05-1913 (BLCK)44,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00001913
Property Address:
55345 TURNBE
APN:
767 -550 -003 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY
Application valuation:
2875
Applicant:
FINANCE DEPT.
G & SAFETY DEPARTMENT
a 0 D UILDING PERMIT
MAY 19 2005 Owner:
W CALIFORNIA
8105 IRVINE
ellry OF OF -PT. LA QUINTA,
Architect or Engineer:
d Ift
----7 ------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70 vision 3 of he 13usin d Pr sionals Cod se is in full force and effect.
License CAp?� ojil
053 License No.: 9-2005
,_111'ateqA �.4,actor:
OWNER -BUILD R DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from e rise Law for the
it, P,
following reason (Sec. 7031'.5, Business and Professions Code: ty 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, 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, 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
I—) 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.).
Lender's Name:
Lender's Address:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/18/05
COVE @ L.Q. LLC
CENTER DRIVE #880
CA 92253
Contractor:
CALIFORNIA COVE COMMUNITIE INC
8105 IRVINE CENTER DR
SUITE -800
IRVINE, CA 92618
Lic. No.: 1659679-2005
------------------
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 performa'nce 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 1775 PolicyNumber, STATE FUND
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 ogo e w2l*&V"91zMP
ree tehatabil I Wctc.omh nsation provisions of Section
f th , or wit
th �ith tNseNovisio S.
.,Ca-te �,cant: �A �2�
WARNING: FAILURE TO SECURW� �ORKERI-eO/MPENkSXT��S 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 p6rmit 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 info tion is correct. I agree to comply with all
City and c t�,oyinances andestate laws relating to bu -c ti29,endIT9r95V-8Mh9rize representatives
. co%n
of thi er upon th above-mentioned o e n purp
15ate4- 4
;eignature (Applicant or Ag t):
LQPERAIIT
Application Number . . . . . 05-00001913
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . S4.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
2875
Expiration Date 11/14/05
Qty 'Unit Charge Per
Extension
BASE FEE
4S.00
1.00 9.0000 THOU BLDG 2,001-25,000
:
9.00
--------------------- ---------------------------------------------------------
Special Notes and Comments
115 L.F. 61 GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid
------------------- ----- — --- ----------
Credited
------- ----------
Due
Permit Fee Total 54.00
.00
.00
54-00
Plan Check Total .00
.00
.00
.00
Grand Total 54.00
.00
.00
54.00
LQPERAIIT