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05-3761 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUI STA, CALIFORNIA 92253 Application Number: - X05-00003761 Property Address: 58205 CARMONA APN: 764-200-006-13 -316811- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4250 T4ht 4 4v Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT SEP 22 2805 _t -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio de, and my License is in full force and effect. LicenseC ss: Licen No.: 7 7 /D tractor: OWNER -BUILDER DECLARATION 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—) 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. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/25/05 Owner: CORAL OPTION I 79295 RANCHO LA QUINTA DR A QUINTA, CA 92253 Contractor: TD DESERT DEVELOPMENT LP P O BOX 1716 LA QUINTA, CA 92247 (760)771-1941 Lic. No.: 762987 ------------------ 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. 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 STATE FUND Policy Number CA005001482-001 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, d agree that, if Ishould b uN ct to the rs' compensation provisions of Section 700 of the or Cod shall fort im¢ y withlose provisions. plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 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 ead this application and at that E288E information is correct. I agree to comply with all city and cow ty or finances and state laws relatin wilding c nstruction, and hereby authorize representatives of this co y to nter upon the above-mentio property for ' spection purposes t b ignature (Applican or Agent • Application Number . . . . . 05-00003761 Permit . . . .WALL/FENCE PERMIT Additional desc . Permit Fee . . . 72.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 4250 - - --Expiration- Date -.2/21/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------------------------------------------------------------------- Special Notes and Comments 170 L.F. 6' GARDEN WALL, 3R2Q-SYSTEM 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 I LQPERMIT