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04-4403 (BLCK)�y n� .�iQuGcra Ifr BUILDING & SAFETY DEPARTMENT - k+� P.O. BOX 1504 (760).777-7012 k c�MpF.� 78-495 CALLE TAMPICO FAX (760) 777-7011 LA "QUINTA, CALIFORNIA 92253. INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application.Number . . C04�-O_ 44-0 Date 6/09/04 "Property Address 79723 PARKWAY ESPLANADE N APN: .609 -380 -998 -61 -293232 - Application description WALL/FENCE Property Zoning . . .. . . LOW DENSITY RESIDENTIAL Application.valuation . . . 2950 'Owner. Contractor LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA'INC -78401 HIGHWAY 111, STE C 78401 HIGHWAY 1111 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 54.00 Plan Check Fee 00 Issue Date . . Valuation . . 2950 Qty Unit Charge Per. Extension. BASE' -FEE 45.00 1.00 9.0000 THOU .BLDG 2,001-25,000 9.00 Special Notes and Comments 118 L.F."6' GARDEN WALL ORCO SYSTEM. Fee summary Charged Paid Credited Due Permit Fee Total 54.00 .00 CfO 54.00 Plan Check Total .00 .00 CIO .00, .'Grand Total 54.00 .00 C -O 54.00 � a a J JJf�J:16 2004 O1TY Ur4LA A9� 3Tt� FIN NCE DEO�i . - P.O. BOX 1504 78-495 CALLELLE TAMPICD LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Q 41- L1,440,3 Applicant: Architect or Engineer: VOICE (760) 777.701: FAX (760) 777.701 ; INSPECTIONS (760) 777-715-, Date: to./d-OS/ Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS I hereby affirm under penaltyof LICENSED CONTRACTOR'S DECLARATION perjury that 1 am licensed under Code, and my Licens is in full'foroe and effect. provisions of Chapter 9 (commencing with Sefton 7000) of Division 3 of the Business and Professionals / License Class -dense No. i' Date– lY `[V`17 Victor 1 hereby affirm under OWNER -BUILDER DECLARATION 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 li permit to construct, alter, improve, demolish• a 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 n 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 Becton 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 d s 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 sab.). 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 f contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. . BA 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, for the perforrhance 1 / of the work for which this permit is issued. t( I have and will maintain workers' compensation insurance• as requiredbySection 3700 of the Labor Code. for the performance of the work for which this Carrier TTT MU�ICi sation ' nce carrier nd Po a Permit is :fPolicy Number cemry mat, in tt(e performance of the work for which this pert it is issued. 1 shall not employ an compensation laws of California, and agree that, if I should become Subject to the workers' compensation in any manner so ec io become subject to the work /, forthwith comply with those provisions. I Pe^sato^ Provisions of Section 3700 of the Labor Code, I shell Date ) Q 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury that mere is a construction lending CONSTRUCTION a NDING AGENCY oC stork for which this 9 agencyPermit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address :P4E=:: IMPORTANT APPLICANT ACKNOWLEDGEMENT 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 an issued as a result of this application, me owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City pursuant Quito a y pemuI officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.its 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 dayi from date of issuance of such pemtit, 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 cortect construction. and hereby authorize representatives of this County toenterupon the above- mentioned property, for inspection purposes. I agree to comply with all city and county ordinances and state laws relating to building (�- (O- iL-4 -/ " Signature (Applicant or Agent))L-4