04-4404 (BLCK)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX.(760) 777-7011
LA QUINTA,' CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
a
Application Number . . . . . C4jq _00-0 4 4-0-4 Date 6/09/'04
Property Address . . . 79707 PARKWAY ESPLANADE N
APN: .609-380-998-62 293232 -
Application description . . WALL/FENCE
Property Zoning . . LOW DENSITY RESIDENTEAL
Application valuation . . 31.25
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
WCC: OLD REPUBLIC IN
WC: MWC10877600 11/01/04
CSLB': 728102 09/30/04
CCC: B
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date Valuation 3125
.Qty Unit Charge Per
Extension
BASE FEE 45,.00
2.00 9.0000 THOU BLDG 2,001-25,000. 18.00
Special Notes and Comments
125 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 .00 63.00
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CITY dDEz.l.�
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P.O. BOX ) 504 • ,I�iC�II
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant: Architect or Engineer:
VOICE (760) 777.701:
FAX (760) 777-701 :
INSPECTIONS (760) 777-715
Date: &—/D -O
Applicant's Mailing Address: Architect or Engineer's Address:
r
Lic. No.
BUILDING PERMIT DECLARATIONS
I hereby affirm under persalt of LICENSED CONTRACTOR'S DECLARATION
Y Pequry that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Ucens@ js in full force and effect.
�- License Class f I .
License No. _791F( 0 d–
I -M
I hereby affirm under persalt of OWNER -BUILDER DECLARATION
Y 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 apphcant tot 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 01 the Business
and Professions Code) or that f 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
himself or herself or through his or her own employees, provided that the improvements are not intended or ffered fordsafe.'rIf. however. theprovesnbuandildi who does the work
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 u improvement is
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 toan owner of property who builds or improves ther
the Contractors' State License Law. eon, and who contracts for the projects with a contractor(s) licensed pursuant to
.). )
U I am exempt under Sec. , BA P.C. for this reason
Date • Owner
I hereby affirm under persalt of WORKERS' COMPENSATION DECLARATION
Y 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 pePformance
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
e�s ,Com ensatio nce carrier,�r�d pq �y / r 7 W
artier �%G�u M wo / � P Policy umber �4� (i(/�� ?�_
—1 cert' th , in the /Performance of the work for which this permit is issued. I shall not employ an
compensation laws of California, and agree that, if I should become subject to the workers' comrssa in any manner so as to become subject to the workers'
forthwith comply with those provisions. pensation provisions of Section 3700 of the Labor Code, 1 shall
Date &-10.
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, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury that there is a construction lendin
g age c y for tLENDING oAGENCY
oC he work for which this
9
Lenders Name permit is issued (Sec. 3097, Civ. C.).
Lender's Address
IMPORTANT Application is hereby made to the Director of Building nd Safety ACKNOWLEDGEMENT
1 • Each g tY permit subject to the conditions and restrictions set forth on this application.
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 OuiMa, 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 mit, issuance of such peror
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 Incas relating to building
construction. and hereby
hereby authorize representatives of this county to enter upon ft above-rrontioned property for inspection purposes.
Date L� "l (/ 0 Signature (Applicant or Agent):