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05-1537 (BLCK)V Tit., ot 4 BUILDING & SAFETY DEPARTMENT C ��w P.O. Box 1504 760 777-7012 OFTt9 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number X05-_0.0001-537 Date 4/27/.05 Property Address . . . . . 43322 PARKWAY ESPLANADE E AP N: 609-380-999-82 -293234- Application description- 'WALL/FENCE Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 1850 Owner Contractor ----------------------------------=------------------------------ LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC ` 78401 HIGHWAY 111, STE C 5000.CALLE SAN R?,PHAEL, # C-5 LA QUINTA, CA PALM SPRINGS, CA 92264, LA QUINTA, CA 92253 (95.1)817-3600 WCC: AON RISK SRVC WC: MWC11li4,500 11/01/05 CSLB: 728102 09/30/06 CCC: B D MAY 12 2005 CITY of LA QUINTA FINANCE DEPT. P.O. Box 1504• ��G� • w VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: o S - Date:5. /off 'OS Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: N 1A BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Co ,and my Licen a full force and effect, icense Class icense No. 617- k--,/ 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 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).): 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 I, 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. . 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 1cirby Section 3700 of the Labor Code; for the performance of the work for which this permit is issued. I have a?maintain orkers' compe insurance, as required b Section 3700 of the Labor Code, for the `perfornance'of.the work for which this permit is issues'' orWs' ompensatio urance ca�j�rt�g, n ori u r Cartier Policy Number► y I certify that, in the performance of the work for whicH tRis 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 Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORK S' qOMPENSATION 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 r` 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 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, �nd�hh�b authorize representatives of this cou y enter upon the above-mentioned property for inspection purposes. ate I ignature (Applicant or Agent): 1' _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - `� Application Number . . ... . 05-00001537 Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee 43.00 Plan Check Fee .00 Issue Date Valuation 1850 Expiration Date 10/24/05 Qty .Unit Charge Per- Extension BASE FEE 15..00 14..00 2:0000 HND, BLDG.5Q1-2,000 28.00 Special Notes -and Comments 74 L.F. 6' GARDEN WALL; ORCO SYSTEM Fee summary. Charged Paid Credited Due Permit Fee Total 43.00 .00 .00 43.00 Plan Check Total 00 .00 .00 .00 Grand Total' 43.00 .00 .00 43.00