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BLCK (09-0727)61385 Living Stone Dr 09-0727 Application Number: 09-00000727) Property Address: C_--6-1-385-LIVING STONE DR APN: 764-280-999-10 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2750 Applicant: V T4tvI 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm und�eer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Yt0o01 of Ilivisipn 3 of the Byainets ilnd Professionals C;pde1 and my License is in full force and effect. 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 basisforthe 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, 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.). (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seo. 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(sl licensed pursuant to the Contractors' State License Law.).. I _ 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: 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)777-6005 LiC. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 I'i J Date: 10/07/09 WORKER'S COMPENSATION DECLARATION 1 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. 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 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,) shall not employ any person in any manner so as to become sub' ct to the workers' compensation laws of California, 4and that, if I should beco a subjec the workers' compensation provisions of Section he LaborC kIs forthwi omply with those provisions: ate:icant: WARNSECURE WORK' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL kNALTIES 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 Ouinta; 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 t t I have read this application and state that the above information is correct. I agree to comply with all city and c unty ord' ances and state laws relating to building construction, and hereby authorize representatives oG\o9 nt' e e port the above-mentioned property for pection urposes. _ 4V / ature (Applicant or Agent): LQPERMIT Application Number . . . . . 09-00000727 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee .00 Issue Date 7/29/09 Valuation . . . . 2750 Expiration Date 4/05/10 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 -------------------------------------------------------------- Special Notes and Comments -------------- 110 L.F. 6' GARDEN WALL, ORCO SYSTEM, 2007 CODES CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR OF RECORD. --------------------------- 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. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: .-09-00000727: 61385 LIVING STONE DR 764-280-999-10 WALL/FENCE -300236- MEDIUM HIGH DENSITY 2750 Archite BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-70.11 INSPECTIONS (760) 777-7153 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN' 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES LIMITED PARTNERSHIP 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 855368 Date: 7/28/09 . - �/ --------------- ----------------------------------------------------------------------------= ----- LICENSED CONTRACTOR'S DECLARATION affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 700PI of bivision 3 of the Business and Professionals Code, and my License is in full force and effect. Imies �e icense No. 8M68 Date. tractor: 1 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 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) 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: Lender's Address: LQPERM[T 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. 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 insurance carrier and policy number are: Carrier NTL UNION INS ' Policy Number WC1894819 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 t become subject to the workers' compensation laws of California, �4�cee that; if I should be me subject to the workers' compensation provisions of Section f the Labo Co , I s a forthwith comply with those provisions. ate: LTO cant: WARNING: FAILU ECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 t t 1 have ead this application and state that the above inf rmation is correct. (agree to comply with all ci c y or an and state laws relating to building const tion, and hereby authorize representatives of this t to rt the above-mentioned proper for insp t n purposes. te: (ll(((jj�ii����'�� nature (Applicant or Agent): Application Number . . . . . 09-00000727 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 2750 Expiration Date 1/24/10 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU.•BLDG 2,..001-25,000 9.00 ----------------------------------------- ---------------------------------- Special Notes and Comments 110 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 LQPERMIT e # Bin# City o1 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 # Oq' Project Address: `� 1 � l�1 (i t t.�I u 1� �' S 1 Owner's Name: Shea Homes 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 Item Address: 60-800 Trilogy Parkway Project Description: Lot 1 City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - if x 6' & 3' Telephone: 760-777-6032 Reviewed, ready for corrections Oreo Garden Wall - 16. if .x 6' Plan Check Deposit State Lic. #: 640934 City Lic. #: Orco Retaining Wall - if x 3' Arch., Engr., Designer: Oreo Knee Wall - if x 4' Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Gabbie Nieto Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: APPLICAMT:19 NOT WRITE BELOW THIS LIME # Submittal Req'd Rec'd TRACHING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Cafes. 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.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 5 5