04-4409 (BLCK)O '
c7� �
BUILDING & SAFETY DEPARTMENT
�c4 P.O. Box 1504 (760).777-7012
+ OFT'�¢ 78-495 CALLE TAMPICO " FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .. . . ._Q4-000"04409 ,,Date 6/09/04
Property Address . . . 79750 PARKWAY ESPLANADE N
APN: 609 -380 -998 -67 -293232 -
Application description WALL/FENCE
Property Zoning ." LOW DENSITY RESIDENTIAL
Application valuation '3275
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 -ee .00
Issue Date . . . . Valuation 3275
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
131 L.F. 6•' GARDEN WALL ORCO SYSTEM.
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 .00 50 63.00
Plan Check Total .00 .00 D0- .00
Grand -Total 63.00 .00 .)0 63:00
JUN 16 2004
'ITY OF LA QUINTA
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
Applicant's Mailing Address:
• VOICE 760
FAX (760) 777.701
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 771.7153
Date: (o " /D -O
Architect or Engineer:
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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licens .s in full force and effect.
cense Class [� / '7�pt
License No. 0
/. Date �' Q ontractor ��G(G p7�
1 hereby affirm under penaltyof OWNER -BUILDER DECLARATION
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 signeo
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 for a permit subjects
the applicant to a civil penalty of not'more than five hundred dollars (5500).):
U 1, 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 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 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.).
(--) 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 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
compensation iosurence carrier a�q,pgl�cy u bet re permit is
,--Ca-mer Q( C -Policy Number !//'/ /y�%e � ,
1 certify that, in the performance of the work for wfflfrh this permit is issued. I shall not employ ananner workers' to the
compensation laws of California, and agree that, if I should become subject to the workers' compensation Provisionstof so aections to b3700 of t me subject
Code. I shall
forthwith comply with those provisions.
Date 4";,m "9 Amp l nppll ncapl t �e4l��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT ES AND
AN EMPLOYER TO CRIMINAL PENALTIES CIVIL FINES UP TO.ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAT
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ION, DAMAGES AS PROVIDED FOR IN
TI
CON
I hereby affirm under penalty of perjury that there isa saoNDoAGENCY
construction Indnggen y for the rtomaaneOe work for which this Lenders Name permit is issued (Sec. 3097, Civ. C.).
Lenders Address
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 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 CluiMa, 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 dayt from date of issuance of such permit of
cassation 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 cored I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
/ Date %' l D ./Signature (Applicant or Agent):