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06-0352 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000352 Property Address: 80825 VISTA BONITA TR APN: 772-280-018- - Application description: WALL/FENCE Property Zoning: VERY LOW DENSITY RES Application valuation: 1532 Titit44Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Professional Code, and my License is in full force and effect. License Class: B 128 can o.: 700 ate�i rector: O ILDER DECLARATION 1 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 _ 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.). (_ 1 1, 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: r` Lender's Address: �V LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/26/06 Owner: SAUTER FAMILY TRUST 3 VON DEHN RD RANCHO MIRAGE, CA 92270 Contractor: LANGFORD CONS ION D 57845 SOUTH Y LA QUINTA, CA 3 r 200 (760)771-6299 NA 1 Lic. No.: 4017 J ''.®a��► _ 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. "4have 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 FARM Policy Number 90XP95596 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 s*horthw' to t rkers' compensatio rovisions of Section �� 33Qpof the bor Cc ply ith se provisjQnatees/ •,,��/J(�/) pplicant:WARNING: FAILURE TO SECURE WATION 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 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 b ilding constru n, ereb authorize repres ivas of this c my to: ee tt upon thea ve-mention d pr y for ins e n p rpo s. ate' f/`� �Si ure (Applicant o nt Application Number . . . . . 06-00000352 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee 37.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1532 Expiration Date . . 7/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 2.0000 HND BLDG 501-2;000 22.00 ---------------------------------------------------------------------------- Speciai Notes and Comments 200 LF COMBO 2' BLOCK WITH 3' WROUGHT IRON PER ORCO STANDARD. Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 37.00 ---------- 00 ---------- .00 37.00 Plan Check Total .00 .00 .00 .00 Grand Total 37.00 .00 .00 37.00 LQPERMIT Bin # City of La Quinta- Permit Building u Safety Division # 52- P.O. Box.1504, 78-495 Calle Tampico ( �''�% La Quinta, CA 922.53 -.(760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number: Address: Legal DescriM11 City, ST, Zip: Contractor: Telephone:Address: ^Project Description: City, ST, Zip ( 'i ' N—, c, _ Telephone: Rj State Lii;. #1-7 CityLic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone. Construction Type: Occupancy: State Lie. #: ntct Person: Name of C�#of�Contact Project type (circle e): New ddii Alter R au . ep Demo Sq. Ft.: # Stories: Units: TelephoPerson: �j Estimated Value of Project: APPUCANT: DO NOT WRITE -BELOW THIS UNE # Submittal Req'd Ree'd TRAM— Plan Sets PERMIT FEES Plan Check submitted Structural Cafes. Reviewed, ready for corrections item Amount Truss Calcs. Plan Check Deposit Called Contact Person Energy Calcs. Plan Checl, Balance Plans•picked.up Flood plain plan Construction Plans resubmitted Grading, plan" Mechanica . 2" Review, ready for corrections/issue Electrical Subcontactoi List Called Contact Person Grant Deed Plumbing Plans picked up H.O.A. Approval Plans resubmitted 17V I{OUSE: '~ Review, Grading ready for corrections/issue Developer I mpact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue A.I.P.P. Schbol Fees Total Permit Fees