Loading...
05-1568 (BLCK)a BUILDING & SAFETY DEPARTMENT P.O. Box 1504 +- (760) 777-7012 78-495 CALLS TA.MPICO': :. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 IN•SP-ECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . .0-510=0;0.0456.8 M Date 4/27/.05 Property Address . . . . . . 79926 PARKWAY ESPLANADE N APN: 609-380-999-5 -293234- Application description WALL/FENCE- Property Zoning . . . . . LOW DENSITY -RESIDENTIAL Application valuation . . 1875 Owner Contractor, LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 1.11, STE C ,5000 CALLE SAN RAPHAEL, # C-5 LA QUINTA, CA. `PALM SPRINGS, CA 92.264 LA QUINTA, CA 92253. (951)817-3600. WCC:- AON RISK SRVC WC:-, MWC11114500 11/01/05 CSLB: 728102 09/30/06 CCC:... B W -= P.O. Box 1504 • '�C��� VOICE (760) 777-7012 7$-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 15 to Date: 5.12--o 5 - Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: f) /A BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under y of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cgde: and my Lien It cens i I force and effect. icense CladsLicense No.— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I a empt from the Contractors' State License Law for thelollowing 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. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of 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 workpr which this permit is issued. AS d w' maintain workers' compensatio insurance, as required by Section 370 of the Labor Code, for the,p' rWormance of ihe.work for which this permit is workers' compensation i ance car ri lic m e er olicy Number 0� I certify that, in the performance of the work for which is p i is ssue , I !%I[ not employ any person in any mannerso.as to becoriie subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions.of Sectiori,37.00 of the Labor Code, I shall fort with corn I with those r isions. ate A cant WARNING: FAILLE TO SECURE WORKEt'C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUOLLARS ($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. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address (a APPLICANT ACKNOWLEDGEMENT IMPORTANT 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, indemnify and hold harmless the City of La Quinta, 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 days from date of issuance of such permit, 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 correct. I agree to comply with all city and county ordinances and state laws relating to building constructio , and here=pl ntatives of this cou ty nter upon the above-mentioned property for inspection purposes. ate icant or Agent): Application Number . . . . . 05-00001568 '---'-------------------------------------------------------------------------- Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . WALL/FENCE PERMIT 43.00 10/24/05 Plan Check Fee . . .00 Valuation . . . . 1875 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 2.0000 HND BLDG 501-2,000 28.00 --------------------L------------------------------------------------------- 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