04-4398 (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
Application Number . . 04 -0.00.043 -98 ----__ Date 6/09/04
Property Address 79.771 PARKWAY ESPLANADE N
APN: 609 -380 -998 -58 -293232 -
Application description WALL/FENCE'
Property Zoning .. . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . 2475
t
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 54.00 Plan Check Fee .00
Issue Date . . valuation . . . 2475
Qty' Unit Charge Per. Extension
BASE FEE 45.00
1.00 9.0000 THOU BLDG 2,001-25,000--. 9.00
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Special Notes and Comments
99 L.F. 6' GARDEN WALL ORCO.SYSTEM.
Fee summary Charged Paid Credited. Due
Permit Fee.Total 54.00 .00 .00 54.00
Plan'Check Total .00 .00 .00 .00
Grand Total 54.00 ..00 .00 54.00
J.UN 16 2004
CITY OF LA (QUINTA
FINANCE ®EoT.
P.O. BOX 1504 . T4hf
�j.
78-495 CALLS TAMPICO w VOICE (760) 7;7.7p1:
LA QUINTA, CALIFORNIA 92253 4FAX (760) 777-701 ;
_
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777.715
Application Number: — 43q.,1-3
Applicant: Architect or Engineer: Date: _C2
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
I hereby affirm under penalty of LICENSED CONTRACTOR'S DECLARATION
y 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 suis in full force and effect. f7
cense /Class License ��0 I D
/.Date �v' Q ontractor
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 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 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 ($500).):
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. 70x4,
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 t0 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 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.).
U I am exempt under Sec. B.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, for time performance
Of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section 3700 ofthe Labor Code, for the performance of the work for which this pem, I is
compensation in a camg�j�}np Aall
�earrier /i1 //�L�/l obey N��mberQ Dcertify ulat, rn the performance of the work for whichthispermit Is issued. 1 not employ any person in any manner so as to become subject to the
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall wortcers'
rs
forthwith comply with Mose provisions.
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 (51 00,000), 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 isa construction len agency
LENDING AGENCY
9 genc y for the performance of the work for which this
Lender's Name permit is issued (Sec. 3097, Civ. C.).
Lender's 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 pernft
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 Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this pemmrt.
2. Any permit issued as a result of this application becomes null and void if work is not Commenced within 100 days from date of issuance of such permit or
cessation of work for 189 days will subject permit to cancellation.
I certify that I have read this application and state that the above infommation is coreCl 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 inscity
an ton purposes.
/Date � - � b- Signature (Applicant or Agent):