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BLCK (09-0541)61290 Living Stone Dr 09-0541 Owner: SHEA .LA QUINTA ' .APN: 764-280-999-196 -300236- C/O -JEFF MCQUEEN Application description: WALL/FENCE 8800 N GAINEY C R 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ Application valuation: 4500 Contractor: JUN 09 Applicant: Architect.or Engineer: SHEA HOMES, I C. 60800 TRILOG ARKoF� LA QUINTA, CA 92 �lQty� QUJpT (760) 777-6005 PJ!! LiC. No. 672285 ----------------------------------------=---------------------------------------------------- ----- 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 Licens .Cla s: 191 i nse No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is n �/ issued. Date: " X ntractor: \ �+G [ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ' —ice 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 bject 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 sub' c 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' 3 00 f the Labor CoA I shall forth th omply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation 6f,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: icant: (_ ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and el the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORK�ALTIES '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 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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,.Businessand Professions Cade: 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 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 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: VIP - LQPERMIT 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 isnot 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 ceunty ordinances and state laws rel ating.to building cons coon, and hereby authorize representatives of thi c tyt triter upon the above- entioned proper for ins tion purposes. te: ' natur pplicant or Agent): LQPERMIT r� Application Number . . 09-00000541 _ Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 72:00 Plan Check 'Fee .00 Issue Date Valuation . . . . 4500 Expiration Date 11/28/09 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 180 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 72.00 .00 ..00 72.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total. 73.00 .00 .00 73.00 LQPERMIT 14 I Sub.mittal Reqld bin 55-00 City of La Quints Permit # Building & Safety Division 55:00 P.O. Box 1504, 78-495 Calle Tampico La,Quinta, CA 92253 - (760) 777-7012 Plan Sets Building Permit Application and Tracking Sheet Project Address:I ci & D'Q-. Owner's Name: 'Shea Homes' A. P. Number: Address: 60946 Desert Rose Drive Legal Description: Trilogy @ La Quints City, ST; Zl'p:, La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 Reviem 1 015- -944-00 -Plan Check Deposit Address: 60946 Desert Rose Drive Project Description: Lot Cl kp. City, ST, Zip: La Quinta, CA 92253 Oreoeanibu Wall- lfx'6'&3' Telephone: 760-777-6032 axAOreo Garden Wall - If x 6' 61led Cc Plans p! rc............ Plans resubmitted -Plan CheckBalance State Lic*. #: 640934 Energy Calcs. City Lic. #: 04- aini Construction Flood plain plan Arch., Eng., Designer: Mechanical Address: 73-00-1 + City, ST, Zip: --17-3-00` Id Review, ready for corrections/issue ---64-00_1":+.-_,_1. Telephone: .82!00tyl;l_ Occupancy: Subcontactor List State Lic.,#:.1 00too -it z 4. -1 New Add'n Al;er - Repair Demo Called Contact Person _7 - 64-00 Name of Contact Person: Gabbie Nieto 1 Stories: # Units: I .55-d0_"+ " I I ne # of Contact Person:. 760-,777-603 f -,t- Telephone 2 ( * . . . 4 55 - 00 + - 64.00..x+ I d Plans picked up - -_ -A Sub.mittal Reqld Rlec Id 55-00 PERMIT FEES 55:00 17 _ Plan Sets Plan + Item Amount Structural Calcs. Reviem 1 015- -944-00 -Plan Check Deposit Truss Calcs. 61led Cc Plans p! rc............ Plans resubmitted -Plan CheckBalance Energy Calcs. Construction Flood plain plan Mechanical Grading plan Id 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:- 3,d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person r A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees L ---- L_ Total Permit Fees