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04-5810 (BLCK)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-715.3 Application Number . . . . . 04-00005810 Date 8/03/04 Property Address . . . . . . 52945 AVENIDA HERRERA APN: :773-324-023-10 -000000- Application description WALL/FENCE Property Zoning . . . . . . COVE RESIDENTIAL Application valuation 4150 Owner Contractor ------------------------ ------------------------ GRADY RITA C GRADY CONSTRUCTION COMPANY SAN DIEGO CA 92110 (619) 276-6271 WCC: STATE FUND WC: 1608004 10/01/04- CSLB: 560606 03/31/05 CCC: B -------------=------------------=------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date Valuation .4150 Qty Unit_ Charge PerExtension BASE FEE "45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------------------------------------------------------------------- Special Notes and Comments 14'O.L.F. 6' GARDEN WALL, 10 L.F. 5' GARDEN WALL, 20 L.F. 5' PROPANE ENCLOSURE ALL CITY STANDARD Fee summary ------------ Permit Fee Fee Total Plan Check Total Grand Total Charged 72.00 .00 72.00 Paid .00 .oa Credited .00 00 \� .00 Due . 72.00 ..00 72.00 P.O. Box 1504 Tay �� VOICE (760) 777-7012 78-495 CALLIE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q T - 581C Date: !' - a -0 4 Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 ' full force and effect. cense Class^ icenselNo. ^ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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, 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason_ Date Owner WORKERS' 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. J 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 �sy�d. My workers I ins a carrier artd�olicy�qum4er are; artier ("}� 13 icv Number t CJ 1C V GJy _ I certify that, in the performance o 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 sho become subject to the work 'compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisi�s. A n T „ P 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. 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.). Lenders Name Lender's Address 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 ' co . 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 er the ve{{ientioMperty pection purposes. S� ignature (Applicant or Agent): 07/22/2004 08:11 9702432430 LJ'LINDAUI=R S7pUC7URALEE NGffVEERS Leland J. Lindauer Prinicpal Jeffrey A, Dunn Principal July 21, 2004 City of La Quids. P.O. Box 1504 La Qtdata, CA. 92253-1504 Attm Kht Kididand PAGE 03 sr LA 110 Rio Verde La Qu ffhl, CA 92253 L.J. IhWW ier, Inc. Job # 00.169 Dear Mr. Kiddmd A Pfofmonal elrmeer that was delegated by our fun has perfomnued a svuctural observation Of the wall and rWftming at the above-mentioned address in accordance with Section 1702 of the 2000 LI3.C. The wall and roof M mW were found to be in accordance with the structural drawings If you have MY que110orra, Please do not hesitate to call. Sincemly, L. J. LINDALU4 STC. /1400�r J. U Alan J. Diem Ely 41880 Cf Vt Leland . Lim, M S., P.E. 802 Rood Avenue • Grand Junction, Colorado 81501 970.241.0900. 970.243.2430 FAx • www.ljliiidauer.com r