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06-2001 (BLCK),9, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,-CALIFORNIA 92253 Application Number: 06-00002001 Property Address: 52202 SHINING STAR LN APN: ..767-200-999-52 -312022- Application description: WALL/FENCE - Property Zoning: LOW DENSITY RESIDENTIAL Application Valuation: 5000 ti. Tjht 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- 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. Lice s lass: B License No.: 728102 . at Q Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur at 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 _ 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 lo 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 (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.). (_ 1 I am exempt under Sec. ; B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 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 Owner: LENNAR HOMES 40004 COOK STREET PALM DESERT, CA 92211 (760)777-9920 r' VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/15/06 Contractor: LENNAR HOMES OF CALIFORNIC 40004 COOK ST. PALM DESFET, CA 92211 (760) 601-3100 MAY 2 4 2006 Lic. No.: 728102 LA QUfroTA ----------------------------------------------- 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. 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 insurance carrier and policy number are: Carrier OLD REPUBLIC IN Policy Number MWC11148500 _ 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' compensation provisions of Section 00 of the Lab o I shall forthwith comply with those provisions. .. D Ap nt: WARNING: FAILU EE To W RS' COMPENSATION COVERAGE IS UNLAWFUL, 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 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives of this bu ty to erVer upon t bove-mentioned prole 'nspection• p oses. D ature (Applicant or Agent): Application Number . . . . . 06-00002001 Permit . . . WALL/FENCE PERMIT .Additional d_esc . Permit Fee 72.00 ' Plan Check Fee .00 Issue Date Valuation 5000. Expiration Date 11/11/06 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 200 L.F. 6' GARDEN WALL, ORCO 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 LQPERMIT .