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07-1502 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,. CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant:' 07-00001502 49130 EIS.ENHOWER DR 658-290-042- WALL/FENCE LOW DENSITY RESIDENTIAL 5999 Architect or Engineer: Ma A ��, 'M / I 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 Cia'ss: B License No.: '862631 Date/ / e, / Contractor>� &OXA4l L /SH / 404,411 0' Iib I.. OWNER-BUILDERDECLARATION 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 requiresthe applicant for the permit -to file-a'signed statementthat he or she is licensed pursuant to the provisions of the`Contractor's,,Stets License, Law (Chapter 9 (commencing with `Section 70 00) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the'besis 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 (9600).: 1 _) 1, as owner.of the property, or my employees with wages'as their sole compensation, will do the work, and the.structure isnot 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 oriher own,smployees, provided thatthe improvements are not'intended'oroffered 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'sels.). ( —1, as owner of the property, jsm 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,themon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I _ ) I'am examptunder 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 for which this permit is issued (Sec.,3097, Civ: C.). Lender's Name: _ Lender's Address: LQFERMIT VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760) 777-7153 Date: 5/21/07 Owner: BIRDSELL ROBERTA D D 6 PO BOX 630 LA QUINTA, CA 92247 MAY 2 2 2001 CITY OF LA Contractor: FINANCE BIRDSELL BUILDERS INC P O BOX 636 LA QUINTA, CA 92247 (760)409-7070 Lic. No.: 86.2631 WORKER'S COMPENSATION DECLARATION 1, hereby affirm underpenalty of perjury one of the following declarations: I have: and will maintain a certificate: of consent'toself-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 STATE FUND Policy Number 0026491-2006 _ 1 certify thbt,.in the performance the work for which this permit is issued„ I shell not. employ any person in any manner soust om bject to the workers' compensation laws -of California, and agree that, if I sho d o e a .a to the, workers' co nsation provisions oUSection 3700 of the labor od- t s all ort "ith comply with those r 'sions. Dates .21 07 Applicant: WARNING:. FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWF L. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000). IN ADDITION TOTHE COST OF COMPENSATION, DAMAGES AS.PROVIDED FOR IN SECTION 3706 OF THE LASOR',CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANTACKNOWLEDGEMENT 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 ofthis,application, the owneri and the applicant; each agrees to, and shalldefend, indemnify and hold harmlemthe City of Le Quints, its officers, agents and employees forany-act or omission related to the work being performed under or following issuance of,this permit. 3. Any permit issued as a result of this application becomes null and void if work is not commenced within 780 days from date of issuanesuch or cessation of workfor 180:days will subject permit to cancellation. I cert-tfythat I have reed this application and ;state rmationiscerrect. I agree to comply with all city and county ordinances and state laws relating ctjon, and hereby authorize representativesof'this un to enterupon the above,mentionod ion purposes.Dat Signature (Applicantor Agent _ Application Number . . . . . 07-00;001502 Permit WALL/FENCE PERMIT Additional desc . Permit Fee. . . . . 81.0:0 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5999 Expiration Date 11/1.7/07 Qty Unit Charge Per 'Extension BASE.FEE 45.0.0 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 -------------------------------------------------------------- Special Notes and Comments ---------- 175' L.F 6' ORCO DETAIL, 75' L.F 5' ORCO DETAIL Fee summary Charged Paid Credited Due -------------------------- Permit Fee Total 81.0.0 ---------- .00 ---------- .00 81.00 .Plan Check Total 00 .00 .00 .010 Grand Total 81.00 .00 .00 81.00 �r�ttr Ar X8.3 LoT // / Bin # City of La Quinta Building ex Safety Division P.O. Box 1504, .78-495 Calle Tampico ' La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permltfl dress: y�/3� G�fC�iv/fbc.2'.P �,P Owner's Name: •�� m'xpTA TT/, F.P.Numberl6'�B yQ .(� �i� 2 Address: © cription:. Contractor: pl.-4 Fe q i 11v e- Address: 'ov ©X Q City,;ST,Zip: 2.4 Telephone: Project Description: City, ST, Zip: 1-4 Qci-it,%/ L•4 S72 /l 7 4-44 L C Telephone:f State•Lic. #: City Lic. #: 0 1z4f C) Arch., Engr., Designer Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: vO� fcsG L Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project APPLICANT: D0 NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACIMG • PERMMT FEES Plan Sets. Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called'Contact Person Plaa Check Balance Energy Coles. Plans (picked;up Construction Flood plain plan Plana=resubmitted Mechanical Grading plan' V Review, ready for'correcdogslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked.up SALL H.O.A. Approval Plan resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called.ContactPerson AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees M 7J L r -i CITY OF (_A -'011" a 0HrETY DEPT, APPROVED T T FOR ONSTRUCTI BY 18 MVd 305SV ATEM NHOr 6L999LL89L. 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