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05-3587 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. 5-70 01 Property Address: 5781OP' PASATIEMPO CT APN: 764-010-011-97 -30092 Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 435.0 Applicant: Architect or Eng Tit�v 4 4-0-" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- LICENSED-CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensedunder visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines d rofeals Code, nd my License is in fu iee end effect. License'Class: Aie No.:. ate Contr ctor: `OWNER ILDER DECLARATION- _ hereby affirm urider penalty of perjury that.) am eze' t from the Contractor's State License Law for the followirig..reason (Sec. 7031.5, Business and Professions Code: Any city or countythat 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;sig'ned statement that he7or she is licensed pursuant to the provisions oYthe Contractor's State License Law (Chapter 9 (commencing with Siection 7000) of Division 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 appyicak to'e'civil penalty of not more than five. hundred dollars ($500).: 1—) I;. asowner'of the pro perty,`or'my employees with wages as their sole,compensation,'will'do the work, and the'structure isnot intendedor offered forsale•ISec. 7044; Business and'�Professions Code: The ' Contractors' State License Law doesnot apply;to an owner of ptoperty..who builds or-improves`thereon, -' and who.does the;work himself:or<fierself through his or her own empl ' ass,:provided:that the improvements are hot intended or'offeied''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 licensedcontractors 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 orimproves 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. , 8.&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: LQPERMTT VOICE (760) 777-7012 FAX (760) 177-7011 INSPECTIONS (760) 777-7153 Date: 8/11/05 Owner: K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 CHINO, CA 91710 Contractor: K. HOVNANIAN FORECAST HOMES WCC ZURICH INS WC: WC343666302 10/31/05 CSLB: '4700788 10/31/05 - 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 ,tCode,•for theperformance of the work for which this permit.is issued. My workers' compensation insurance .carrier and 'policy number are: Carrier B - Policy Number - - - - - - - - - - - - - ' _ I certify that, in the performance of the work for which this permit is issued, I sh employ any `person in any manner so. as to become subject to the workers' compe n lawsbf. California, andagreethat, iflshould become subject to �thorqv 'tion provisions ofSection 3700-offtCt)1 e­taborC all fo Tth comp) ::Withions. - Dat e®•ApjSlice nT WARNING: FAILURE TO• SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANDSHALL 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 3706OF-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 uponwhosebehalf 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 Quints, 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 subjec permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to ply with all . city and county ordinances and state laws relating to building co st atlon, a hereby autho ' representatives oft ' county to enter n the above -mention rope pectien pu es. Date:`% a ! o ignature (Applicant or Agent): LQPERMIT Application Number 05-00003587 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 72.00 Plan Check Fee .00 Issue Date . . . . Valuation 4350 Expiration Date 2/07/06 Qty Unit Charge Per 'Extension BASE FEE ..45.00 3.00 9'. 0000 THOU_ BLDG. 2,.0101-.25,, 000•. > - � - 27 . 00' 'y:." .... - - -- -------------------------------------------------------------------------- Special -Notes -and Comments . 174 L.. F. 6'7 PROPERTY LINE -WALLS, PROTO, STANDARD. a .< Fee summary Charged Paid Credited Due 'Permit.:Fee Total 72.00 00 .00. 72.00 Plan'.Clzeck Total :00 00 .,- .00 .00 Grand total 72.00 .00 .00 72.00, LQPERMIT