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04-4406 (BLCK)BUILCING & SAFETY DEPARTMENT k+� P.O. BOX 1504-7012 (760).777 c�M78-495 CALLS TAMPICO K OF Imo' FAX (760) 777-701 1 . LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-71.53 BUILDING PERMIT Application Number 0_4-00004-40,6` J bate 6/,09/04 Property Address 79702 PARKWAY ESPLANADE N APN: .609-380-998-64 293232 Application description WALL/FENCE J Property.Zoning . . . . . LOW DENSITY RESIDENTIAL .Application valuation 6050 Owner. Contractor LENNAR HOMES OF CALIFORNIA LENNAR'HOMES. OF CALIFORNIA INC _78401 HIGHWAY 111, STE C 78401 HIGHWAY,111 SUITE C LA .QUINTA; CA LA QUINTA CA'92253 LA QUINTA CA 92253 WCP:• OLD' REPUBLIC IN WC: MWC108776.00 11/01/04 CSLB: 728102 09/30/04 CCC: B Permit . . WALL/FENCE PERMIT Additional desc Permit.Fee 90.00 Plan Check Fee A0 Issue Date . . . . Valuation 6050 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 ---------------------------------------------------------------------------- Special Notes and Comments 242 L.F. 6' GARDEN WALL ORCO SYSTEM. Fee summary Charged Paid Credited Due, Permit Fee Total 90.00 ..00 .00 90.00 Plan Check.Total .00 .00 .00 .00 Grand,Total 90.0000 00 90.00 P.O. BOX 1504__ 78-495 CALL$ TAMPICO VOICE (760) ;-77-701, LA QUINTA, CALIFORNIA 92253 FAX (760) 777_701 i - BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777.715? Application Number: 40 r'o Applicant: Date: 6 = 6g �/ Architect or Engineer: rrppncant s mailing Address: rvLainect or tngfneer•S Address: Lic. No.: BUILDING PERMIT DECLARATIONS I hereby affirm under Penaltyof LICENSED CONTRACTOR'S DECLARATION perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Ucen is in full force and effect. ,t _nse Class i�No. ��D a-- --- Date 6d- 0ctor_9&ad::v= I hereby affirm under penaltyof OWNER -BUILDER DECLARATION perjury that I am exempt from the Contractors' State License Law fort following reason (Sec. 7031.5• Business and Proteasiona 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 t 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 oft Business and Professions Code) or that he or she is exempt therefrom and the basis fort 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).): U 1, as owner of the property, or my employees with wages as their sole compensation, will dot 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 worts 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 t 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. 8.8 P.C. for this reason Date • Owner I hereby affirm under penaltyof WORKERS' COMPENSATION DECLARATION • 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, fort performance of the work for which this permit is issued. I 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 ompensation ins �a carrier �nP b p" t� olt' i y Number�f�J77(�OD _ I certN t, in the performance of the work for which this pernrt is issued, I shall not em to an compensation laws of California, and agree that, if I should become subject to t workers' Comppensation Provisions of ectiony person in any manner so as to b3700 f t Labor workers,me subject to the ode, I shell forthwith Comply with those provisions. Date IP' to, D V Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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. DA SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. MAGES AS PROVIDED FOR IN TI CONSTRUCTION LENDING AGENCYI hereby affirm under penalty ofperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT Application is hereby made to the Director of Building and Safety for a permit subject tot 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, indemnity and hold harmless the City of La Quints, 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 cash permit or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicatiori and state that the above information is correct. I agree to comply with all city and county ordinanois and state laws rotating r building construction, and hereby authorize representatives of this county to enter upon t above-mentioned property for inspection purposes. Date �'91Signature (Applicant or Agent):