07-2214 (BLCK)c°s
t P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00002214
78225 CALLE CADIZ
770-156-002-2 * -000000-
WALL/FENCE
LOW DENSITY RESIDENTIAL
3464
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TRI GENERATION
P.O. BOX 450
LA QUINTA, CA
DEVELOPMENT
92253
Contractor:
LENDEL VENTURES, INC
P.O. BOX 450
LA QUINTA, CA 92247
(760)564-1866
Lic . .No.: 638535
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/.07
- - - - - - - - - - - - - - - - - - - - - - - - r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - —
LICENSED CO TRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licen under provisions o Ch er 9 Icon
Section 7000) of Division 3 of the Business and Prof sionals Co and my License is in full
License Class: B 0 Lice eNo.: 638535
Dat 44/0W -Contractor:
If
OW R- L1&R LARATI N
I hereby affirm under penalty of perjur at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Bus' ss 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 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.).
(_ ) 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:
LQPFRAIIT
WORKER'S COMPENSATION DECLARATION
1 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 STATE FUND Poli Number 0009671-2007
I certify that, in the performance of t work for which this permit is issued, I shall not employ any
person in any manner so as to b ome subject to the workers' compensation Taws of California,
and agree that, if I sh�forlhw
orkers' compensatio provis' ns of Section
37�0f0 of the Labor Cith tho rowsions.Date: 3 v V. Applicant:C <
WARNING: FAILURE TO SECURE W RKERS' (iOMPENSATION COVER IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINE P TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADD ON TO THE COST OF COMPENS ION,'DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABO ODE, INTEREST, AND ATTORNEY'S FEES. -
I' 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. r
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 cessa ' n of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above inform on i orrect. I agree to omply with all
city and county ordinances and state laws relating to b :)ding construc d hereby au r ze representatives
of this county to enter upon the above-mentioned prop rty for inspe o rposes.
Date - �l Y% ignature (Applicant or Agent): �!
Application Number . . . .
07-00002214
Permit . . . . .
WALL/FENCE
PERMIT
Additional desc . .
Permit Fee
63.00
Plan Check
Fee
.00
Issue Date-
Valuation
. . .
. 3464
Expiration Date
1/27/08
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
2.-00 9.0000
THOU BLDG
2,001-25,000
18.00.
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Special Notes and Comments
160 X 5 GARDEN WALL
Fee summary Charged
---------------------------
----------
Paid
Credited
--------------------
Due
Permit Fee Total
63.00
.00
.00
63.00
Plan Check Total
.00
.00
.00
.00
Grand Total
63.00
.00
.00
63.00
LQPERMIT