06-2919 (BLCK)�� tf
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:.06-00002919
f
Property, Address:
81192 CONTENTO
APN:
767-200-011-5 -318742-
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2525
Applicant:
T,iht . 4 4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:.
TAYLOR WOODROW HOMES, INC
15 CUSHING
IRVINE, CA 92618
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/07/0.6
Contractor:
Architect or Engineer: TAYLOR WOODROW HOMES INC
16745 W. BERNARDO DR, STE 140
SAN DIEGO, CA 921270
X) AA
(94 9) 341-1200 D
Lic. No.: 352047
AUG 3 o 2006
------------------- - - - - -------------------------------------------- -
-----
LICENSED CONTRA OR'S DECLARATION
I hereby affir nder enalty of perjury that I am lice sed un r provisions of Chapter 9 (commencing with
Section 700 of D' ision 3 of the Business and Pro ession Code and.160 License is in full force and effect.
License : B icens o 52047
ate: ontractor.
I here y a m under penalty of perjury that I am exempt from the Contractor's State License Law for the
folio ing eason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
const uct, 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 ($5001.:
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.).
(_) 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.).
(_ 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:
LQPERMIT
lCffy ®F *TA- -
WORKER'S COMPE IS ION DECF M ()E!;
I hereby affirm under penalty of perjury one of the following"eeferenons.
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 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 LIBER Y MUTUAL Policy Number A765D283614056
I c ify, th , in the performance of the work fW
' is ' sued, I shall not employ any
person any manner so as to becom subjc pensation laws of California,
and re that, if I shout come s ject tensation provisions of Section
he Labor C I shall fo withrovisions.
Zate icant. ING: AILURE TO SECURE WORKERS' COMPENSAIS UNLAWFUL, AND SHALL
JECT 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 relate 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 ork is of commenced
within 180 days from date of issuance of such permit, or cessation of rk for 80 days will subject
permit to cancellation.
I certify that I have r d this application and state that the above informatio is cor ct. I ree to co ply with all
cit and co t ord' ances and state laws relating to buildin struction, nd he eb a ori reentatives
of this to tEr upon the above-mentioned prope inspectiorfP rpos . y 1 141
(Applicant or Agent):
Application Number . . . . . 06-00002919
Permit . .
. WALL/FENCE PERMIT
Additional desc .
.
Permit Fee . . .
. 54.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 2525
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
----------------------=-----------------------------------------------------
Special Notes and
Comments.
101 L.F. 6' GARDEN
WALL, PROTO II
SYSTEM
Fee summary
-----------------
Charged
--------------------
Paid
Credited
----------
Due
Permit Fee Total
54.00
.00
----------
.00
5'-1.00
Plan Check Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.00
f
LQPERMIT