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07-2459 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 QuAt BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00002459 Property Address: 54305 EISENHOWER DR APN: 774-252-016-4 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 1191 Applicant: 'l Architect or Engineer Pl P- -=-------------------------� --------------- - - - - - - LICENSED CONT CTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and ?sionals Code, and my License is in full force and effect. Licens Class: C29 Licens,NoC:'806698 Date: Contractor: OWNS ER DECLARATION 1 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 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.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project fSec. 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.). (_ 1 1 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 for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: RADI 54305 EISENHOWER DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/04/07 Contractor: PENSANTI,MASONRY, FRANK 74041 EL CORTEZ WAY sC^O O PALM DESERT, CA 9226 cIr" (760)272-0554 C;*, Q 9 Lic. No.: 806698 - - 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. 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 IST COMP INS Policy Number WEN001657601 I certify that, in the performance of the work f ich this permit is issued, I shall not employ any person in any manner so as to be5RE bto the workers' compensation laws of California, and agree that, if I should bec he workers' compensation provisions of Section `. 3700 of the Labor Code all fply with thoseprovisions. Date:plicant: - WARNING: FAI URE TO SECURE RKERS' M ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S 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 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 �a��bove,-inf ation is correct. I agree to comply with all city afacu,untyordinances and state laws relating to bui �^9 c [ruction, and hereby authorize representatives Of thi/ty t0 enter upon the Ove-mentiOne ert inspecti tlr OseS. te:�r� Sig ure (Applicant or Age �- n Application Number . . . . . 07-00002459 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 29.00 Plan Check Fee.. .00 Issue Date . . . . Valuation . . . . 1191 Expiration Date 3/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 7.00 2.0000 HND BLDG 501-2,000 14.00 ---------------------------------------------------------------------------- Special Notes and Comment's 55 L.F. 5' GARDEN WALL AT FRONT P/L. CITY STANDARD .Fee summary, Charged Paid Credited Due -- - - - - - - - - - - - - - -- Permit Fee Total ---- - - - - --- 29.00 --- - - - - ------- - - .00 - --- .00 --- - - - - - - 29.00 Plan Check Total .00 .00 .00 .00 Grand Total .29.00 .00 .00 29.00 LQPERMIT Masonry ensa-nli Ornate Stone Block * Brick Serving the desert area Lic. #806698 • 760.346.0892 Sl a 6 VI-Ci(rd4i CC/ fit r/ S 3 �"