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05-0062 (BLCK)0 0 BUILDING & SAFETY DEPARTMENT c P.O-Box 1504 (760).777-7012 E'Ii9 .78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number -05-00-0000.62- Date. 1/06/05 Property Address 44650 VIA VENICE APN: 604-032-999-14 305212 Application description WALL/FENCE Property Zoning . . . . LOW DENSITY RESIDENTIAL. Application valuation 5800 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 (951)817-3600 WCC: AON RISK SRVC WC: MWC11114500 11/01/05 CSLB: 728102 09/30/06 CCC: B P.O. Box 1504 Ti&f 78-495 CALLE TAMPICO ,G��'��. LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 0 4 Oona Applicant: Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-7012 FAX, (760) 777-701 1 INSPECTIONS (760) 777-7153 Date: /-/0- Architect -/D Architect or Engineer's Address: Lic. No.. MUILIANG PhKMIT DECLARATIONS ZIA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pen ty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and my License is fince and effect./1101 ^ („' License Class cense No. , (i�(A ate `I ontractor OWNER ­BUILDER DECLARATION 1 hereby affirm under penalty of 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 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 1, 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.& P.C. for this reason Date Owner" f' t" "i �� ^ "' -• it ".WORKERS' COMPENSATION DECLARATION I hereby affirm undei penalty of perjury one of the following declarations: I have and will ma ritain.a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance Xof the work for which this permi6s,issued.tr I have and will intain workers' compensationrinsurance, as required by Section 3700 f th abor Code, for the performance of the work for which this permit is i u y orkers" compensation•' nce 'me I' artier ;:• r :. ..''' . olicyNumber �� no�iy _Ice ti that, in the performance of the work for which t " permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pfoA(sions. WARNING: FAILURE TO SECURE WORKERS' C M NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DDLLARS ($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 th bove information is correct. I agreVb comply with all city and county ordinances and state laws relating to building constru tion, and hereby uthorize representatives of th ty to enter upon the above- tioned property for inspection purposes. r 1 ate Signature (Applicant or Age N---------------------------------------------------------------------------- Application Number . . . . 05-00000062 1---------------------------------------------------------------------------- Permit WALL/FENCE PERMIT:. Additional desc Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5800 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 232 L.F. 6' BLOCK WALL, ORCO SYSTEM Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 81.00 ---------- .00 ---------- .00 81.00 Plan Check Total .00 .00 .00 .00 Grand Total 81.00 .00 .00 81.00 r, ,