Loading...
04-6852 (BLCK)5l- s�y5 Ei,s�'�NowF.e. �.fwQ�rw P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address APN: Application description . Property Zoning . . . . Application valuation BUILDING & SAFETY DEPARTMENT (760).777-7012 " FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04. .00006'8:52.:, Date' 10/20/04 512 0 5 -EISENHOWER _ DR_ __ _ v Y773-065_021-10 -000000- WALL/FENCE VILLAGE COMMERCIAL 2650 Owner Contractor ------------------------ --------------- : GEORGE R OWNER 75205 STARDUST LN INDIAN WELLS CA 92210 ---------------------------------------------------------------------------- Permit ..... . . . WALL/FENCE PERMIT Additional desc Permit Fee 54.00 Plan Check Fee .00 Issue Date Valuation . . . . 2650 Qty Unit Charge Per Extension 'BASE FEE 45.00 1.00. 9..0000 THOU BLDG 2,001-25,000 9.00 -----------------------------------7---------------------------------------- Special Notes and Comments 106 L.F. 6' GARDEN WALL, CITY STANDARD PER.S.SAWA APPROVED.PLANS. SECTIONS OF THIS WALL ALSO APPEAR ON 51-225,& 51-245 EISENHOWER ADDRESSES Fee summary Charged Paid Credited Due --------------------------------------------------------- Permi-t Fee Total 54.00 .00 .00 54.00 Plan Check Total 00 .00 .00 .00 Grand Total 54.00 .00 .00 54.00 9 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ©�' �O 5a Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS aJA 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 Class License No. Date Contractor OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that 1 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).): A1, 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 ate mer. 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. _ 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. Policy Number I certify that, in the performance of 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,--Mte nt 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.). Lender's 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 Ouinta, 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 is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate ature (Applicant or Agent): 11 m 1� GN ri int T 'ON 1101HX3. Uva 0 ININJOI-WOWIN(MIMio As amod'd& R P.O. Box 1.504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . . Property Address . . . APN: Application description . Property Zoning . Application valuation-. Owner ------------------------- MOONEY GEORGE R 75205 STARDUST LN INDIAN WELLS CA 92210 BUILDING & SAFETY DEPARTMENT r (760) .777-70.12 FAX (760) 777-701.1 INSPECTION REQUESTS (760) 777-7153 04-00006852 Date' 10/20/04 51205 EISENHOWER DR;. 773-065:_021-10 -000000- WALL/FENCE 000000-WALL/FENCE VILLAGE,COMMERCIAL O r' 2 650 `RC l Contractor ---------- - --�`� OWNER ----------------------------------- I-----------------------�-------- - - - - -- Permit . . . . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54,.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 2650 Qty Unit Charge Per Extension BASE FEE ? 4:5.00 1.00 9..0.000 THOU BLDG 2,0'01-25,000 9.00 Special Notes and Comments 106 L.F. 6' GARDEN WALL, CITY STANDARD PER S.SAWA APPROVED PLANS. SECTIONS OF THIS WALL ALSO APPEAR ON 51-2.25 & 51-245 EISENHOWER ADDRESSES Fee summary Charged _ Paid _-Credited Due Permit Fee Total 54.00. .00 .00 54.00 Plan Check Total ..00 .00, .00 .00 Grand Total 54.00 .0'0 .00 54.00 r; . P.O. Box 1504 • VOICE (760) 777-7012 78--49.5 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-71:53 BUILDING & SAFETY.DEPARTMENT Application Number: ✓�� Date:. • Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: ' Lic. No:: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION thereby affirm under penalty of perjurythatl am licensed.under provisions of Chapter 9`(commencing with Section 7000) of Division 3 ofthe Business and Professionals Code, and my License is in full force and effect.. License Class License No. Date Contractor OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Stet9Ucanse Law for the following reason (Sec. 7031.5, Business and Professions Cade: Any city or county that requires a pernit.to construct, alter,. improve, demolish, or repair any structure,.prlor to.its issuance, also requires the applicant, for the permit to file a signed statementthat he or she.js.licensed pursuant to:the provisions of the. Contractors' State License Law. (Chapter 9 (commenting will Section 7000) of Division 3 of the Business and. Professions Code) or that he or she is exempt therefrom and the basts:for the alleged exemption. Any violation of Section 7031.5 by'any applicant fora permit subjects ttp applicant to a civil penalty of'not more4hanfive hundred dollars ($500)'.): I, 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 LawAces notapply loan owner of properly 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.). (, 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. t reason. WORKERS' COM_ PENSATION 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. _ I have and will maintain workers' compensation insurance, as required :by 'Section 3700 of the Labor Code, for the perfornanceof the work,for which this permit is issued: My workers' compensation insurance carrier and policy number are: Carrier. Policy Number I certify that, in.the performance of 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions w teso �pptl6ant WARNING: FAILURE TO SECU 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.). Lendees.Name Lender's Address APPUCANT: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 funder or pursuantto any -permit issued as a.resuit of this application, the owner, and the applicant, each agrees to, and.shall, defend; indemnity and hold harmless the City of Le Quints, 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 pernitissued 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 Is come&. 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 a upon the a oned property.for inspectimpurposes. Itw aApplicant or Age APPROVED BY OWNITY-OMLOpMw -f —5 -'� ' DATE 7 BY EXHIOIT GAR NO. NLV\,or- A I "a.0 -19 (p 4:7 ��Jk;�WI03WA�,A V P J ROL B= 93 IA QuhM Ciftmmia 93253 (76o) 341-9727 .iu us��� Ik. 4_- . a k. Itj M! J' M! An application.for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For -your protection you should be aware that:as "Owner/ you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California. and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that youplan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, -and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance,. disability.insurance costs and unemployment compensation contributions. There may be financial risks for you if, you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business' Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If -the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or .her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will.not be'issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING -AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (76 =7011 OWNER'S SIGNA RE/D J-/- 0-0_5- aa5 PROPERTY ADDRESS PERMIT NUMBER(s)' .A 6 / 0 c-2, 5 �MNYOWF.0 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 177-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT T - Application Number . . ..0i}_00'0;0`6.85°2:.:- Date 10/20/04 Property Address . . . . 51205 EI,SENHOWER DR APN: 773-065-021-10 -000000- Application description . . . WALL/FENCE Property Zoning . . . . . . . VILLAGE COMMERCIAL Application valuation 26.50 Owner ------------------------- MOONEY GEORGE R 752.05 STARDUST LN INDIAN WELLS CA 92210 Contractor OWNER Permit WALL/FFNCE.PERMIT Additional desc . Permit Fee . . . 54.00 Plan Check Fee .00 issue Date . . . . Valuation . . . . 2,650 Qty Unit Charge Per Extension BASE FEE45.00 1.00, 9.0000 THOU BLDG 2,00:1-25,000 9.00 Special Notes and Comments 106 L.F. 6' GARDEN WALL, CITY'STANDARD PER S.SAWA APPROVED PLANS. SECTIONS OF THIS WALL ALSO APPEAR ON 81=225-& 51-245 EISENHOWER ADDRESSES Fee summary Charged Permit Fee Total 54.00. Plan Cheek Total .00 Grand Total 54.00 Paid Credited ---------- .00 . �0,0 .00 .00 .00 .00 Due 54.00 .00 54..00 X V P.O.. Box 1504 • VOICE (760) 777-7012 .. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA. 92253 INSPECTIONS' (760) 777-7153 13U.ILD.ING & SAFETY' DEPARTMENT Application Number ill ✓� Date: Applicant: Applicant's Mailing ,Address: Architect or Engineer: Architect or Engineer's Address: �IA - LIC. No. BUILDING PERMIT DECLARATIONS- - LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury,that I am licensed under provisionszf Chapter 6 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. -and myLioense is in full force and effect. License Class License No. Date Contractor OWNER43UILDER DECLARATION thereby affirm under penalty of perjury thatt am exempt from the Contractors' State License Law for the following reason (Sec. 71131.5, Business and Professions Code: Any city or county that requires a`pemmit 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 (Chapter9 (commencing with Secdon7000) of Division3 of ft Business and Professions Code) or that he or she.Is exempt1herefrom and the basis for the alleged exemption. Any violation.of Section 7031.5 by any for a par it subjects I�qeppl toa evil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees.with vftgas 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 theraonj;and who does the work himself orherself or through, his or her own employees, provided that4w improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yearof'compladon, the owner -builder will have the burden of proving thathe or she did not build or Improve for thepurpose of sale:). (, I, as owner of the property, am exdeisively.contracting with licensed rontradors to.coristruct 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. , B.& P.C. for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the.following declarations: _ 1 have and will maintain a;certficate 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 performance of the work for which this permit Is issued. My workers' compensation insuranoe carver and policy number are: Came[ Policy Number I certify that; in the pertormanc&of the work for which this permitis issued, l shall not employ any person In any manner:so; as to beomw subject to the workers' compensation laws .of California, and agree that, if I should become. subject to the workers" compensation provisions of Section 3700 of the Labor Code, l shall forthwith comply with those provisions: �3te nt WARNING: FAILURE TO SECURE WORKERS',COMPENSATION COVERAGE IS UNLAWFUL, AND'SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERE$T,.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 pennit'is Issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address _ JA APPLICANT ACKNOWLEDGEMENT IMPORTANT Applicaton.is hereby made to'the Director of Building and Safety for a permit subje!ct,to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf thisapplicabon is made, each person at whose request and for whose benefit work -is performed under orpursuant to any permit Issued as a result of this application; the owner, and the applicant, each agrees to, and shalt, defend, indemnity and hold hamdess ft0ty of La OAdnta, 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 jssued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such pertNt, or.. cessation of work for 180 days wilhsubject permit to,cancellation. - 1 certify that I have read this application and state that the above information Is correct. 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 enter upon the above-mentioned property for inspection purposes. atea re (Applicant'or Agent): APPROVED BY COWMITY DpjM4M BY A 1Tn PATE O Gni EXHIMT . n�� c 0 ., c