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06-0684 (SOTB)r P.O. BOX. 1504 4 VOICE (760) 777-7012. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA-QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT • Date: 2/15/06 Application Number:�0000'06;84• 1 Owner, "Property, Address: 57389 VIA VISTA ) CALVARY CHAPEL/HOBBS APN: 762-240=003-29 -300962 57-389 VIA VISTA y Application description: -t STRUCTURES OTHER THAN BUILDINGS LA.QUINTA, CA 92253 Property Zoning: MEDIUM DENSITY RES - Application valuation: 5800 d� Applicant: Architect or Engineer." ARTISTIC-°LANDSCAPE ;INC , .•78601 POMPEII CT- LA QUINTA, CA 92253. l (760)360-1395, p Lic. No. 379421 FED 2' 1.2006 - - CI. p L,q QU1NTq - -- - = 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 with „'- I hereby affirm under penalty of perjury,one of the following declarations:- `Section 7 00) of Division 3 of the Business and Professionals Code, and my License is,in full force and effect. I. have and will maintain certificate of consent to self-insure for workers' compensation, as provided License ass: 027 -. icensei N .: 379 1 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is L issued. •/v v0 Con cu3 tor: trt. Jhave and will maintain workers' compensation insurance,as requiredby Section 3700 of the Cabor. ^%. . •Code, for the performanceof the work for which this permit is issued. My, workers' compensation OWNER-BUDECLARATION insurance carrier and policy number are: ,• I hereby affirm under penalty of perjury that I am exemptfrom the Contractor's State License Law for the e Carrier CLARENDON ,INS Policy Number 01KR- 0032 - 022 - following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - I certify that, in the performance f the work for which this permit isi ed, hall 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 become subject to the wo ers'.c ens ion laws'of California, - permit to file asigned statement that.he or she is licensed pursuant to the provisionscf.the Contractor's State - and ;agree that, if I should come subject to he work co sati provisions-of•Section License Law (Chapter .9`(commencing with Section 7000) of Division 3 of.the Business and Professions Codef or ' •`.. 37 0 of the Labor Cod shalPfortnw' mply w' hos `isi that he orshe is exempt therefrom and the basis for the -alleged exemption. Any violation of Section 7031.5-by e any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - - DatApplicant:' (_ 11, 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 ' I 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 thepurposeof. sale.). - . APPLICANT ACKNOWLEDGEMENT - 1 1, 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 contractors) licensed 1. Each person upon whose behalf this application ismade,each person at whose request and for - _ - pursuant to the Contractors'"State . License Law.). � - - � whose benefit work is performed under or pursuant to�anypermit issued as aresult of this application, f_ 1 Tam exempt under Sec. B.&P.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. 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 ab information is correct. I agree t ply nh all work for which this permit is issued (Sec. 3097, Civ. C.). - - - city and county ordinances and state laws relating to buildi onstruction, and hereby thori r rese lives • of this co nttito ter upon the above-mentioned grope r inspa- pu oses. Lender's Name: f - Da i/GSignature (Applicant or A - Lender's Address: LQPERMIT - - ' Application Number 06-00000684 ` "Permit BUILDING PERM"IT _ Additional desc- Permit Fee 81.00 Plan Check Fee:. 52.65 Issue Date Valuation" . . - 5800 Expira'tion`Date 8/14/06 Qty Unit Charge Per Extension z BASE FEE 45.00.. 4.00 9.0000 THOU BLDG 2;001-25,000 ------------ 36.00 PermitELEC-MISCELLANEOUS Additional desc Permit`Fee 15.75 Plan Check Fee". 394 Issue, Date `,, Valuations 0.• Expiration Date". 8/14/06 Qty' Unit Charge Per `Extension BASE FEE' 15.00 " 1.00 15,00 PER-'"" ELEC DEVICE/FIXTURE 1ST 20 --------------------------- 75,.- Permit 'PLUMBING;, Additional de, Permit Fee 18:00 Plan Check Fee 4.50 Issue Date ` ._ .: Valuation; 0 Expiration ;Date _8/14/.06 ^' Qty Unit Charge, Per, ;', , Extension --BASE" FEE _ 15.0 0, - 1.00 3.00.00 EA : ., PLB• GAS PIPE 1 4, OUTLETS' - ''. 3 00 . Special Notes-andComments - -- -- -- --- ---- -- -- ---- ----. - BARBEQUE PER -PLAN. - --------------------- ------------- --------- -------------------------- Other,Fees ENERGY,REVIEW FEE 5.27 Fee summary. Charged Paid Credited Due -- - ------ ---- - _ ;Permit Fee Total 114.75 .00' .00 114.75 Plan Check Total, 61.09 00' .00: 61.09 Other Fee Total 5:27 :00 .00 5.27 ' Grand Total 181.11 .00 .• ..00 181.11 LQPERMiT Bin # City of La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # D �� Project Address 8 Owner's Name: A. P. Number: Address: 57 /� 1 Legal Description: City, ST, Zip: L�Q11, Contractor: Telephoner ' �s Address: Z2 I Project Description: City, ST, Zip: Q_ �j Telephone: City Lic. #: State Lic. # : C 2 % Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: _ __--l-Estimated Value.of Eroject APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check.submitted i 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 2"" Review, ready for corrections/issue Electrica5 Subcontactor List Called Contact Person P umbing+ OVt�E� Grant Deed Plans picked H.O.A. Approval Plans ksuQNet 8 SAFEl e Gr ding IN HOUSE:- Revi w, Pay for�corretic onnssu V I Y Y nl ON De loper Impact Fee Planning Approval r ►n Called utact P owl R CiO� A.I. P. Pub. Wks. Appr Date of p rmit issue ` - School Fees jjAT Total Permit Fees • - {_ _ _ a • • t i 1 - .- �• _ _ .i � _ - ( ,� r - . •c s - " ? .. `' is ` ` � Y ,4 .Y a,� «. • ,k . ` , • BtA kf�'g�►�-,.o t �ea,e {►�o�' �ou;,ix�r�htrt.s�`d - ' A e ,..� ,•r� i , TY OF LA. QUINT t - Y 30 S �K1. '` �Y�e.li bta 6 x 3+: Got,�m�N,r �a - C'vl SAFETY.. DEPT. r r w:i4b• 'f;i Ai's aanr';''Fle.� P:iga�t Cr1d - _ C3UILjDIQN'/�'G & �/yFpE Z4'nx.: (,?1;,i�?►t i��l.N� ..:c4ptVED- aia�:, 1 wili+l r2 �, bl� oiccl Oa.st�F�„ i - FOR CONSTRUCTION- e10• 30•q,nJ►lIrQ,. vg4.DAT �� `` 5' a:i• r^ t ♦ ;Y `ST ; ' I } I W/�1.�- ` ."t fou ')R1 ' , • ^ . - • r- �.: r: - "+ 3..- `•,��,1. �:i't�S��4�-s �l�f' '• - i � , t •, > �F � � ...• r ` r t /«i 4 ZS �.✓d��r2 "✓ r , ' S� Jy '.' ,, ..'>r ��....-•�� 4ir ,C'1% r f It _ + _ _ ,., J . 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