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BLCK (09-0728)61445 Living Stone Dr 09-0728 Application Number. 09-00000728, Property Address: 61445 LIVING STONE DR APN: 764-280-999-13 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2625 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereb affirm under penalty of perjury t"" I am licensed der provisions of Chapter 9 (commencing with Sectio 7000 of Division 3 of the Bu ' and Profes ion Is Code, and my License is in full force and effect. LigeQse CI s• i nse No.: 672285 ontractor• - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the following reason ISec. 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 (9500).: (_ 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.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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.). (_ 1 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/07/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 (� Contractor: AN SHEA HOMES, C. ± 10 )'J r ' 60800 TRILO ARKst>,y LA QUINTA, 9 253 �k:'tyar (760)777-600 Lic. No.: 672 85 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 WC6987825 I certify that, in the performance of the w rk for which this permit is issued, I shall not employ any person in any manner so as to become ubject to the workers' compensation laws of California, an agree that, if I sho Id become sub ct to the workers' compensation provisions of Section 0 the Labor C e , Is II f h th co ply with those provisions. 4._."c'WARNING: FAILURE To SECURE WOR ' 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. '*certify onances plication and state that the above informs n is correct. I agree to.comply with all state laws relating to building cons[ructi ,and hereby authorize representatives above-mentioned propApplicant or Agentl: LQPERAI[T Application Number 1 09-00000728 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . 7/29/09 Valuation . . . . 2625 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 . .Special Notes and Comments 105 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 a­� - P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 9.2253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: x'0.9=00000728- 61445 LIVING STONE DR 764-280-999-13 -300236- WALL/FENCE MEDIUM HIGH DENSITY RES . 2625 . T -&t - 4 4- Q" Architect or Engineer: SM ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I her, y affirm oder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ecti n 000) f Division 3 of the B i ss and Profession Is Code, and my license is in full force and effect. Li n as / c nse No.: 855 ate: ontractor: OWNER -BUILDER DECLARATION 1 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 Icommencing 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 (55001.: (_ 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 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.). ' 1 ) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: 6 F1 Lender's Address: LQPERMIT Owner: - SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/09 / ot`a Q � --*I- Contractor:SHEA HOMES MARTz� P 60800TRILOGYPKWY LA QUINTA, CA 92253 ��' 4��j • J (760) 777-6032 Lic. No.: 855368 ------------------ 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. K 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 to lbeom subjectto theworkers' compensation laws of California, d agree that, if I should becos ct to the workers' compensation provisions of Section 1►100 of the Labor de, I alrt h c� mply with those provisions. ge1e:" plicant: /WARNING: FAIL RE 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 (5100,000). 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 Guinta, 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 certifNIhaveead this application andstate that the above infor tion is correct. I agree to comply with all nances a d state laws relating to bu' g construc ' n, and hereby authorize representatives of t upo the above-mentioned prop or inspe urpo es. ate:S nature (Applicant or Agent): Application Number . . . . . 09-00000728 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee .00 Issue Date . . . . Valuation 26.25 - 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 105 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 Bin # Submittal City of La Quinta Recd Permit # (� PERMIT FEES Building & Safety Division Plan Sets P.O. Box 1504,78-495 Calle Tampico M O� La Quinta, CA 92253 - (760) 777-7012 Amount Building Permit Application and Tracking Sheet Project Address: i n' j1 _ t— S VC. `"l 1 `` �— J •i ft3 A%." o1, Owner'sName: Shea Homes A. P: Number: Plan Check Deposit Address:, 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor:. Shea Homes Telephone: 760-777-6032 Called Contact Person 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 MWOreo Garden Wall - .�1� if z 6' " State Lic. # : 640934 city Lic. #: Orco Retaining Wall - if x 3' Arch., Engin, Designer: Orco Knee Wall - If x 4' Address: Mechanical City, ST, Zip: Telephone: 9 " " Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stoies. # Units: Name of Contact Person: Gabbie Nieto Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: Called Contact Person APPLICANT: 10 HOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person t 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 Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading . A ' IN HOUSE:- 7° 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