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05-3920 (BLCK)r� P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: OS -000039203 Property Address: 80440 HIDEAWAY CLUB CT APN: 772-410-998-30 -32453 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20739 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: A B LicenseNo.: 764528 Date: 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 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 I, as owner Df 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: 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: LQPERA11T VOICE (760) 777-7012 • FAX (760) 777=7011 INSPECTIONS (760) 777-7153 ' Date: 12/22/05 Owner: ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH.43215 D Contractor: DEC 2 3 2005 LINTHICUM CONSTRUCTORS, I C. 20789 NORTH PIMA ROAD STE 250 CITYOFLAQUINTA SCOTTSDALE, AZ 85255 FINANCE DEPT (480)515-1700 Lic. No.: 764528 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 work for which this permit is issued. My workers' compensation insurance carrier and policy number are: . Carrier SCF OF ARIZONA Policy Number 3150042 NPI 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 HFAIhe Labor Code, I shall forthwith comp wit ose provisions. \Date: �licWARNINSECURE WORKERS' COMPENSATION 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 comply with all city and county ordinances and state laws relating to building construction, and hereby author' representatives ofthis county t enter upon the above-mentioned property for in tion pu poses. Vece: d' 6 nature (Applicant or Agent): Application Number . . . . . 05-00003920 4y: Permit ... . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 216.00 Plan Check Fee .00 Issue Date Valuation . . . . 20739 Expiration Date 6/20/06 Qty Unit Charge Per Extension BASE FEE 45.00 19.00 9.0000 THOU BLDG 2,001-25,000 171.00 ---------------------------------------_------------------------------------- Special Notes.and Comments COMMERCIAL GARDEN BLOCK WALLS [5'-4" TO 8"-0" HGT X 377 LIN FT.], W.I. FENCE [6 FT HGT. X 331 LIN FT.] AND COLUMNS [17 EA.] AT CLUBHOUSE GROUNDS.2001 CODES. ----------- ------------------------------------------------------- Other Fees . . . . . . . . HOURLY PLAN CHECK -------- -- 272.50 STRONG MOTION (SMI) - COM 1.13 Fee summary Charged Paid Credited -------------------- ---------- Due --------------------------- Permit Fee Total 216.00 .00 .00 216.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 273.63 .00 .00 273.63 Grand Total 489.63 .00 .00 489.63 LQPE%NIIT Bin # tiQ N0715 CW City of La Quetta "�S Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� Project Address:. Cba C4 Owner's Name: x A. P: Number: Address: X 5 Ui Legal Description: C IJ Q i4o S City. Sl, Zip: K Z 3 Contractor: X �� C� Telephone/-150-72-- O 7 Address: Address: % 700 42, p7IoCG.S City. ST, Zip: K Project Description: X WALL,' Z rLDID IZ owl G�SZE Telephone:x40 _ 5 1 _ State Lic. 4: X, _ Xg4City Lic. #: 1 Arch.. Engr.. Designer:ZV__tZ,, TAAC_, Address: ,.5. O C City> ST. Zip: Q ' ele h one: TP Con struc tton T P an �:. Ye: Oc cu c P State Lic. #• Project type (circle one):e�� Add'n Alter Repair Demo Name of Contact Person: �V13�� U(Z 2U G ,�q Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: (2 b- %5' '%%P,I Estimated Value ofProject; APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES �. Plan Sets s•'�--.�: a les. 3 51A, eq S Plan Check submitted Reviewed, read} for corrections $ (7 g m Check Deposit fan Amount Truss Calcs. Called Contact PersonPlan Check Balance Title 24 Calcs. Plans picked up 4CiNC1I4 2 O Construction Flood plain plan Plans resubmitted ,D ZMechanical Grading plan 2"a Review, ready f corrections ssue 11 Electrical Subcontactor ListCalled Contact Perso « 7 1z 'Plumbing v Grant Deed Plans picked up H.O.A. Approval Plans resubmitted 1 Grading Developer Impact Fee IN HOUSE:- "I Review, ready for corrections/issue Z Planning Approval Called Contact Person I yy A.I.P.P. Pub. Wks. Appr School Fees ey To� Date of permit issue ' x'57 0 tv It 14GI Total Permit Fees J" 110F0 Wfr �0 Y00-v� T)u610- 21.0 5 IrTPM&4_ 0/21 Srn„t✓r �� li►/l 04Te Sts.,+R19ed ` aN f'lc &VT Als---Res t� eDorr YO UNG ENGINEERING SERVICES •Engineering •Architecture•Surveying• Building & Safety Services Letter of Transmittal To: �1�j � 1 Date: Project: gp.44p kja -*-j:q rUlj�Cr Attn: PC#: Tel No.: Tract No.: We are forwarding:_ By Messenger By Mail Your Pickup No. of Copies 1 l 1 Description: Comments:ri <.y��.: .S .tRE P:CNASLE (HANK YOU This Material Sent for: Your Files Per Your Request Your Review Approval Checking At the request of: Other By: BSE(Jo`-F Phone # (760) 360-5770 E)(T. 77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770 Bronz Young