05-1911 (BLCK)z1f
P.O. BOX 1504 & 10
78-495 CALLE TAMPICO ID
LA QUINTA, CALIFORNIA 92253 BUILD
2
MAY 19 LOOS
Application Number: 05-00001911 C1*V0FLAQU1NW
Property Address: 55435 TURNBERRY WY FINANCE DEPT.
APN: 767 -550 -006 -
Application description: WALL/FENCE
Property Zonin6: LOW DENSITY RESIDENTIAL
Application valuation: 2925
Applicant: Architect or Engineer:.
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LICENSED CONTRACTOR'S DECLARATION
I hereby affir under penalty of perjury that I am licens% under r visions of Chapter 9 (commencing with
"Y "er P SS3 u p
., . C
Section 70 ) of Division 3 f the Busi PWe na' C Zia, and my License is - in full force and effect.
9
T�s
SCO D ON
0 P
0
License C1 s:- 1053 L -2005
oe' Date4:;;n3,,accto1
0 NER-BUILDER D TION
I hereby affirm under penalty of per* ythat I am exempt from the Contractor's State UcensL Law for the
following reason fSec. 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 wages as their sole compensation, will do t6e 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 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:
LQPEPAIIT
4a".
I
kFETY DEPARTMENT
ING PERMIT
VOICE (760) 777-7012
.FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: - 5/18/05
Owner:
CALIFORNIA COVE @ L.Q. LLC
8105*IRVINE CENTER DRIVE 0'880
IRVINE, CA 92618 1
Contractor:
CALIFORNIA COVE COMMUNITIE INC
8105 IRVINE CENTER DR
SUITE 800
IRVINE, CA 92618
Lic. No.: 1659679-2005
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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 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 become 307ct to 4V k
�r�ers compeinsation laws of California,
__,g_ _ 0
d agreethat, if I should om suor to the, n provisions of Section
700 of the Labor Cot 11 al c i those p
f A
annt
a
WAR 41NG.FAILURETC� tURE ERIS(CedPYE-NgXnDNMVVE—R—A—G—E—IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CR I L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
, To T
DOLLARS ($100,000). IN ADDI N 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 stat
e tha;�.,."e inform * on is correct. I agree to comply with all
'a ' f
,.,ing t,
tA
city and co Y inances and state laws re ' ng u , I dd i -n - o, n, and eby uthoarize representatives
3, tytV
of this ci -ter upon e above-mentioned pr6 P ion pur ses.
ate: ignatLire. (Applicant or Agent):
Application Number . . . . . 05-00b01911
Permit . . . . . .. WALL/FENCE-PERMIT
Additional desc
Permit Fee 54.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 2925
Expiration Date 11/14/05
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
- - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Notes and Comments
- - - - - - - - - - - -
- - - - - -
- - - - - - - - - - - - - - -
-Special
117 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
LQPERMIT