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08-1988 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001988 Property Address: 51001 EISENHOWER DR APN: 773 -065 -012 - Application description: WALL/FENCE Property Zoning: VILLAGE COMMERCIAL Application valuation: 5`05 Applicant: Architect or Engineer: �(P BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am lioansed,under'provisions of. Chapter 9 (commencing with Section 7000) of Division3 of the Business and ofessionaI&Code, and my License is in full force and'effecL License Class: C29 License No.: 704270 Date: —C ntractor: O NER ER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractor's State License; Law forthe, following reason (Seo. 7031-.5, ausinesa,and;Professions Code: Any city or county that requires a permit to construct; after, 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).: l _ 1 1,.as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structuress not intended or offered for sale (Sec. 7044, Businessarid Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or jmproves.thereon, and who dowthe work himself or herself through hie or her own employees, provided that the improvements=are not intended or offered forsale. 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; as owner of the property, am exclusively contracting with licensedcontractors to construct the projectlSec. 7044, Business and Professions Code: The. Contractors' State License Law does notapply to an owner of propertywho builds or;improves thereon, and who,contracts for the projects with a contractor(s) licensed pursuant to the Comractois' State License Law.). (_) 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 constriction landing agency for the performance of the work for which this permit is. issued (Sec. 3097, Civ. C.). Lender's Name:: Lender's Address: tr LQPERMT VOICE (760) 777-7012 FAX (760) 777-70.11 INSPECTIONS (760) 777-7153 'Date: 12/31/08 Owner: JIM CATHCART 51001 EISENHOWER DRI /1 LA QUINTA, CA 92253 DEC 31 2008 f Contractor: HENRY'S MASONRY, IN9. . CITY OF LA QUINTA P.O. BOX 5185 FINA YrT r-;EPT, LA QUINTA, CA 92248 (760).77.5-6.807 Lie. No.:, 704270 ------------------- 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 self4nsure 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: Y 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 permitis issued. My workers' compensation insurance: carrier and policy number are: Carrier DELOS INS CO Policy Number 01DKRMI2'002701 I certify that, in the performance of the work for which this parcm:is issued, I shall not employ any person in any manner so as to bec me subject to the,workers' compensation laws of California, aril agree that, if I should subject•to the workers' compensation provisions of Section 3700 of the Labor Cod . forthwith comply with those provisions. 1 Det Y-OL�Mpy","�' M: WARNING: FAILU TRE O SECURE WORKER ' CO SATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S D CIVILTINES UP TO ONE HUNDRED THOUSAND DOLLARS 18100,0001. IN ADDITION TO THE C F COMPENSATION„ DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application: is hereby made to the Director of Building and Safety for permit subject to the conditions, and restrictions set forthon 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 Quints, its officers, agents and'employess 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 csFse*Dn of work for 180 days will'subject permit to cancellation. I certify that I have read this application .and state that the abov anon is corcect. I agree to comply withal) city and county ordinances and state laws relating to'buildi ction, andhereby authorize representatives of this�rgo2unty/ttoo enter upon uuuppon the above-mentioned propertt ion purposes. / nature-IApplicent or. Agent), '> Application Number . . . . 08-0000.198.8 Permit . .. . WALL/FENCE PERMIT Additional desc,. . Permit Fee . . . . 17.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 505 Expiration Date .. . 6/29/'09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 2.0000 HND BLDG 501-2,000 2.00 ------------------------------------------- Special Notes and Comments ----------------------------- -- 12 L.F. 5' MASONRY WALL, 32 L.F.. COMBO WALL (.3' MASONRY, 2' WROUGHT IRON), USING CITY STANDARD FOOTINGS. Fee summary Charged Paid Credited Due Permit.Fee Total 17.00 .00 .00 17.00 Plan Check Total .00 .00 .00 .00 Grand Total 17.00 .00 .00 17.00 Bin # City, of La Quinta Building ex Safety Division P.O. Box 1504, 78-495 Calle. Tampico. La Quinta, CA 92253 - (760) 77777012 Building Permit Application andi Tracking Sheet Permit # 1 Project Address: OGt1e� Owner's Name: �� f� Lo�Ls A. P. Number: Address: Q 51- 0 I e wkot l x b k Legal Description: City, ST, Zip: Contractor: e NQ,yS' /n q,< Telephone: -- Address: O 60 V/rS f (q G e-19.0ioc Project Description: 01 o f ,/ �9 /. City, ST, Zip: AC\�;Q � � Y4 S o `.3 �e IQ /.e u W A 1 I W i %. Telephone: --) �-6 G W i0U Lr t O 00 tz State Lic. # :?096170 city Lic. #: tOf AL �el' ��- so" �,4/1 Arch., Engr., Designer: Ai i �\ �1S � , sib i-j UCC Address: 1''' ot-a• u il.aUki City, ST, Zip: s Ii �� A,S6 i,) %QR°d�iJ cant Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo AM11Name of Contact Person: Sq. Ft.; # Stories: # Units: Telephone # of Contact. Person: Estimated Value of Project: APPLICANT: DO NOT WRITE. BELOW" THIS LINE # Submittal. Req'd Ree'd TRACKING. 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 Cates. Plans ticked up Construction Flood plain plan Plans resubmitted I Mechanical Grading,plan 24 Review, ready for correctionstissue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. MOA-Approval Plana resubmitted Grading IN HOUSE:- ''' Review, ready for correctlons/usue Developer Impact.Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks..Appr Date of permit issue School Fees Total Permit Fees