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07-1383 (BLCK)r T P.O. BOX F15044 _ 78-495 CALLE TAMPICO LA Q.UINTA;.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT } Application Number: - _-07-00001383 > Owner: —' { --Property Address: 48507 VIA ENCANTO BORDEN RESIDENCE D APN: 646-091-027- - - 48-507 VIA ENCANT Application description: WALL/FENCE % LA QUINTA, CA 922 Property Zoning: LOW DENSITY RESIDENTIAL (760)564-1009 Application valuation: 325 0 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 -MAY 072907.' 72007• CITY OF LA QUIWA Contractor: FIWAWb' Applicant: Architect or Engineer: MIGUEL' S POOL AND SPA TILE INC 5/08/07 r P.O. BOX 2258 ' CATHEDRAL CITY, CA 92235 (760)770-9763 Lic- No,:: 826897 LICENSED CONTRACTOR'S DECLARATION --------------------------- WORKER'S COMPENSATION DECLARATION i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withI hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.* I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License No.: 826897 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date:;. contractor: /"��' issued. _ 1 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 workerscompensation ' OWNER -BUILDER DECLARATION - • insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the _• Carrier STATE FUND Policy Number 1828935 following reason ISec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to. _ I certify that, in the performanceof the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State _ and agree that, if I should become subject to the workers' compensation provisions of Section - License' Law (Chapter 9 (commencing with Section 7000) of Division, 3of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. • that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �— -• - - t any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:, -G Applicant: �j �•C��' - (_) 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 WARNING: FAILURE TO. SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the ` DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or offered for sale. If, however, the building or improvement is sold within. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . 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.). APPLICANT- ACKNOWLEDGEMENT - (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,.and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, '. 1 _ 1 I am exempt under Sec. , BAP.C. for this reason ' 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. - Date: Owner: 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 _ CONSTRUCTION LENDING AGENCY permit to cancellation. . I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all - .. work for which this permit is issued (Sec. 3097, Civ. C.). ' - 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.. _ Lender's Name:- Date: Signature (Applicant or Agent): • Lender's Address: _ - ---- -- — --•.. _ i- LQPERM,IT Application Number 07-00001383 -Permit WALL/FENCE PERMIT Additional desc . Permit.Fee • 15.00 Plan Check Fee .00 Issue.Date . . . Valuation 325 Expiration Date 11/04/07 Qty Unit Charge Per Extension BASE -FEE 15.00 -- - - Special Notes and Comments - - - --- - ----- --------- ---_------ - - - - -_ -REVISED ORIGINAL LAYOUT FOR EQUIPMENT ENCLOSURE TO INCORPORATE ADDITIONAL 13 L.F TOTAL OF 22 L.F. Fee summary Charged Paid Credited Due ---- ---------- Permit Fee Total 15..00 ---------------------- .00 .00 15.00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 .00 .00 15.00 LQPERMIT - - Bi° # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) .777-7012 Building Permit Application and Tracking Sheet Permit'# Project Address: Owner's Name: A. P. Number: Address: Legal Description: - City, ST, Zip:l; 4225 Contractor: Telephone: �, ,•5'6 �Q Q Address: G Project Description: City, ST, Zip: C� Telephone: .2 Q� a,E Q U ME e -I State Lic. # : City Lic. #: Arch., Engr.; Designer: Address: City, ST, Zip: Telephone: r State Lic. #: Name of Contact Person: r Ug Construction Type: j6lrC4 a1g.1 Cccupancy: Project type (circle one): New Add' -,i Alter Repair Demo Sq. Ft:: #Stories: #Units: . •Telephone # of Contact Person: o Q • Estimated Value of Project09 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check -Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical - Grading plan 2nd Review, ready for corrections/issueElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer :Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees � . - .. CITY /All p BUILDING C�Ld Ullil /�j1 e y/''r / , /DING & S FETY DE T ,APP VE® v� I uIla, ��P.. / FOR CONS k.a /1f%.r � � ' . Qc�v rs�o • 3� U STION � � <a�'a � ,�� t� � ,,► for/rl 1 - CITY OF LA QUInITA . BUILDING & SAFETY DEPT ` APPROVED ON UCT(ON 74el 0) MIGUELS POOL &:SPA'S P.O.-BOX 2258 f CATHEDRAL. CITY CA 92235 Z� CITY OF LA QUANTA '. WILDING & SAFETY DEPT. APPROVE® S N FORCQI�ISTRUCT1OlVC,1 DA .... BY '- ! .p ��i�Ot-,Tori