05-4971 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number! 05-00004971
Property Address: 48820 EISENHOWER DR
APN: 658=310-021- -
Application description: WALL/.FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 10057
ceavl 4 4 Q"
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
r-RUIILLDwING & SAFETY DEPARTMENT
,BUILDING PERMIT
E�1
Owner:
OV i 0 CORONEL LUCAS
53200 AVENUE VILLA
LA QUINTA, CA 92,253
I hereby affirm under penalty of perju that..) am licensed and ovisions haptens (commencing with
Section 7000) of Oivision,3 of the 8 i and P essiona Code, end. _ cense is in fullforce and effect.
License Glass: H -G13 cense No.: 4981
e: —t0 'US r or:
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 cityor 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 cif -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 (8500).:
(_) 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 ownemployees; provided that the
improvements are not intended or offered for sale. If; however, the building or improvement is sold within
one.yearof.complation, the ownersbuilder will have the -burden of proving that he or did not build or
'improve for the purpose of -sale.).
(_) I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
70"i 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 forthe projects with a contractor(s) licensed
pursuant to the Contractors' Stste License Law.).
I—) I am exempt ,under Sec: B.&P: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 foe which this.permit is issued (Sec. 3097, Civ. CJ.
Lender's Name: �]
Lender's Address:
LQPERM1T
Contractor:
CORONEL CONSTRUCTION
P.O.. BOX 389
LA QUINTA, CA 92247
(760)564-4604
tic. No.: 634981
VOICE (760) 777-7012'
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
Date: 11/08/05
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 performanceof the work for which this permit is issued. My workers' compensation
insuranoe,carrier and policy number are:
Carrier STATE FUND Policy Number 17 305
_ I certify that, in the performance of the work for which t spar it is issued, I shall not employ any
person In any m -so as to become 'eat to the �Nork ' compensation laws of California,
and agree that, i I s ould Dome sa� the worjere' ompensaticn provisions of Section
3700 of the Lib C e,.l all forth Rh comply w' oae provisions..
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER . E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). IN ADDITION T,OTHE COST OFLCOMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE. LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is herebymade 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 ouiinta, 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 workis n
within 180 -days from'date,of issuance of'such permit, or cessation of work for 0 work_'
enoed
da will subject
permit to cancellation.
I certify that 1 have read this application and state t above information is sect. I tee t comply with all
city arki county ordinances.and'state laws resting in a, traction, a hereby a or representatives
of this county to enter upon tlyl above-mentioned pr�� for InN=ion par -s.
(Applicant or.
Application Number . . . . . 05-00004971
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . 126.00
Plan Check
Fee
00
Issue Date . . .
Valuation
.. . .
. 10057
Expiration Date 5/07/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
9.00 9.0000 THOU BLDG 2,001-25,000
81.00
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Special Notes and Comments
-----------------------------
215 L.F. COMBO WALL, 2' RETAINING, 6'
GARDEN, 105 L.F. GARDEN, 95 L.F. 5'
GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid
Credited
Due
Permit Fee Total 126.00
.0.0
.00
.126.00
Plan Check Total .00
.00
.00
.00
Grand Total 126.00
.00
.00
126.00
LQPEUZT