06-2019 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002019
Property Address: 81677 RICOCHET WY
APN: 767-200-999-34 -312021-
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2225
Applicant:
T4ht 4 4 Q"
Architect or Engineer:
01A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LENNAR HOMES
40004 COOK STREET
PALM DESERT, CA 92211
(760)777-9920
Contractor:
LENNAR HOMES OF CALIFORNI
40004 COOK ST.
PALM DER -RT, CA 92211
(760)601-3100
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/15/06
-p u
MAY 2 42006
]'
CITY OF LAQUINTA
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.LICENSED CONTRACTOR'S DECLARATION
-
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 0) of Division 3 of the Busine nd Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licen ss, License No.: 728102
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: ntractor:
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
WNER-BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier OLD REPUBLIC IN Policy Number MWC11148500
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the.applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
ll forthwith comply with those provisions.
3700 of the LabAWORKER
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).:
Date' licant:
( _ ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
10
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURCOMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
I—) 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: 0 11A
LQPERMIT
4 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 shag 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 is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city an my orslinances and state laws relating to building construction, and hereby authorize representatives
oJ.t,Wn.ture
the above-mentioned pr for inspection purposes.
(Applicant or Agent) '
Application Number . . . . . .06-00002019
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee
54.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 2225
Expiration Date
11/11/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.00,00 THOU BLDG
2,001-25,000
9.00
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Special Notes and
Comments
---------------------------
89 L.F. 6' GARDEN
WALL, ORCO 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