06-1289 (BLCK)P.O. BOX 1504 '
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
Application Number:
,06=00001289 <__- _
Property Address:
79055 RANCHO LA QUINTA DR
APN:
649-370-002- - -
�� Application description:
WALL/FENCE
Property Zoning:.
LOW DENSITY RESIDENTIAL
Application valuation:
5000
Applicant:
Architect or-Entj
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TD DESERT DEV LTD PARTNERSHIP
79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Q
AM 1 3 200 fi j Contractor:
r: TD DESERT DEVELOPMENT LP
CITY OF LA U P O BOX 1716
F1 PT. LA ,QUINTA, CA 92247
(760)771-1941 '
Lic. No.: 762987
VOICE (760) 777-7012
-FAX (760) 777.' 7011
INSPECTIONS (760) 777-7153
Date: 3/30/06
0
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I 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 7000) of Division 3 of the Business and 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
License CI ss:'If •B License No• 2987 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
EatkCom,actoc: _ 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
OWNER -BUILDER DECLA TION 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 COMPWEST Policy Number CA005001482-001
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 sho subject to the wo s' compensation provisions of Section _
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor e, I shall fo hwith co with 01se provisions. ,
that he or she is exempt therefrom and -ha asis 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 ISec. 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 ISec.
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 contractors) licensed
pursuant to the Contractors' State license Law.).
1 _ 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.).
Lenders Name: -
' Lender's Address:
LQPERMIT _ -
7f %'- —
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWF L, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$1100,0001. 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 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 ab n ormation ' correct. I agree to comply with all
city and cou o finances and state laws relating to buil ' g construction, an hereby ouch repre, ntatives
of this cou t nter upon the above-mentioned pro rty for inspection pur ses. '
�0
Date:— Sign atur�ne(Applicanroi Agen
Application Number '. 06-00001289'.
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . .". . 72.00 Plan Check
Fee
.00`
Issue Date . . . . Valuation
5000
Expiration Date 9/26/06
Qty Unit Charge Per
Extension
Sy • BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
- -----------------------------------------
Special'Notes and Comments
200 LF 6' BLOCK WALL PER PROTO SPEC
Fee summary Charged Paid• Credited
Due
Permit Fee Total 72.00 .00
.00
72.00
Plan Check Total .00 .00
.00
.00
Grand Total 72.00 .00
.00
72.00
SEQUENCE SHEET
L.
Owner: T.D. Desert Development, L.P. Builder: T.D. Desert Development, L.P.
P.O. Box 1716 P.O. Box 1716
La Quinta, CA 92247 La Quinta, CA 92247
CSLB # 762987
WC # 372-04 Unit 0000243
City License # 993
Project: Rancho La Quinta Tract 27840 Lots 48 - 50
LOT PLAN SQFT ADDRESS APN Wall Length
48 E2R 2924 79-035 Rancho La Quinta Drive 649 370 001 250
1 49 M1 3348 79-055 Rancho La Quinta Drive 649 370 002 200
Example: - E2R E denotes plan name (E=Encantos, M=Montana)
2 denotes plan type
R denotes Reverse plan