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05-1909 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 =_______J I 'T F LA OUINTA FINANCE DEPT. ._ EPT Application Number: OS -00001909 - Property Address: 5S465 TURNBERRY WY APN: 767 -550 -007 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENrIAL Application valuation: 3425 BUILDING & SAFETY DEPARTMENT BU ING PERMIT Owner: MAY 1.9 2005 CALIFORNIA COVE @ L.Q. LLC 8105 IRVINE CENTER DRIVE #880 CITY OF LA QUINTA IRVINE, CA 92618, FINANCE DEPT. Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affir under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of D' ision 3 of he Busi nd Pr ssional! Cod .5, ense is in full force and effect. 3 5 License Cl s: 8 05 FR�6 79-2005 ,,_,11'ate: mract : - OW _BU ATION I hereby affirm under penalty of per ry that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, B iness 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 the work, and the structure is not intended or offered for safe (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: _QA LQPERINIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: CALIFORNIA COVE COMMUNITIE INC 8105 IRVINE CENTER DR SUITE 800 IRVINE, CA.92618 Lic. No.: 1659679-2005 - - - - - - - - - - - - - - - - - - WORKER'S COMPE NSATION 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 provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' comp�nsation 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 subject to the workers' compensation laws of California, at' a agree hat, if I ensation provisions of Section 700 of the bo' ns. P, ,�'�Date4: 100 icant: po WARNING: FAILURE TO SECU ,WRIKERS' C SATION COV E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T��INAL PENALTIES AND C FINES UP TO ONE HUNDRED THOUSAND DITIC DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AfTORNEY'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 an 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 ow�er, 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 abov%1ULgaU@�Lo_n is correct. I agree to comply with all city and c5,ht!.yI1,'nanucPes and state laws relatin bui . . i!dgi�a&4on ize repres mati i y 910 �_�jag.4on s is c _.Y of th enter the above-mentioned pro r y I n oses. Signature (Applicant or Agent Application Number 05-00001909 Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit,Fee Plan Check Fee .00 Issue -Date - Valuation' 3425 Expiration Date li/14/05 Qty.. Unit Charge Per Extension BASE FEE 45.00 2.,00 9.0000 THOU BLDG 2,001�25,000 18.00 ------------------ 7 ----------------------------------------------------------- Special Notes and Comments 137 L.F. 61 GARDEN WALL, ORCO SYSTEM gee summary 'Charged Paid- Credited Due - - - - - - - - - - - - 7 - - - - - - - I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7 - - Permit Fee Total 63.00 .00 .00 63.00 -Plan Check Total _00 .00 .00 .00 Grand Total 63.00 .00. .00 6�:00 LQPEnlIT