05-1907 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00001907
Property Address:
5552S TURNBERRY
APN:
767 -550 -009 -
Application description:
WALL/FENCE.
Property Zoning:
LOW DENSITY RES
Application valuation:
3250
Applicant:
Architect or Engineer:
ofior
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I amplicenyd under provi . sions of Chapter 9 (commencing with
i, C d
Section 700,0) of DKision 3 of the B� �'> 7siona s oSgand-nyvsLicense is in full force and effect.
LicenseClZs: 8A1053 Liaeliise�- -659679-2005
I hereby affirm under penalty of py6Xy that I am -eVemipt4raffrYfi-e-C-ontractor's State License Law for the
following reason (Sec. 7031.5, B50iness; 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 exemptiom 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 ISec.
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 contra6tor(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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address
LQPERMIT
4a"
FETY DEPARTMENT
MG PERMIT
Owner:
CALIFORNIA COVE @ L.Q. LLC
8105 IRVINE CENTER DRIVE
IRVINE, CA 92618
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 717-7,15.3
Contractor:
CALIFORNIA COVE COMMUNITIE INC
8105 IRVINE CENTER DR
SUITE 800
IRVINE, CA 92618
Lic. No.: 1659679-2005
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 wdrk for which this permit is
issued.
I have and will maintain workers' compensation insurance, as rpquired 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,
an ree that, if I shoul pc.me blep to the work�Wro—m�pe�nsa ion provisions of Section
m
of the Labor Cot
00 of t Co I sh 11 f;e m PIX..fr tins.
ons.
r h com th
Icant:
te: pp
IS U NLA'
IWAING: FAILURE TO SECURE W S'COMPENSA(RQW_=4ESA@V IS C'UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI N PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND
0 T, COST 0 COMP S T M
DOLLARS($ 100,000). IN ADDIT 0 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, -AND ATTORNEY'S FEES.
APPLICANT ACKNOW LEDGEMENT
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 information is c rrect. I agree to comply with all
Oing_colns
.t,�ir
city and co ty ordi nces and state laws relating to buil il ion, an ereby authorize r ntatives
t
of this co ty to ter upon t above-mentioned properiy for inspectibaw oses.
6at5e: nature (Applicant or Agent): 4V
r
LQPERMIT
Application Number 0.5-00001907
Permit . . . .. . . WALL/FENCE PERMIT
Additional desc
Permit Fee 63.00
Plan Check
Fee
00
Issue Date
Valuation
3250
Expiration Date 11/14/05
Qty Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.-0000 THOU BLDG
2,001-25,0.00
18.00
----------------------------- 7 ----------------------------------------------
Special Notes and Comments
130 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
63.00
r
LQPERMIT