06-2925 (BLCK)NO. B6x 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002925
Property Address:
81805 CONTENT6
APN:
767-200-011-11 -318742-
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
3750
4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/07/06
Owner:
TAYLOR WOODROW HOMES, INC
15 CUSHING
IRVINE, CA 92618
I
Contractor: U AUG 3 0 2006
Applicant: Architect or Engineer:' TAYLOR WOODROW HOMES INC
16745 W. .BERNARDO DR, STE 14 o CITY OF LA QUINTA
SAN DIEGO, CA 92127 FINANC9OEPT.
(949)341-1200
Nl� Lic. No.: 352047
LICENSED CONTRA QR'S DECLARATION
I hereby affirm der pef alty of perjury that I am licensed un r ovisions of Chapter 9 (commencing with
Section 7000) f DivisJ� n 3 of the Business and Professiona Cde, and my�License is in full force and effect.
License_Clas. B- / i / irdnseNrt_:.352047
/ OWNER -BUILDER bECLARATION
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 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: 0.1
Lender's Address:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
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 wJtor
rmit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier LIBERTY MUTUAL Policy Numb65D283614056
I certify that, in the performance of the wor oper is issued, I shall not employ any
erso in any manner so as to become bjerke ' com nsation laws of California,
and ree that, if I should become sub' ct tos' o tion provisions of Section
_.//and
✓ 370 of the Labor Coda%Vshall fort ith coh s>��ns.
WARNING: AI LURE TO SECURE WORKERS' COMPENSATION CO ROGE IS UNLAWFUL, AND SHALL
SUBJECT,AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S UP TO ONE HUNDRED THOUSAND
DOLLAR ($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 work7ol
of commenced
within 180 days from date of issuance of such permit, or cessation of wor, 80 days will subject
permit to cancellation.
I certify that I have rea this application and state that the above information ' corre . gree to comply with all
city and coup ordin ces and state laws relating to building construction, d her y uthorize r r entatives
of thi; cou o an r u on the above-mentioned prope mspecti rpose
D/at/e: ture (Applicant or Ageni
Application Number . . . . . 06-00002925
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 63.00
Plan.Check
Fee
.00
Issue Date . ..
Valuation
. . .
. 3750
Expiration Date 2/03/07
Qty Unit Charge Per
Extension
BASE
FEE.
45.00
2.00 9.0000 THOU BLDG
2,001-25,000
18.00
--------------------------------------------7-------------------------------
Special Notes and Comments
150 L.F. 6' GARDEN WALL, PROTO.II
SYSTEM
Fee summary Charged
Paid
Credited
Due
.Permit ^ae Total. 63.00
.00
.00
63.00
Plan Check Total .00
.00-
.00
..00
Grand Total 63.00
.00
.00
63.00
LQPERMIT