06-2921 (BLCK).0. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number.
i 06 -60002921 1
Property Address:
81760 CONTENTO
APN:
767-200-011-7 -318742-
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2950
T,&t 4 .fwQ"
Applicant: Architect or Engineer:
�t
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TAYLOR WOODROW HOMES, INC
15 CUSHING
IRVINE; CA 92618
Contractor:
TAYLOR WOODROW HOMES
16745 W. BERNARDO DR,
SAN DIEGO, CA 92127
(949)341-1200
Lic. No.: 352047
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .8/07/06
I rAUGG o 2006
CITY OF LA QUINTA
FINANCE DE".
— — — — — — — — — — — — — — — — — — — — — — — — —1-14 — — — — — — — — — - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
LICENSED CONTRA R'S DECLARATION
I hereby affirm nder p alty of perjury that I am licen dun r rovisions of Chapter 9 (commencing with
Section 7000 of Div' ion 3 of the Business and Profe sional ode, a m icense is in full force and effect.
License C cense N .: 2047
Date: ontracto?:
I hgfeby 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 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:
LQPERA11T
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.
have and will maintain workers' compensation insuranc as required by Section 3700 of the Labor
Code, for the performance of the work for which thi p rmit is issued. My workers' compensation
insurance carrier and policy number are: _
Carrier LIBERTY MUTUAL Policy Nu er A 65D283614056
I certify that, in the performance of the work or wh' h t is permit is issued, I shall not employ any
4te:
any manner so as to becomes lett th workers' tom nsation laws of California,
a that, if I should me sub to t orkers' c m anon provisions of Section
e labor c7 -hall fort h c y with th a isions.
scant: SECURE WORKERS' COMPENSATION COVE AGE IS UNLAWFUL, AND SHALL
R 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 har s the City
of La Quinta, its officers,. agents and employees for any act or omission related to the ork 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 n commenced
within 180 days from date of issuance of such permit, or cessation o work for 80 4eys will subject
permit to cancellation.
I certify that I ave re this application and state that the above information is rrect. I gr to comply wi all
city and co ordi __es
and state laws relating to building struction, an hereby ori repr%septa es
of thi� on the above-mentioned pro pe or inspection pur ses. / - (Y
(Applicant or Agent):
Application Number . . . 06-00002921
Permit . .
. .WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
54.00
Plan Check
Fee
.00
Issue Date
Valuation
2950
Expiration Date
2/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
1.00 9.0000
THOU BLDG
2,001-25;000
9.00
--------------7-------------------------------------------------------------
Special Notes and
Comments
118 L.F. 6' GARDEN
WALL, PROTO II
SYSTEM
Fee summary
-----------------
Charged
---------- ----------
Paid
Credited
----------
----------
Due
Permit Fee Total
54.00
.00
.00
•54.00
Plan Check Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.00
LQPERMIT