05-1910 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00001910
Property Address: 55405 TURNBERRY WY
APN: 7677550-005- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 342S
Applicant:
CX1
Tiht 4 4 Q"
Architect or Engineer:
P / 0
BUILDING & SAFETY DEPARTMENT
BUILDING PEAMIT
Owner:
CALIFORNIA COVE 0 L*Q, LLC
8105 IRVINE CENTER DRIVE #880
MAY 19 200510 IRVINE, CA 92618
VOICE (760) 777-7012
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153 -
CITY OF LA QUINTA
FINANCE DEPT. Contractor:
CALIFORNIA COVE COMMUNITIE INC
8105 IRVINE CENTER DR
SUITE 800
IRVINE, CA 92618
Lic. No.: 1659679-200S
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am VIised under provisions of Chapter 9 (commencing with
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Section 70 0) of Division 3 of the qeis5 �,r essig A�and;;m�,License is in full force and effect.
LicenseCyss: ;911053 rm—a—%�—_±6646 7 9 - 2 0 0 5
_Pet�,act.r:
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I hereby affirm under penalty of pgK�y that I am exernDT'PrUff"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, as owner of the property, or my employees with wades 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 contractor(s) 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:
16
LQPER1N11T
Date: 5,/18/05
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&I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work foiwhich this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier 1775 Policy Number STATE FLTND
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
orke�rsl tion laws of California,
co t"
co
pers n in any manner so as to ion
agre that, if 7 lea ct to the nsat.on ovisions of Section
eco
,�A�C� m
0 w, om. ov, s�
0 of the I.AbdiCode. LsM� Zhwitch comol�,�toh Tom S.
WARNING: FAILURE TO SECURJ)PRKERS. COMPENSATION-eeVERAtE7S-dNb4WF-OL, AND SHALL
ER
SUBJECT AN EMPLOY I TO C . INAIL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). INA ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN'
SECTION 3706 OF THE LAB R 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 inforeion sc gr. to comply with all
of_
city and u t 'dinances and state laws relating to b st representatives
of 1his c Yntn,'Yeo�me, upon he above-mentioned prop rty I t
Bat 7 Signature JApplicant or Agent):
Appli cation Number . . . . . 05-00001910
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 63.00
Plan Check
Fee
.00
Issue -Date . . . .
valuation
. . .
. 3425
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
---------------------------------- -----------------------------------------
Notes.and Comments
.Special
137 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
.00
.00,
63.00
LQPERAlft