05-1515 (BLCK)r
La "► �'c
BUILDING & SAFETY DEPARTMENT.
P.O. BOX 1504 (760).777-7012
OF78-495 CALLE TAMPICO
• FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . 0050-00"01-51'5 - Date 4/22/05
Property Address . . . . 43602 PARKWAY ESPLANADE E
APN: 609 -380 -999 -72 -293234 -
Application description WALL/FENCE
Property Zoning . . . . LOW DENSITY RESIDENTIAL.
Application valuation 1700
Owner. Contractor
-
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
7$401 HIGHWAY 111, STE C 5000 CALLE SAN RAPHAEL, # C-5
LA QUINTA, CA PALM SPRINGS,. CA 9.2264
LA QUINTA,.CA.92253 (951)817-3600
WCC: AON RISK: SRVC
WC: MWC11114,500 11/01/05
CSLB: 728102 09/30/06
CCC:' B
o e DFMAY 12 1005 1,D
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r
P.O. Box 1504 • :�r�
7$-495 CALLS TAMPICO 4
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: _ (2-15-1515
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
. Date: S- / 2.05"
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
01A
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under pen y of perjury that I am licensed under f Ch er 9�(cpfft ncing with Section 7000) of Division 3 of the Business and Professionals
e, and my License is al force and effect. Z uu
License Class License No.
actor
v 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 fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
L) 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.).
U I am exempt under Sec. . BA P.C. for this reason
Date
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.14 '
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
is e y wor er5' compensation insycanCe car��]p�1y RpJit; r�L a t f��
-mer o icv Numbes'LL( f\ �LA
_ I ce ify that, in the performance of the work for which this permd is iss d, I s all not employ any person in arty 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 'Ipro
forthwith comply wivisions of Section 3700 of the Labor Code, I shall
th those rovisions.
WARNING: FAILURE TO SECURE WORKERS�126MPENSATION 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 Il) AL
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, and hereby authorize repre ntatives of this cou ty ter upon the a ove-mentioned property for inspection purposes.
ate ignature (Applicant or Agent):
------------------------------.-----
iz�
_Application Number
-------------------
. . . 05-00001515
Permit
WALL/FENCE PERMIT
Additional desc
Permit Fee
39.00
Plan Check
Fee
.00 -
Issue Date
Valuation
. .
1700
Expiration Date
10/19/05
Qty Unit Charge
Per
Extension
BASE FEE
15,00
12.00 2.0000
HND BLDG 501-2,000
24.00
Special Notes and
Comments
68 L.F. 6' GARDEN
WALL, ORCO SYSTEM:
Fee summary
ChargedPaid
Credited-
Due.-
Permit Fee Total
39.00
.00
.00
39.00
Plan:Check.Total
.00
.00,
.00
.00
Grand Total
39.00
.00'
.00
39.00