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06-2926 (BLCK)P.O..BOX 1504 %8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002926 Property Address: 81821 CONTENTO APN: 767-200-011-12 .-318742- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1 3775 T4ht 4 4a Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: p----lick- - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------------------- - =-------------- - - - - - LICENSED CONT ACT 'S ECLARATION I hereb#00Divisi y of perjury that I am licensed der ovi ons of Chap er 9 (commencing with Sectionof the Business a rofessio als de nd y e e is in full force and effect. Licens Li n No.: 3 7ate:actor:OWNER-BUILDER DE ATION I hereby of perjury that 1 am exempt from the C ntractor'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 155001.: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 00 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, 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: TAYLOR WOODROW HOMES, I 15 CUSHING IRVINE, CA 92618 Contractor: TAYLOR WOODROW HOMES INC 16745 W. BERNARDO DR, STE 140 SAN DIEGO, CA 92127 (949)341-1200 Lic. No.: 352047 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 AUG 3 o 2006 CITY OF LA ------------------- 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 insnce, as required by Section 3700 of the Labor Code, for the performance of the work for whic his permit is issued. My workers' compensation insurance carrier and policy number are: Carrier LIBERTY MUTUAL Policy umb . WA765D283614056 I rtify t t, in the performance of the ork fo w ich this permit is issued, 1 shall not employ any perso in any manner so as to beco subj o theiii��'''or rs' ompensation laws of California, and gree that, if I should become s ject o P ywgf/cer co ppensation*provisions of Section 0 f the Labor e, I shall wit I�/!th o rovisions. icJ / ♦_ . WARNING:/FAILURE TO SECURE WORKERS' COMPENSATION COVIPAGE 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 i n t commenced within 180 days from date of issuance of such permit, or cessation work f 1 0 days will subject permit to cancellation. I certify that I h e rea this application and state that the above information is rrect. a ee to comply with all city and countJ/�ovrdin ces and state laws relating to building construction, and ereby t orize rej�es ny,ytves of thiscoVtyUq&n ypon the above-mentioned property3er%spection pulp ses. // �// 'IApplicant or Agent): /06 Application Number . . . . . 06-00002926 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date Valuation . . . . 3775 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 ---------------------------------------------------------------------------- Special Notes and Comments 151 L.F. 6' GARDEN WALL, PROTO II SYSTEM Fee summary Charged -------------------------------------- Paid Credited ---------- ---------- Due Permit Fee Total 63.110 .00 .00 63:.00 Plan Check Total .00 .00. .00 .00 Grand Total 63.00 .00 .00 63.00 LQPERMIT