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BLCK (09-0723)61225 LIVING STONE DR 09-0723 APN: 764-280-999-2 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM. HIGH DENSITY RES Application valuation: 1750 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - ---------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Pivision 3 of the Business and Professionals Code, and my License is in full force and effect. Lice se C s r Li ens No.: 672285 at ractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, 6 usiness 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 Contractor's 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).: 1 _ I 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, 'and who doe's the work himself or herself 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 burdenofproving that he or she did not build or improve for the purpose of sale.). 1 _ 1 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. B.&P.C: for this reason 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: IP Lender's Address: LQPERMIT Owner: . SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. 60800.TRILOGY PARKWAY LA QUINTA, CA 92253 (760)77776005 LiC. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/08/09. ------------------------------------------------ WORKER'S 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 work for which this permit is (/ issued. f—1 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 insurance carrier and policy number are: " Carrier NTL UNION INS Policy Number WC6987825 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to.bThwitch a subject to the workers' compensation laws of California, and agree that, if should becombjet to the workers' compensation provisions of Section 370 of the Labor Cc" all comply with those provisions. IZ to p'canC WARNING: FAILURE TO SECURE WO KE ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL " SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. 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 thatthe above informatio is correct. I agree to comply with all city and ounty o dinances.and state laws relating to building construction nd hereby -authorize representatives of th' . my to njter upon the above-mentioned property for inspection rposes.' Date: . V i ture (Applicant or Agent): Application Number . . . . 09-0000072.3 Permit. . . WALL/FENCE PERMIT .• Additional desc . Permit"Fee 41.00 Plan Check.Fee 00 Issue Date . . . . 7/28/09 valuation, 175.0 Expiration Date 1/24/10 Qty Unit Charge Per Extension ' BASE FEE 15.00 13.00 2'.000.0 HND BLDG 501-2,000 -26.00 -------- Special Notes and Comments 70 L.F. 6' GARDEN WALL, ORCO SYSTEM: 2007 CODES. CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR OF RECORD. -------------------_-------------------------------- Other Fees` BLDG STDS ADMIN -(SB1473) 1.00 CHANGE OF CONTRACTOR 4-.50 Fee summary. Charged Paid Credited Due Permit Fee Total 41.00 41.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.50' 1.00 .00 4.50 Grand Total 46.50 42.00 ,00 4.50 LQPERMIT 4 P.O. BOX 1504 VOICE (760) 777-7012 .78-495. CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253' BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date: 7/28/09 Application Number: 09-00000723x Owner: Property Address:61225 LIVING STONE DR SHEA LA QUINTA - APN: t 764-280'999-2 -300236 C/O JEFF MCQUEEN Application description: WALL/FENCE 8800 N GAINEY CENTER 6 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 1750 Contractor:.. J 2 Applicant: Architect or Engineer: SHEA HOMES LIMITED AR RSHIP . L C&'IV 60800 TRILOGY PKWY ceTy r LA QUINTA, CA (760)777-6032 6032 _P—, Lic. No.: 855368 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 Code, 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 Cla s: A,J B License No." 855368 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. o 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 under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS Policy Number WC1894819 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 be me subject to the 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, I s II forthwith comply with those 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).: ate: pplicant: ( 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 W ERS' 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 PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND andwhodoes the work himself or herselfthrough 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 (_) I, 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 contractors) licensed 1 . Each person upon whose behalf this application is made, each person at whoserequest 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 _ 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 performed under or following issuance of this permit. - Date: - Owner: 2. Any permit issued as a result of this application becomes null and void if work isnot commenced within180days 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 1 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.). " - and state laws relating to building c nstruction, and hereby authorize representatives n the above-mentioned pr perty for spection purposes. Lender's Name: - - \1115W ure (Applicant or Agent): Lender's Address: PI LQPERAIIT Application Number . . . . . 091-00000723 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee41.00 Plan Check Fee .00 ' Issue••Date.. . Valuation . . . . 1750 Expiration Date 1/24/10 Qty Unit Charge Per. Extension BASE FEE 15.00 .13'.00 2.0000 HND BLDG 501-2,000 26.00 - 7 -- -------------.--------------- Special Notes_.and Comments -------------- 70 L.F. 6- GARDEN WALL, ORCO SYSTEM. 2007 CODES. -------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) • 1.00 J Fee summary Charged Paid Credited. i Due ---- ---------- ---------- -7 -------- ---------- Permit Fee Total 41.00 .00 .00 41.00 Plan Check Total .00 .00 .00 .00- Other:Fee Total 1.00 00 .00 1.00 Grand Total 42.00.. .-00 .00 42:00 LQPERMIT . # Bin # City ®f La Quinta Rec'd Permit # ` ,y Building & Safety Division P.O. Box 1504,78-495 Calle Tampico ' La Quinta, CA 92253 - (760) 777-7012 OR Building Permit Application and Tracking Sheet Project Address: o Owner's Name: Shea Homes `•. T Structural Calcs. A. P. Number. Address: 60-800 Trilogy Parkway " `'• Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor:. Shea Homes Telephone: 760-77.7-6032 Address: .60-800 Trilogy Parkway Project Description: Lot City, ST, zip: La Quinta, CA 92253 Orco Combo Wall- If x 6'& 3' ' Telephone: 760-777-6032 Plan Check Balance Oreo Garden Wall - `10 if x 6'. ,, City Lic• #: State Lic. # : 640934 Oreo Retaining Wall - if x 3' Arch., Engr.' Designer: Orco Knee Wall - If x 4' - Address: City, ST, Zip: Telephone: Construction Type:' Occu anc Mechanical Project type (circle one): New ' AWn Alter Repair Demo ; State Lic. #: Sq. Ft.: #Stories: #Units: Name of Contact Person: Gabbie Nieto Telephone # of Contact Person: 760-777-6032 Estimated Value of Project:` APPLICANT: 00 NOT WRITE NELOW THIS LINE # Submittal Req'd Rec'd 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 2n° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed r Plans picked up S.M.I. H.O.A. Approval+ Plans resubmitted Grading IN HOUSE: - 'rd Review, ready for corrections/issue Developer Impact Fee j Planning Approval Called Contact Person A.I.P.P. Pub, Wks. Appr Date of permit issue School Fees } Total Permit Fees /'a •'