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08-1095 (BLCK)P.O. BOX 1504 ~ 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht'4 4 Q*& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT: Application Number: 08-00001095 Property Address: �77750 AVENUE :50' APN: 658-190-003- - - Application description: WALL/FENCE Property Zoning: GOLF COURSE Application valuation: 12500 Applicant: Architect or Engineer: �/ -- ------------ ----------------- I hereby affirm under penalty of perjury Section 7000) of Division 3 of the 7i License Class: A. B >Kr'.� or:, to CONTRACTOR'S DECLARATI nsed under provisions of Chapt 9 (commencing with assiona ode, and my Lice is in full force and effect. Lic 24 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury at I m exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and essions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or re it a�nstru eprior toits issuance, also requires the applicant for thepermit to file a signed statement that he or 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 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 ISec. 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: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6-/ 2 6 / 0 8 Owner: LA QUINTA COUNTRY CLUB P O BOX 99 LA QUINTA, CA 92253 D Contractor: JVL �8 ZQ LINTHICUM CORPORATI C/TYDF 0� 20789 NORTH PIMA ROAD S NCF �Nl SCOTTSDALE, AZ 85255 FpT A (480)515-1700 Lic. No.: 844524 ------------------ 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of. the Labor Code, for the performance of the wo is pe ad. My workers' compensation insurance carrier and policy nu m are: Carrier STATE FUND olicy umber 15585-07 _ I certify that, in the performani person in any manner so as and agree that, if I sho \l3700 of the Labor C e, !1, te: VV Ap ant: WARNING: FAILUAEeTOCURE WORtf,1EE SUBJECT AN EMPLOYER TO CRIMINADOLLARS ($100,000). INADDITIONTSECTION 3706 OF THE LABOR CODE, thew rk for which this permit is issued, I s all not employ any subject to t orkers' compensati laws of California, e bject to the worker ' compensa i provisions of Section rthwith comply wit ose ons. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL �TIE,,S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 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 or m d to the work being performed under or following issuance of t ' perm' . 2. Any:permit issued as a result of this appli tion b omes II and void if work isnot co enced within 180 days from date of issuance f such ermit, cessation of work for 180 days ' subject permit to cancellation. 'I certify that I have read this application a tale the the bove' formati is correct. I agree to comply- ith all city and county ordinances and state law relating to b it mg nstruction, nd hereby authorize represe lives of this_oolinty tp entgr upon the above-menti e r inspection p rposes. (Applicant or Agent): LQPERMIT Application Number . . . . . 08-00001095 Permit WALL/FENCE PERMIT Additional-desc . Permit Fee . . . 144.00 Plan Check Fee .00 Issue Date Valuation 12500 Expiration Date .12/23/08 Qty Unit Charge Per Extension BASE FEE 45.00 .11.00 9.0000 THOU BLDG 2,001-25,-000 99.00 - --- -------------------------------------------- Special Notes and Comments 500 L.F. 6' GARDEN WALL @ MAINTENANCE BLDG. AND TENNIS COURTS, CITY STANDARD, PER APPROVED PRECISE GRADING PLAN. Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 144.00 .00 .00 144.00 Plan Check Total .00 .00 .00 .00 Grand Total 144.00 .00 .00 144.00 LQPERMIT 44 8 ' City of La Quinta Building 8r Safety Mslon P.O. Box 1504, 78-495 Cabe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permli # G Project Address: _7 Z -,jG Owner's Name: C A. P. Number: — 490 --{ z (367 Address: Legal Description: Contractor: lei (,i City, ST, Zip: lt,)OIA C 1 2 �3 Telephone 7 ' Jam- rio �� l €`>, ;:Lx>:•::•;::«s:: •, ; Address: (, Project Description: Pjf� —I �� �► City, ST, Zip: Telephone '71` <YY{m?%'a� '•r City Lic. #: ` �'1� Lc ` `� I, C .�. State Lic. # : ( '1( 3Qf 'I� ©U �Z J;-, V Arch., Engr., Designer l%j �i J� L J� It 1 Address: City., ST, Zip: Telephone 1 6 00 r ;;;,�;..; ,..,,.�,%,N,n,�.,,�••. • ,�,,,- Construction Type: Occupancy: State Lic. Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Name of Contact Person: Telephone # of Contact Person: '—�� Estimated Value of Project: �. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted It,, Amount Structural Calcs. Reviewed, ready f corrections �- Plan Check Deposit Truss Calcs. Called Contact Person i ' Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted 3 Mechanical Grading plan 2°" Review, ready for corrections/ ue lectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/Luue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ,17 5 12, -72 Total Permit Fees 414z( >� O --;P aPP