05-1912 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:.
Propefty Zoning:
Application valuation:
Applicant:
05-00001912 '
55375 TURNBERRY WY
767-550-004-
WALL/FENCE
LOW DENSITY RESIDE
3375
Tit�; 4 4va" -
, DIN AFETY DEPARTMENT
J�DING I
ING PERMIT
mAy 19 2005 Owner:
CALIFORNIA COVE @ L.Q. LLC
UI 8105 IRVINE CENTER DRIVE #880
CITY OF LA QUINTA
DFPT 7161 INDIANA AVE
r-INANC�EOEPT- IRVINE, CA 92618
lf� Architect or Engineer:
ple
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70r) of Dilviosi.n 3 of the Busi ness and Prof000nals Codq_aQd-ffvt44cense is in full force and effect.
License C 53 59679-2005
.1<ate ntractor:
'DWWN UIL RATION
I hereby affirm under penalty of per' pthat I am exempt f�=ror s State License Law for the
following reason (Sec. 7031.5, Buq-nmgg and Profa.-ions 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 hundfed 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 contractoris) licensed
pursuant to the Contractors' State License Law.).
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 issubd (Sec. 3097, Civ. C.). -
Lender's Name:
Lender's Address:
LQPERMIT
N�OICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
CALIFORNIA COVE COMKUNITIE INC
8105 IRVINE CENTER DR
SUITE 800
IRVINE, CA 92618
Lic. No.: 1659679-2005
--- - - - - - - - - - 7 - - - - - -
WORKER'S COMPENSATION, DECLARATION
-Date: 5/18/05
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 promided
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 wor erS compensation
insurance carrier and policy number are:
Carrier 1775 Policy Number 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 becogessbjal;L&oo�the workers' compensation laws of California,
h i I sh m bi ct to th ensation provisions of Section
a a're t " if _�m
lnl�00 ofetheaLab.r _2u rthw ply with tho ions.
,I:ate:.
p
I -:AZIVON �COVERAGEOI WFUL, AND SHALL
WARN !lN�1:AI1U R'EZTD SECU RK ERS'COMPE
C, 'T
REI PENALTIES AND CIV P TO ONE HUNDRED THOUSAND
SUBJECT AN EMPLOYER TO C0% KINAL AN ONE .1
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 186 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
Ice h I have d his application and state that the above inform c a omply with all
T Y " a' t rdi= t to ,gco horize repr entatives
city and c n ces and state laws relating to ing co tion nd
of this c nt o enter upo the above-mentioned pro erty i p ses.
Signatu
re (Applicant or Ag . e5nt):
Application Number . . . . . .'05-00001912
Po��_rmit WALL/FENCE
PERMIT
Additional desc
Permit Fee 63.00
Plan Check
Fee
.00
Issue Date . . . .
valuation
. . .
. 3375
Expiration Date.. 11/14/05
Qty Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.0000 THOU BLDG
2,001-25,000
18.00
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Special Notes and Comments
135 L.F. 61 GARDEN WALL, ORCO SYSTEM
Fee summary Charged
----------------- ---------- ----------
Paid
Credited
---------- ----------
Due
Permit Fee Total 63.00
.00
.00
63.00
Plan Check Total .00
.00
.00
.00
Grand Total 63.00
.0'0
.00
63.00
I
LQPERMIT