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13-0027 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: EHLERT, BARRY M/M 35 AUTUMN GARDENS SE CALGARY,.AB T3G 2 -VI U6hTr8 CtU r : Applicant: Architect or Engineer: CORONEL ENTERPRISES 42760 MADIO STREET INDIO, CA 92201 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/07/13 4/ � JAN n7 2013 CITY OF LA QUINTA FINANCE DEPT. (760) 775-1234 P/� Lic. No.: 727199 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe 'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th B siness nd Profess' n Is Cod , ori my License is in full force and effect. License Class: B Lice a No 727199 Z-11"te: N - —ontractor. 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 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).: (_) 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 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , BAP.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 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 STATE FUND Policy Number 9033452-2012 _ 1 certify that, in thnformance of the work for which this p is issued, I shall not employ any person in anyr so a5�to become su ' t to the ers' mpensat'on laws of California, and agree thathould �ecome subje to the work s' com ensation provisions of Section 3700 of the Lode, 1 hall forthw' h comply wit those owsions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAQE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP NONE 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. 1 certify that I have read this application and stat tha the abo information is or ect. I gree to comply with all city and county ordinances an state laws relating o b ilding nstruction, an hereby thorize presentatives of this county to enter upo he above-mentioned p p rty for spection purp ses. te:' 7- t nature (Applicant or Agent)• Application Number: �"-1-3-0000002; 77 Property Address: 53544 VIA DONA APN: 777-420-008-3 -298944- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8158 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: EHLERT, BARRY M/M 35 AUTUMN GARDENS SE CALGARY,.AB T3G 2 -VI U6hTr8 CtU r : Applicant: Architect or Engineer: CORONEL ENTERPRISES 42760 MADIO STREET INDIO, CA 92201 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/07/13 4/ � JAN n7 2013 CITY OF LA QUINTA FINANCE DEPT. (760) 775-1234 P/� Lic. No.: 727199 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe 'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th B siness nd Profess' n Is Cod , ori my License is in full force and effect. License Class: B Lice a No 727199 Z-11"te: N - —ontractor. 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 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).: (_) 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 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , BAP.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 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 STATE FUND Policy Number 9033452-2012 _ 1 certify that, in thnformance of the work for which this p is issued, I shall not employ any person in anyr so a5�to become su ' t to the ers' mpensat'on laws of California, and agree thathould �ecome subje to the work s' com ensation provisions of Section 3700 of the Lode, 1 hall forthw' h comply wit those owsions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAQE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP NONE 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. 1 certify that I have read this application and stat tha the abo information is or ect. I gree to comply with all city and county ordinances an state laws relating o b ilding nstruction, an hereby thorize presentatives of this county to enter upo he above-mentioned p p rty for spection purp ses. te:' 7- t nature (Applicant or Agent)• Application Number . . . . . 13-00000027 Permit . . . WALL/FENCE PERMIT INV FEE Additional desc . Permit Fee . . . . 216.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 8158 Expiration Date 7/06/13 Qty Unit Charge Per Extension BASE FEE 90.00 7.00 18.0000 THOU BLDG 2,001-25,000 126.00 ---------------------------------------------------------------------------- Special Notes and Comments 295 L.F. 61 GARDEN WALL, 20 L:P, b! GARDEN WALL, 25 L.F. 18" GARDEN WALL ALL CITY STANDARD, & 5 16" X 16" COLUMNS (ORCO SYSTEM)INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 216.00 .00 .00 216.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 217.00 .00 .00 217.00 LQPERMIT IN ,.DEC -2o-2012 WED 08 30 AM CORONEL ENTERPRISES FAX No. 1760175535C' P. 002 Biq:�l'• La Quin City �1 {.a Building at Safety Division • P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253 ?`. Permit Application and Tracking Sheet Building 1 I <> Project Address: ':a,. owner's Name: Address: A. P. Number: Legal Description: City,ST, Zip: Telcphone: ,�;.r•f: �.i.`. s,'.i•'4c`s3efl}i..d Contractor: G r Address: .�. Project Description: h s Cit -,ST. Zip .,��a ���a jgy-vab': ,,Ma�;Y;22r`\ev`i,s:�%Y.i:€;=';<`y �: Telephone: �% C] 775- 1�3 �/ >«'<<'f Ll tl State )_ic, = : 6tv Lie. #: 3 Arch.. Eil-m. Designer. 1 w is Address: ST. Zip: �✓ �- ^ '�::.;:::.[.><"; :�;.<:i;:: ;Y� ti Asa`:>:,?°':=i ` i nP� e: cY Construction Type: Telephone: �:3i> '` Project type (circle one): New P._dd'a Alter Repair Demo Stare Lic... Natne of Contact person: 2e Sq_ Ft: # Stories: # Units: Telephone 'of Contact Person: ��p _ '� `f� Estin•3ated Value of Project. as•.; : d. ,. .,s:i :•i'iV :y,;si:S•: :.i;: ':a33 e:b°:�: :,x.>: •{1)' ` `y .''•ir�"iw:i:fs'p.�s:e., ..b � :b :`�•<o: ' .: e>.o.i:. s:b•: .w'��l'::i :ts::e'3� ');\��}:. YF^' t)'� f�. _»32�t;�i• a•,e�f "2� ��`4?a:,'y^`��)r`�:?e'<•:v:,Y,s°3,"�� Y4 -0 :wr'.i::s ^iYe . '� a S :T�r. .i. S�;%:>x ;:f,:�ii .., `�i >, a.,. .i�� ). .2.>. x«+.. ,�. 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