08-0244 (BLCK)P.O. BOX 1504 r VOICE 760 ' 777-7012
78-495 CALLE TAMPICO FAX (760) 777-701.1
LA QUINTA; CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
45:70.8y00000244�
Date: 1/31/08
Application Number:
Owner:
r " Property Address: 52-229 WHISPERING WY
DESERT ELITE, INC. r
APN: 767-200-999#47 -3112023-
78401 HIGHWAY 111,.SUITE G
Application description: WALL/FENCE
LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
(760) 777-9920
_ Application valuation: 4500 n a
Contractor:
Applicant: Architect or Engineer:HERINGTON
2009
DEVELOP INC, JAMES O
FEBO
40960 CALIFORNIA OAKS RD, 4283
MURRIETA, CA 92562
CITY OF LA
QUINTA (951)677-8415..
'J FINANCE
DEPT. Lic . No.: 753190
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LICENSED CONTRACTOR'S DECLARATION -
- WORKER'S COMPENSATION DECLARATION
' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Cod)) and my License is in full force and effect.
-
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B ' Lice 0t�9rN 753 90
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
at�fII ��jj ��// _
10 o G� Comractor: w�V / L _
`, issued.
0. 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 permit is issued. My workers' compensation -
.
OWNER -BUILDER DECLARATION
insurance carrier and policy number are: ,
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1542746-2007
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the .
_
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to th workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the labor Code, II forthwith c y yvith tho provisions.
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).:
�G ant: •� �"
l _ I 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
1
WARNING: 'FAIL E TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
+ Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND +
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
- improvements are not intended or offered for sale. If, however, the building or improvement is sold within
-
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
'1
IMPORTANT Application is hereby made to the Director of Building and Safety for a Permit subject to the
- - /V44, BUSlttess and Protegglons Loo: no c6MPattm' State License Law does not apply to an owner of
,
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1,. Each person upon whose behalf this application is made, each person at whose request and for
pursuant.to the Contractors' State -License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. B.&P.C. for this reason
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
under or following issuance of this permit.
• Date: Owner:performed
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the-
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).' -
city and county ordinances and state laws relating.to building construction, and here auth ize representatives
- - a
'
of this unty to enter up the above-mentioned property for inspect! purpos
Lender's Name: -
V "
Signature (Applicant or Agent):
-
' Lender's Address:
LQPERIMIT _
'
Application Number 08-00000244--
8-00000244•:Permit
Permit. . . WALL/FENCE PERMIT
Additional" desc
Permit Fee 72.00
Plan Check
Fee
00
Issue Date . .
-Valuation
4500
Expiration Date 7/29/08
Qty Unit .Charge Per
Extension ..,
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00 -
------------------
Special Notes and Comments
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180 L.F." 6' GARDEN WALL Q REAR YARD &
NORTH SIDE, ORCO SYSTEM
_ Fee summary Charged Paid.
Credited
Due
Permit Fee Total. 72.00
00
.00
72.00
Plan Check Total .00
.00
.00.
.00
Grand Total 72'.00
.00
.00
72.00
LQPERMIT