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06-4286 (BLCK)P.O. BOX 1504. 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 Y , 4,4 Qa6et BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application. Number: t06-00004286 Property Address: 52887 -VIA SAVONA ' APN: 772-410-999-23 -29'8943- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuations 2500 Applicant: Architect or Engineer: a� I ve, -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty -of perjury that I am licensed un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi e, a my License is in full force and effect. License Class: C2 is se 809220 ate tractor' OWNER-BUILDE DECLARATION 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—) 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.l. I, as owner of theproperty, 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 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: TA? LQPE%NIIT: ' VOICE (760) 777=7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7753 r Date: 12/15/06 Owner: CROUCH 52887 VIA SAVONA LA QUINTA, CA 92253 n. 0 Contractor: D ORTEGA. MASONRY 'P.O. BOX 2772 1, INDIO, CP 92201 • LAQDINTA (760) 342-1726 CITY OF 'FINANCE DEPT. Lic. No.: 809220 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 1769129-2005 _ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner sous to become subj to the workers' compensation laws of California, and agree that, if I should become ubje workers' mpensation provisions of Section 37(�'of the labor C lie shall forth�y those provisions. WAR NG: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL , SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 ave read this application and state that the above information is correct. 1 agre comply with all city and my ordinances and s e laws relating to building construction, and representatives oft ' coun to'e r upon above-mentioned prop inspection ur - Dat . nature (Applicant or Agen I Application'Number . . . . . 06-00004266 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee .00 Issue Date Valuation 2500 Expiration Date'. 6/13/07 Qty Unit Charge Per Extension --�_ BASE FEE _ 45.00 1.00 9.0000 THOU BLDG 2,001-25,0,00 9.00 - ------.--------------------------------------------------- Special Notes and Comments 100 L.E. 6' BLOCK WALL, ORCO SYSTEM Fee summary Charged Paid Credited Due. Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 .00 .00 54.00 . LQPERISIIT Bin # City of La Quinta { Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �(�� ► rJ Project Address:' �" f/� Owner's Name: MAO U 'J A. P. Number: .. Address: g k 7 >Gi Legal Description: Contractor: e c` S�� r' City, ST, Zip: Telephone;. Address: L S- G'oc>C1��/C' Project Description: ,., .. b / City; ST, Zip: Telephone:36 "-,7,26 State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip:. Telephone: State Lic. Name of Contact Person:t Construction Type: In Occupancy: Project type (circle one): New Add'n Alter • Repair Demo 1'# Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd :. RWd TRACIMG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed; ready for' Erections Plan Check Deposit. Truss Calcs. Called Coutact Person , Pian Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Gradiug.plau 21' Review, ready for corrections/issue Electrical ' Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. ILO.A. Approval Plans resubmitted Grading IN HOUSE:- 'Review, ready for.correctionsrissue Developer Impact Fee Planning Approval J, Called Contact Person A LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees