05-1566 (BLCK)7
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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 . . . . 05-00001566 Date 4/27/.05
Property Address :79894 PAR-KWAY,ESPLANADE N
.APN: 6:09 -380 -.999 -7... -293234 -
Application description,.,. WALL/FENCE
Property Zoning LOW DENSITYRESIDENTIAL
Application valuation'. 1875
Owner Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
78401 HIGHWAY 111, STE'C 5000 CALLE SAN RAPHAEL, # C-5
LA QUINTA, CA -PALM SPRING'S, CA' 92264
LA QUINTA, CA 92253 (951).-8, .7;-3.600.
WCC:' " AON RISK SRVC
WC: MWC111.14500 11/01/05
CSLB: 728102 09/30/06
CCC:. B.
-----------------------
MAY 12 2005
;tTY OF LA QUINrA .
4 ,,
17
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05 - I S(o(o I . Date: U S
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
A� IA
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under alty of perjury that I am licensed under provisions of Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professionals
Cod , and my Licen e ' ull force and effect.
ense Class License No. 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am Jimpt 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 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 does. 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 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. . Q,& P.C. for this reason
WORKERS' COMPENSATION DECLARATION - �j u t
I hereby affirm under penalty of perjury one Le)following declarations: I - t
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Sectio 3700 of the Labor Code, for the performance
�he
he work for which this permit is issued.�;
Rwo
aintain workers' compensation insurance, as require by Section 3700 of the Labor Code, for the performance of the work for which thisperrmit is
rkers' compensation in nc c a oli n r e: I �" ! _'
rer olicy Nu (__ —
_1 certify that, in the performance of the work for is t i .•.,, •r n 417 Y':
Application Number. 05-00001566
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Permit . . . ... WALL/FENCE PERMIT
Additional desc
Permit Fee 43.00
Plan Check:'Fee
.00
Issue Date . . . .
Valuation
1875
Expiration Date 10/24/05
Qty Unit.Charge Per
Extension
BASE.FEE
15.00
14.00 2.0000 HND BLD'G': 501-2:,.000
28.00
Special Notes and Comments:
75 L.F..6' GARDEN WALL', ORCO.SYSTEM
Fee summary Charged Paid
Credited.
Due
Permit Fee Total 43.00
:00 .00
43.00
Plan Check Total 00
.00 00
.00
Grand Total 43.00'
.00 .00
43.00