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05-4898 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05'-`00004898 Property Address: 52865 LATROBE LN APN: 770-340-004- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 11565 Applicant: Tit!t 4 e(P Q" Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju I license nd provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usines d ofe ion C de, and my License is in full force and effect. License Class: B cen a No.: 820066 e: Vtle ontracto OWNER -BUILDER DECLARATION �� J I hereby affirm under penalty of perjury that 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 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 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 _ 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.). I—) I am exempt under Sec. , BAP.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: LQPERMU Date: 11/09/05 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. \ V• I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor JCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AON RISK Policy Number 1488491 I certify that, in the - rmance of the work for which this permit is issued, I shall not employ any person in any annex o as v° com 'e o the workers' compensation laws of California, and agree th , if I sho d b con' s iect t th workers' compensation provisions of Section 3700 of th abor Cod , I all f with c p with tho e i s. 1/ ateM G 5 pli nt: ,( / WARNING: FAILURE TO SECURE WOFtlCE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL– SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES 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 issuan of ch permit, or ces ion of work for 180 days will subject permit to cancellation. I certify that I have read this application and sta that the ab Q inform ion is rrect. I agree to comply with all city and county ordinances and state laws relati g to buildiPg (coi4structi n, and reby authorize representatives of this,po6nty_to enter upon the a�v�mention propert fo ins ecti purpo �� (� 1 / / Sig re (Applicant or Owner: JAC BERNARD Lry D Contractor: NOV 0 2005 ALPHA OMEGA COMMUNICATIONS INC 42829 COOK STREET SUITE 104 PALM DESERT, CA 92211 CITY OF LAQUIMTA (760) 568-1712 FINANCE DEPT, Lic. No.: 820066 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju I license nd provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usines d ofe ion C de, and my License is in full force and effect. License Class: B cen a No.: 820066 e: Vtle ontracto OWNER -BUILDER DECLARATION �� J I hereby affirm under penalty of perjury that 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 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 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 _ 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.). I—) I am exempt under Sec. , BAP.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: LQPERMU Date: 11/09/05 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. \ V• I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor JCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AON RISK Policy Number 1488491 I certify that, in the - rmance of the work for which this permit is issued, I shall not employ any person in any annex o as v° com 'e o the workers' compensation laws of California, and agree th , if I sho d b con' s iect t th workers' compensation provisions of Section 3700 of th abor Cod , I all f with c p with tho e i s. 1/ ateM G 5 pli nt: ,( / WARNING: FAILURE TO SECURE WOFtlCE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL– SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES 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 issuan of ch permit, or ces ion of work for 180 days will subject permit to cancellation. I certify that I have read this application and sta that the ab Q inform ion is rrect. I agree to comply with all city and county ordinances and state laws relati g to buildiPg (coi4structi n, and reby authorize representatives of this,po6nty_to enter upon the a�v�mention propert fo ins ecti purpo �� (� 1 / / Sig re (Applicant or Application Number . . . . . 05-00004898 ' Permit ` . . . . . WALL/FENCE PERMIT Additional deoc . Permit Fee . . ' . 135.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 11565 Expiration Date . . 5/08/06 Qty Unit Charge Per, Extension oA8o FEE 45.00 ' 10.00 9.0000 THOU BLDG 2,00I -o5-,000 90'00 --------------------------------------- Special Notes and Comments -_-----_----------_-_-_�--__-- 405 L.F. 6' GARDEN WALLS, 90 L.F. 6' . PLANTER WALLS' OaCO SYSTEM ' , Fee summary Charged ----------------- raid Credited Doe ---------- ---------- Permit Fee Total 135.00 ' ---------- 'OO ---------- .00 135.00 eIao Check Total .00 .00 .00 .00 Grand Total I35.00 . .Oo . -OO � 13s'oO ' LQPERMo Bin # City of La Quinta. Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 building Permit Application and Trackin Sheet g Permit # Project Address6,Z -' Qj LAh Owner's Name: l 90 A P. Number: f —7Z," - 004-3 Addres Legal Description., p1, 4i City, ST, Zip:+ , Contractorls 0KTt54V05W6' Telepho Address: }}nn 87 �, �,{ �6v � tali I� y��.>� -�{. `' . /�� /� 1C�1� Project Description: ��f,�K City, ST, Zip:OA(M � � U `�14Z2 t l Tel 1-Ti� X�� fd 1�� State Lic. # : Zdo /,010City Lic.#:2j d1 W�j, CIO Lr, - Arch., Engr., Designer:G 0itnafIx.11l7 Address: M City, ST, Zip: 4AP4iia Telepho! . � �.iL��/ /�7i Construction Type: Occupancy: KM uP cY State Lie. #: G O3� Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person—r0 M Sq. Ft.; U1 1,5#Stories: # U:u.: Telephone # of Contact PersCOW 2�0!i " Estimated Value ofProject: + APPLICANT: DO NOT WRBTE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs• Reviewed, ready for. corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i0 Review, ready Cor correctionViissue Electrical .Subcont9ctor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee. Planning Approval Called Contact Person Pub. Wks. Appr. Date of permit issue School Fees Total Permit Fees T00/TOO IE .I XVA OZ:6 aam SOOZ/ZO/TT Yr _.T �► �c� -5 - 40 L.F x 4::T. X10 - ! ?<