04-4403 (BLCK)�y n� .�iQuGcra
Ifr BUILDING & SAFETY DEPARTMENT
- k+� P.O. BOX 1504 (760).777-7012
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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
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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