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05-3400 (BLCK)P.O. BOX 1504'. :"-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-7:00003400 Property Address: 57413 VIA "VISTA APN: 762 -240 -003 -33 -300962 - Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY RES Application valuation: 2175 Applicant:. Architect or Engineer: LIC DCO R'S D LA N�-�--"•'I I herebya ' m and penalty of erjury th licens ns'of Chapter 9 (commencing with Section 7 00) of vision 3 he Busin s P Is Co , and my License is in full force and effect. _ L�iYcce a lass: Lic se No.: `!-[Ufa Contractor: 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 provision`s 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 slie 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 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 prp4ing that he or she did not build or improve for the purpose of sale.). ( 7 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 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 VOICE 760 777-7012 FAX (760) 777-7011 PARTMENT INSPECTIONS (760) 777-7153 MIT Date: 8/03/05 Owner: a r PUERTA AZUL PARTNERS 17700 SW UPPER.BOONES FERRY RD SUITE 100 PORTLAND, OR 97224 Contractor: DAVIS/REED CONSTRUCTION INC WCC: STATE FUND WC: WC2,98892005-. 06/30/06 CSLB: 813480 10/31/06 WORKER'S ENSATION DEC L TION- - I hereby affirm under penalty of perjury one o following declarations: _ 1 have and will maintain a c icate of consent to self -insure for w rkers' compensation, as provided for by Section�31he Labor Code, for the performance of a work for which this permit is ,,,✓/// issued.. - - ,. y I have and ill ers' compensate insurance, as re ved by Section 3700 of the Labor Code performance of the wor f hich this permi s issued. eFs' compensation ins an carrier and policy n er Carrier - P um - Ice i /th the performa a of or wh' this permit is issued, I shall not employ any ! s m any manner so a je o the workers' compensation laws of California, - ree that . c u c the workers' compensation provisions of Section . e abor C 1 I f comply with those provisions. at Applicant: - ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' . •- SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001.. 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 o being performed under or following issuance of this per ' 2. Any permi 'ssued a a result of this app' becomes null d void if wor ' t comm ed within days r m date of iss a of such permit, or ation of r 180 will subject permi o canc a on. I certify I ha read s applicatio a that the abov fo ation i ct. I ree to comply with all city and o t i a es a e laws r gilding n ion reb uthorize representatives ' ofthis co upon the above-mentioned property r Dat 8 g re (Applicant or Agent): . Application Number . . . . . 05-00003400 " Permit WALL/FENCE PERMIT Additional desc . Permit Fee 54.00. Plan Check Fee .00 - Issue Date Valuation 2175, Expiration Date 1/30/06 Qty Unit Charge Per Extension BASE•FEE- 45.00 1.00 9.0000 THOU BLDG 2,001-25,000, 9.00 ------------------------------------------ -- ----------------------------------------------------- special special Note's and Comments ------------- ------- " 87.L.F. 6' GARDEN WALL, ORCO SYSTEM. Fee summary Charged Paid Credited Due Permit Fee Total 54.00 00 .0.0 -54.00 .Plan Check Total.:. .00 .00 .00 :00 Grand Total 54.00. .00 .00 54:00_ ' LQPERMTT' - ..