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BLCK (11-0038)Application Number: 11-00000038 Property Address: 61125 Living Stone Dr 11-0038 Owner: Shea La Quinta APN: 764-270-999-47 -300234- 60800 TRILOGY PARKWAY Application description: WALL/FENCE LA QUINTA, CA 92253' Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1375 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/10,/11 Contractor: ' F17y_r "Wt1((yr, " Applicant: Architect or Engineer: SHEA HOMES, INC. EjFpP ' 60800 TRILOGY PARKWAY LA QUINTA, CA 92253. (760)777-6032 Lic. No.: 672285 LICENSED CONTRACTOR'S.DECLARATION WORKER'S COMPENSATION, DECLARATION I hereby a irm 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 70 01 of 'vision 3 of the B 'rte and Profes '�ICodand 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,CI s- o.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: / tractor: 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 unde penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number WA266DO66115030 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 perm 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'` mpensation 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 beco a subject to the work °s' comp nsatio revisions 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, I shat orthw'th comply hose pr ision . that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by a . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:. ate.Q: 114plicant: (_ 1 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. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WO E S' 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 CRIMINA ENALTIES 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' 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, I—) 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 f L Q' t 't office antsand I for n act r mission related to the work bein Date: Owner: 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: W 11P LQPERMIT o a uin a, i s o kers, agamp ogees o a y o o g 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. • agree to comply with all city and county ordinances and state laws relating to building con ruction, and her y au orize re esentatives of this c unty to mer upon the above-mentioned prop for ins trio purposes. ate:' nature (Applicant or Agent): ut— Application Number . . . . . 11-00000038 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 33.00 Plan Check Fee .00 Issue Date Valuation 1375 Expiration Date 7/09/11 Qty Unit Charge Per Extension ` BASE FEE. 15.00 9.00 2.0000 HND BLDG 501-2,000 18.00 Special Notes and Comments 55 L.F. COMBO WALL 3' RETAINING, 6' GARDEN, ORCO SYSTEM. 2010 CODES. THIS REPLACES PERMIT # 0575222 WHICH WAS BUILT IN WRONG LOCATION. ----------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary. Charged Paid Credited Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total .0,0 00 .00 .00. Other Fee Total 1.00 .00 .00 1.00 Grand Total 34.00 .00 .00 34.00 .LQPERMIT _ Bin # City of La Quinta Building & Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (� Project Address: 61125 Living Stone Drive Owner's Name: Shea Homes A. P. Number: Address: 60918 Desert Rose Drive Legal Description: Trilogy @ La Quinta Annex City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 Address: 60918 Desert Rose Drive Project Description: Lot 47 City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - 551f x 6' & 3' Telephone: 760-777-6032 .N Reviewed, ready for corrections State Lic. # : 640934 City Lic. #: Arch., Engr., Designer: Truss Calcs. Address: City, ST, Zip: Telephone: �' ; Construction Type: Occupancy: State Lic. #:. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Gabbie Nieto Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: APPLICANT: 00 NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A. 1. P. P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees