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08-0636 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000636 Property Address: 80745 VIA MONTECITO APN: 772-410-999-59 -298944- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5040 Applicant: c&ht 4 4 Qum& Architect or Engineer: � /K BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am 'i cense under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prole o Is Code, and my License is in full force and effect. License Cl a s: B WLicenseNo.: 683969 Date: _�Contractor OWNER -BUILDER DECLARATION hereby affirm under penalty f er' at I am exempt from the Contractor's State License Law for the following reason (Sec. 7031. , 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 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 suld within one yeei 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 _) 1, 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.). (_) 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 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: LQPERA11T Owner: NELSON RESIDENCE 80745 VIA MONTECITO LA QUINTA, CA 92253 Contractor: CAL -TECH DEVELOPMENT 78150 CALLE TAMPICO LA QUINTA, CA 92253 (760)771-3738 Lic. No.: 683969 CORP STE 2C VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/29/08 WORKER'S COMPENSATION DECLARATION' --_;`-J 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 1768839 _ I certify that, in the performance ofthe work for w ich this permit is,issued, I shall not employ any person in any manner so as to become subje t the workers' compensation laws of California, and agree that, n I should b ome subject t rkers' compensation provisions of Section 3700 of the Labor Code, hall r - with o pl with those provisions. Date: Applicant: WARN( . FAILURE TO SECU E 0 OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO R I ALT AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). INA I HE COST OF COMPLNSATION, DAMAGtS AS PROVIDED FOR IN SECTION 3706 OF THE LA R C E, 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 above information is c r ec . I agree to comply with all city and county ordinances and state laws relating to building onstru tion, an re authorize representatives of this county o enter upon the above-mentioned property f in on pur s Date: Signature (Applicant or Agent). Application Number . . . . . 08-00000636 Permit . . . . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5040 Expiration Date 10/26/08 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 87' @ 7'-61-, 4.7' @ 61, 30' @ 5', 40' @ 41, 25' @ 2- ANGELUS BLOCK PER APPROVED STRUCTURAL CALCS. ---------------------------------------------------------------------------- Other Fees .. . . . . . . . HOURLY PLAN CHECK •70.00 Fee summary Charged Paid ------------------------------------- Credited ---------- ---------- Due Permit Fee Total 81.00 ..00 .00 81.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 70.00 .00 .00 70.00 Grand Total 151.00 .00 .00 151.00 LQPERAIIT Bin # 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:45 V « ^1.7F�-& Owner's Name: A. P. Number: Address: 90-745 Legal Description: City, ST, Zip: • Contractor: L elephone: Address: Z,Project Description: City, ST, Zip: Telephon-141 u-3 ISEe CityLic. #:33 21 State Lic. # : % Arch., Engr., Designer: �/ V Address:D, 5 1 "Oi �[ City, ST, Zip: Z-5- 1(leaS1 Telephone: State Lic. #: Name of Contact Person: �� Z14 /n Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 57 — Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 4 Item Amount Structural Calcs. Reviewed, ready for corrections Plat: Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mc6anical Grading plan 2"" Review, ready for corrections/issue Elec_rical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S. 'Mi. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.)✓P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees