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09-0527 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000527 Property Address: 80124 VIA TESORO APN: 772-250-018-5 -31349 Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1750 Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/28/09 Contractor: U Appiluaill.: Archiiect or Engineer: TOLL BROS, INC. 50400 JEFFERSON STREE �� LA QUINTA, CA 92253 1009 In/ (760)564-9930 J (/C Lic. No.: 777699 CITYOFLA ye UTAI FpUAtyr, SEPT. ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licg.qsre Class:B License No.: 777699 Date. Contractor: 41;%,(( ,8/b*P/S -rilG 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).: (_) 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 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 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: LQPERM[T WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. 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 ZURICH AMERICAN Policy Number WC3878213-03 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the bar Code, I shall forth ith comply with those provisions. pplicant: WARNING: FAILURE TO SECURE WORKER OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 b6half 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 correct. I agree to comply with all city and my ordinances and state laws relating to building construction, and hereby authorize representatives oft county to enter upon thea e -mentioned grope y for inspection rposes. G�.i2� • Date: Sign re (Applicant or Agent): Application Number Permit . Additional desc Permit Fee Issue Date Expiration Date . . . 09-00000527 WALL/FENCE PERMIT 41.00 11/24/09 Plan Check Fee . . .00 Valuation . . . . 1750 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 2.0000 HND BLDG 501-2,000 26.00 ---------------------------------------------------------------------------- Special Notes and Comments 70 L.F. 6- GARDEN WALL, ORCO SYSTEM v Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- Paid ---------- Credited -------------------- Due Permit Fee Total 41.00 .00 .00 41.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.00 .00 .00 42.00 LQPERAIIT May. 29. 2009 1:20AM SITE ADDRESS: 50-400 Jefferson St. La Quinta, CA 92253 PHONE: (760) 564-9930 EXT 101 FAX: (760) 771=6813 No. 2518 P. 1 To: t !/ I tjJ From: Allen Janisch . ? ?'% ! % �-- Pages: Including Cover Phone: Data: a0- Q G Re: L Y C�G(� %tom! I tQer m. �" CCe ❑ Urgent ❑ For Review ❑ Please Continent ❑ Please Reply ❑ Please Recycle . U t 0. Tes4lb 2 to '7p 05 527 4a 20 07� % tcl TeSor'o - jcJ� m2 �.5 D'I-530 �o %o Owl— eOICA O vId Ad` /rlq i;' cvAt74;4 " C C ) 90 U%a' Tesoro o0- og� 1/;� Tesoev 2 to '7p 05 527 4a 20 07� % tcl TeSor'o - jcJ� m2 �.5 D'I-530 �o %o Owl— eOICA O vId Ad` /rlq i;' cvAt74;4 " C C ) 90 May. 29. 2009 1.20AM SITE ADDRESS: 50-400 Jefferson St. La Quinta, CA 92253 PHONE: (760) 564-9930 EXT 101 FAX: (760) 771-6813 L M No. 2518 P. 1 v i To: t -PAII lip From: Allen Janisch Fes' ? ? Pages: Including Cover Phone: Date: Re: / Y Oce Gail t CC: " ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply Q Please Recycle . 1100\f4� - 1/roa Te--soa�, g0- aq j1:Q Toisono = 0o - 0 92 V r" T eso,,c .4o t- 3 0q- 527 4a ,?.5 " Oq - 5 ZB a O 20' d �� U�� sor'o - .�ci� = �� 0 R-530 4�0 pk� Pr-lenft- out- . Inv- KI -0 w e�C-4, OVId to `p (r?/ 0) 90 812-