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BLCK (09-0593)61565 Living Stone Dr 09-0593 _ Date: 6/04/09 Application Number: 09-00000593.Owner: Property Address: 61565 LIVING STONE DR SHEA LA QUINTA APN: 764-280-999-16 -300236- C/O JEFF MCQUEEN Application description: WALL/FENCE 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 4500 r� n Contractor: J�/] Applicant: Architect or Engineer: SHEA HOMES, INC. J1� 60800 TRILOGY PARKWAY U JUL inn r1 LA QUINTA, CA 92253 2u733 19 (760)777-6005 Lic. _ No.. 672285 c1�y,CaF'_AQ1�liJfq --------—-------- — — — 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 00 1 of Division 3 of the Business and Profes ionals 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 e ay El icense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 'l ��r( issued. ate! ntractor: Rtl 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 6r 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 bec me sy bject to the workers' compe tion 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 Cc e, 1 shi for with comply wit thos pro that s. 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).: D Iicant: () 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 WARNING: FAIL E TO SECURE W RS' 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 PENALTIES 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 in 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.). (_ 1 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 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 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 ag to comply with all city and 6unty rdinances and state laws relating to building construction, and hereby auth ri a representatives o c nt nter upon the above-mentioned property for inspe on purpos s. Da Sig a re (Applicant or Agentl: Application Number 09-00000593 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 72.00 Plan Check Fee .00 Issue Date . . . . Valuation 4500 Expiration Date_. 12/01/09 -.-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 75 L.F. COMBO WALL (3' RETAINING, 6' GARDEN) & 105 L.F. 6' GARDEN WALL, BOTH ORCO SYSTEM -------------------------------- 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 Bin # Permit # n 'J 0 Project Address: A. P. Number: City of 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 Legal Description: Trilogy @ La Quinta Contractor: Shea Homes Address: 60-800 Trilogy Parkway City, ST, zip: La Quinta, CA 92253 Telephone: 760-777-6032 1 State Lic. # : 640934 1 City Lic. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Gabbie Nieto q;),, I Owner's Name: Shea Homes Address: 60-800 Trilogy Parkway City, ST, zip: La Quinta, CA 92253 Telephone: 760-777-6032 II Project Description: Lot 1 Orco Combo Wall - t�rj If x 6'& 3' Orco Garden Wall - I(S If x 6' OnWR-M—iningg Wall - x 3' Orce Kne wall if x 4' 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: APPLICANT. OY NOT WERE NELOW THIS UNE q Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cates. 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 ]:D�a�teof:permit issue School Fees Total Permit Fees 3