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BLCK (09-0720)Application Number: 09-00000720 Property Address: 61242 Living Stone Dr 09-0720 APN: 764-280-999-198 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2250 Applicant: Architect or Engineer:. �l LICENSED CONTRACTOR'S DECLARATION • I herb affirm un er penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Si n 0 0 f iv' ion 3 of the Bus n and Professina Code, and my License is in full force and effect. Lic n I cense No.: 672285 C actor: 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, 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 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 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 does 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 burden of proving that he or she did not build or improve for the purpose of sale.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. BAP.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.I. Lender's Name: Lender's Address: A LQPERMIT VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 10/07/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINE SCOTTSDALE, Contractor: SHEA HOMES, 60800 TRILOG LA QUINTA, CA Y iC EWER W . AZj> 258 i r r IN i . OCT 1 ZULJJ Y ' S AR[[[KWW rf'f 0r �A i.;J1N'rA 2253 (760)777-6005 Lic. No.: 672285 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. V11 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 become subject to the workers' compensation laws of California, and agree that, if I shou d`become subj�ct to the workers' compensation provisions of Section 37 of the Labor Co e,l s II forth rth omply with those provisions. at : plicant: U WARNING: FAI URE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 that the above information is correct. I agree to comply with all city and c unty ordi ances and state laws relating to building construction, and herby authorize representatives of this ko t� ; n r u on the above-mentioned property f r ns ction pur ' e (Applicant or Agent): Application Number 09-00000720 Permit . . `: WALL/FENCE PERMIT Additional desc . Permit Feb 54.00 Plan Check Fee : .00 Issue Date 7/29/09 Valuation- 2250 Expiration Date,. -1/25/10 Qty Unit Charge- Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25',000 9.00 ------------------ I --------- --------------- -- --- Special Notes and Comments ,- • 90 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 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 00 ' Other Fee Total' 5.50 1.00 _ .00 4.50 Grand Total 59.50 55.00 .00 4.50 - LQPERMIT • . - - - P.O. BOX 1504• 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: t09-0000072 Property Address: 61242 LIVING STONE DR. APN: 764-280-999-198 '-300236-• Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2250 BUILDING & SAFETY 'DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTE SCOTTSDALE, AZ 8525 VOICE (760).777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/09 �- 17d? �- it Contractors Q LU4 Applicant: Architect or Engineer: SHEA HOMES LIMITED P ERI. ` 60800 TRILOGY PKWY LA QUINTA, CA 92253 I a. (760).777-6032 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: ' Sectio 7000) of Division 3 of th si ess and Profes" io als Code, and my License is in full force and effect. _ I have and will maintain a certificateof consent to self -insure for workers' compensation, as provided saWontractor License No.: 855368 for by Section 3700 of the Labor.Code, for Jhe performance of the work for which this permit isissued. : - X I have and will maintain workers' compensation insurance, as -required by Section 3700 of the Labor T 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 fallowing reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ 1 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 be me 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 Wand that, if I should becom ubjecttothe workers' compensation provisions of SectionLicense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - he Labor C , I shall f r hwith 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:licant: (_) I, as owner of the property, or my employees with wages as their sole compensation, vaill do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WOR 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 CRIMINAL NALTIES 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 1$100,0001. 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 _ 1 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 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 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: i 2. Any permit issued as a result of this application becomes null and void if work is not commenced r 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 infor anon is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - citMun nances and state laws relating to building constr ion, and hereby authorize representatives - - of th'yer upon the above-mentioned grope .for inspe n urposes.Lender's Name:ate:Sj cure (Applicant or Agent): .Lender's Address: i LQPERHIIT J Application Number 09-00000720 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee• 54.00 Plan Check Fee .00 Issue..Date Valuation 2250 Expiration Date 1/24/10 Qty Unit Charge Per. J Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 -------------------7 -------------------------------------------------------- Special Notes and Comments 90 L.F. 6- GARDEN WALL, ORCO SYSTEM. .2007 CODES. ' Other Fees . . . . . BLDG STDS - ----------------------------- ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due' ------- ---------- Permit Fee Total 54.00 ---------- ---------- .00 .00 54.00 Plan Check Total .00. .00 .00 .00 Other Fee Total 1.00' 00 00 1.00 Grand Total 55.00 .00 .00 55.00 # Bin # , City of �� Q1..1111� Recd TRACKING PERMIT FEES Permit # Building & Safety Division, = P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Item Amount D� Structural Calcs. Reviewed, ready for corrections Building Permit Application and Tracking Sheet'',. Plan Check Deposit Project Address: I 2-LAZ LV I (1 r; y Owner's Name: Shea HOmeS v- v Plan Check Balance , A. P. Number: Address: 60-800 Trilogy Parkway,' Legal Description: Trilogy @ La Quinta City, ST, zip:' La Quinta, CA 92253 ' Construction Contractor:. Shea Homes Telephone: 760-77,7-6032 :t Flood plain plan Address: 60-800 Trilogy Parkway Project Description: Lot Mechanical City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - if x 6' & j' Grading plan2nd Telephone: 760-777-6032 y Oreo Garden Wall - If x 6' Electrical State Lic. # : 640934 Cit' Lic• #: Orco Retaining Wall - If x 3'. Called Contact Person Arch., Engr., Designer: Orco Knee Wall - if x 4' 4 Address: Plans picked up City, ST, Zip: ' Telephone: t t • Construction Type: Occupancy: State Lic. #: „ :; '.Grading Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: # Un, its: ' Name of Contact Person: Gabbie Nieto '`d Review, ready for corrections/issue Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: Planning Approval APPLICANT: 09 NOT WHITE 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 Cales. Called Contact Person Plan Check Balance , Energy Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI r H.O.A. Approval Plans resubmitted '.Grading IN HOUSE:- '`d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees " k _ Total Permit Fees 5