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05-4377 (BLCK)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00004377 Property Address: 80823 VIA PUERTA AZUL APN: 762-240-003-75 -300962- Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY RES Application valuation: 1259 Applicant: Tit�v 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 Dd PORTLAND, OR 97224 �0)Contractor: n�T 1_ z 2005 DAVIS/REED CONSTRUCTION INC 169 SAXONY ROAD, SUITE 105 CVN!Z QIAilI1;4 ENCINITAS, CA 92024 FIj CEOE17. (760) 634-2350 Lic. No.: 813480 Date: 9/29/05 ___________________y___ a_____-. I*___•____________________________________________________________— I hereby a 'rm der penalty o rjury t _ I am Section Divisio of the Busi ss and Lic se lass: a B ontraaor: s ciflthapter 9 (commencing with n icense is in full force and effect. 13480 I heAby affirm under penalty of perju t I am exempt from the Contractor's State License Law for the following reason (Sec. 7037.5, Bus' s 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 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, 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. , 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 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' co sation insurance, as requ ��d by Section 3700 of the Labor Code, for the performance a work for which this permit is issived. My workers' compensation insurance carrier and y number are: Carrier STATE FUND Poli y Nu ber' WC29889200 _ I certify, thatA&nm. int performance of r for which this permit is i sued, I shall not employ any per on so as to co a bject to workers' c pensation laws of California, aogroul�'be m u ct tot orkers' co ensation provisions of Section 70 ooQE, I al XFAILURE TO SECU Rf(018' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL N EMPLOYER TO IMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 15100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 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 a ue as a resu lication the owner, and the applicant, each agrees to all defend, indemnify and hold harmless th ity of La Quinta, its officers, agents a oyees for any act or omission related to the work being performed under or following iss ce of this permit. 2. Any permit issued as a result of this ' ' becomes null and void if work is not commenced �/ within 180 days from date of issuance of such per ion of work for 180 days will su jecl permit to ncellation. I certify that I ve r d this application and state that a ve i rma ' correct. I a r I with all city and cou or ances elating t u g c stru , and hereb a represents of this cou to to pZtheve-mentioned rty f insp�'n purpo D Siglicant or n Application Number . . . . . 05-00004377 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 31.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1259 Expiration Date 3/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 2.0000 HIND BLDG 501-2,000 16.00 ---------------------------------------------------------------------------- Special Notes and Comments 35 L.F. 6' & 8 L.F: 2' & 24 L.F. 4' BLOCK WALLS, ALL ORCO SYSTEM Fee summary Charged Paid Credited ---------- Due ------------------------------------- Permit Fee Total 31.00 ---------- .00 .00 31.00 Plan Check Total .00 .00 .00 .00 Grand Total 31.00 .00 .00 31.00 LQPERMIT