06-1883 (BLCK)t,.
` P.O. BOX 15044 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:. IL0.6706001883
Property Address: 52440 SILVER STAR TR
APN: 767-200-999-34 -312022- D
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5400
RAil
Applicant: Architect or E aineer-: 0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
�\ License Cl a s: B lice No 753J90
D ��Contraaor: r
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 apermit 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 theprovisions -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 isexempt 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).:
(_) 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.). -
(_ 11, as owner of theproperty, 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 theprojects 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 forwhich this permit is issued (Sec.'3097,.Civ. C.). -
Lender's Name: _
�) lender's Address:
LQPERMIT
Date: 5/10/06
Owner:
DESERT ELITE, INC.
78401HIGHWAY 111, SUITE G
�• LA QUINTA, CA 92253
(760)777-9920
Contractor:
HERINGTON DEVELOPMENT, JAMES O
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
(951)677-8415
Lic. No.: 753190
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WORKER'S COMPENSATION DECLARATION _
I hereby affirm under penalty ofperjury 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
V issued, -
/C I have and will maintain workers' compensation insurance, as required by Section 3700 of ,the Labor
T 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 1542746-2005
_ 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,
and agree that, if I should become subject to the workers' mpensation provisions of Section
3700 of the Labor Code, I s I forthw'th comp y ith a pro ' ons.
D e D Applicant l '�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS tNILAWFUL, 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 orfollowing 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.
1 certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws'relating to building construction, and hereby th representatives
of t •. ounty to enter upon the above-mentioned property f r i s ection purposes
- Date: A1,6AP4 Signature (Applicant or Agent): -
Application Number 06-00001883 .
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee81.00 Plan Check Fee .00
Issue Date . ... Valuation 5400
Expiration Date 11/06/06
Qty Unit.Charge Per Extension
BASE FEE '45.00
4.00 9.0000 THOU BLDG 2,0.01-25,000. 36.00
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Special Notes and Comments
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�i
1
Application Number 06-00001883 .
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee81.00 Plan Check Fee .00
Issue Date . ... Valuation 5400
Expiration Date 11/06/06
Qty Unit.Charge Per Extension
BASE FEE '45.00
4.00 9.0000 THOU BLDG 2,0.01-25,000. 36.00
-------------------------------------------- - - - - --
Special Notes and Comments
7'1 r, T.F r,1 RT.rXry WDT.T. (1R(`!) CVC'TFM