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05-1540 (BLCK)L°'ol�' z BUILDING & SAFETY DEPARTMENT c,w4 P.O. Box 1504 (760).777-7012 OFTt�9 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 BUILDING PERMIT Application Number . . 05-00001540. Date 4/27/05 Property Address . . . . . -432-38 PARKWAY ESPLANADE E' AP N: 609 -380 -999 -85 -293234 - Application description WALL/FENCE Property Zoning . . LOW DENSITY RESIDENTIAL Application valuation . . 1725 Owner Contractor - LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF'CALIFORNIA INC 78401 HIGHWAY 111, STE C 5000 CALLE SAN RAPHAEL, # C-5 LA QUINTA, CA PALM SPRINGS, CA 92264 LA QUINTA, CA 92253 (95.1)817-3600 WCC: AON RISK SRVC WC. MWC11114500 11/01/05 CSLB:, 728102 09/30/06 CCC: B rM2 2005 CITY OF LA QUINTA FINANCE DEPT. P.O. B O X 1504 • 'G`��� 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Q rj - 1540 Applicant: Applicant's Mailing Address: 0 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: A)IA BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirmand alty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen �y1I force and effect. �fl nse Class / /Cicense No. Do - 11J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 70.00) 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).): U I, 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner. WORKERS' 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 havp and will m intain workers' compensation ' surance, as required b Section 3700 of the Labor Code, for the performance of the work for which this permit is is e w rkers' compensation i nce c>#{ti �dUdf;c�hur�bel Y e� 1j `�1 �/ artier olicy Numb, , ^ _ I certify t at, i e 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, and agree that, if I should become subject to the workers' compensation provisions of Sectfori 3700 of the Labor Code, I shall forthwith comply with those provisions. ate 6 1 4J 1A Applicant WARNING: FAIL E TO SECURE WORKERS MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 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. 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 PIA— 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 Ouinta, its officers, agents and employeesfor 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 te above information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructio ,and hereby auth size representatives of )'ipty to enter upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Ag - ------------------------------------ ------------ ------ --------------- Application Number 05-00001540 ----------------------------------------------------------------------------- Permit WALL/FENCE PERMIT- Additional desc Permit Fee . . . . 41.00 Plan Check Fee .00 Issue Date . . . . Valuation 1725 Expiration Date 10/24/05 Qty Unit Charge _Per Extension BASE FEE 15.00 13.00 2.0000 HND BLDG 501-2,000 26.00 -------------------------------- Special Notes.and Comments 69 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged Paid Credited Due Permit Fee Total 41.00 .00 00 41.00 Plan Check Total .00 .00 .00 .00 Grand Total 41.00 .00 C+0 41.00