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06-3559 (BLCK)P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003559 Owner: Property Address: J80748 VISTA BONITA TR. WILLIAM TAMGHE APN: 777-040-011- - - 80748 VISTA BONITA TR Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: VERY LOW DENSITY RES (000) 775-5103 Application valuation: 750 �: ' 7'.. Contractor: Applicant: Architect or Engineer: Owner to VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/06/06 -------------------------------------------------------------------------------------------------- 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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .Date: Contractor: _ 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 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).: ( X ) 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 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 insurance carrier and policy number are: Carrier - - - - - - - - - - - - - - - - - - - - - -- Policy Number 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 700 of. the Labor Code, I shall forthwith com ly wi those p isions. !Date: Applicant:, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE"OF IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 6n 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 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and h ffreby thorize re esentatives of this co�ufnt t enter upon the above-mentioned pr pe y 1, i spec tion purpo S Date: 1f (/ Signature -(Applicant or Agent!: Application Number 06-00003559 Permit WALL/FENCE PERMIT INV -.FEE Additional desc .. Permit Fee 42.00 Plan Check Fee .. .00. Issue Date Valuation . . . 750 Expiration Date 4/04/07- /04/07Qty QtyUnit Charge Per Extension BASE FEE 30.00 3.00 - 4.0000 HND BLDG 501-2,000 12.00 Special NbteS anti l:6ffMeiitg - TWO (2) 15 LF WALLS 514" HEIGHT TO FORM TRASH ENCLOSURE. INVESTIGATION FEE ASSESSED FOR WORK BEGUN WITHOUT A PERMIT.CITY STANDARD. Fee summary Charged Paid Credited Due. -------- ---------- ---------- Permit Fee Total 42.00 .00 ---------- .00 42.00 Plan Check Total .00 .00 .00 00 Grand Total 42.00 _00 .00 42.00 LQPERMIT pin If Cityof La ' Quinta Building u Safety Division P.O. Box 150.41 78-495 Calle'Tampico La Quinta, CA 92253 - (760) 777-701 Building Permit Application and Tracking Sheet Permit # o� Project Address: Owner's Name: `(%,1,(^• —�' A. P. Number: Address: Q _ 74' U i5 Legal Description: City, ST, Zip: J -A %t CA • cr ZL53 Contractor:' <. Telephone: 7?5- 57/0 3NI Project Description: Address: City, ST, Zip: 4A f.1�1GLosa.f2+Q_ Telephone: S X.OeA WR U-5 State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City,. -ST, Zip: Telephone: a• . State Lic. #: Construption Type: Occupancy: Project type (circle one) NewAcd'n Alter 'Re air Demo p Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact'Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Recd TRACKING., PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Chick Deposit Truss Calcs. Called Contact Person Plan Chack Balance. Energy .Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2s° Review, ready for correct ionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up $.M.I. H.O.A. Approval Plans resubmitted . Grading IN HOUSE:- ''"Review, ready for corrections/issue Developer Impact Fee.. ; Planning Approval , Called Contact Person A•I.P.P. Pub. Wks. Appr Date of permit issue. School Fees Total Permit Fees.. TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible OLM of record on such a permit. Building permits are not required to be signed by property owners unless they are per .onallyperforming their own work. If your work is being performed by someone other than yourself, you may protec yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for. which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit'and protection:. If you employ or otherwise engage any persons other than your immediate family, and the w3rk (including materials and other costs) is $200.00-or'more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an, employer. If you are an employer, .you must register with the.State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you'if you do not carry out these obligations, and these risks ar-- especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under. State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed, to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "CwnerBuilder" building permit, erroneously implying that.the property owner is providing his,or her own labor zind material personally`. Building permits are not required to be signed by property owners. unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the. Contractors' Stat.License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. -- ----- Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La' Quinta, CA 92253 (760) 777-7012 AX: (7 0) 777-7011 p �J cPir� 4 6 a 6 OWNER'S SIGNATURE E PROPERTY ADDRESS PERMIT NUMBER(S) New Year's Day Dr. Martin Luther Icing Jr. Day I President's Day i Memorial Day } Independence Day Labor Day Veteran's Day W'LXV13``t�g,;otsfi� Thanksgiving Day 5 _ Christmas Day - , j 64 W1 T OIL lei • CITY OF LA Q BUILDING & SAFETY D4U _ _ - -- _. �®4 ��� _APPROVED G S tom . FOR CONSTRUCTI QA �9 , DA /O- 6`0b BY A RE-INSPECTION FEE OF WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR 'A SCHEDULED INSPECTION. NO EXCEPTIONS!