eon. t6ction is 116t PERIU4i�S . on the following Code Noliday New Year's Day Luther Kinglr. Day Dr. Martin President's. Day SITE REQUIREMENTS M'morial.Day IHMRIOR LOT -Independence Day - ' Veteran's Day : . SIDEYARD: 5 FEET.. ThangcsgivingDay .REAKYARM.10FEET MD41MUM EACH SIDE Christmas Day NiI irkm. . A-. RE-.INSPETTCTIO.N._f"EP DF 38t --� WILL BE CHARG'E'D IF YNR APPRa�1M/M PLANS AND !CB CARD ARE NOT ON.' THE .SITE: FOR ,A SCHEDULED .iNSPECTIGN. :. . NO EXCEPTIONS!.. '. CITY- OF LA QUINT/ i BUILDING &SAFETY DEPT. ....APPROVED.: FOR C.ONSTRUC DA9 ' .c7? 13Y.-. . 1 FRONTYARD: MEA 70 "BE 20 FEET , U1t1DSGAPED . COO* PROPERTY . �. .. LINES . . CURBI;M E �-• S 2333 A��,,' �r-��� c--,4 �7-2�;3