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BLCK (09-0584)61585 Living Stone Dr 09-0584 Application Number: C09-00000584_` Owner- A Property Address: 61585 LIVING STONE DR SHEA LA QUINTA I.�, !� APN: 764-280-999-17 -300236- C/O JEFF MCQUEENU�� Application description: WALL/FENCE 8800-N GAINEY CENTER 350 �16 Property Zoning: - MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 2250 Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC.. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6005 t� Lic. No.: 672285 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 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 000 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 Licrpse liass� B License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ll '1�r issued. ate: fJ ntractor: 1l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ",pe 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 I 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 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 become subject to the worker ompensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or • _3700 Of�Labo ode, I s lV rtJ,Lwith co rovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by IITTJJ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: applicant: (_ 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 WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of propertywho builds ovimproves 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 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.). (_ 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:y 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 agree to ply with all city a co ty ordinances and state laws relating to building construction, and hereby authorize r re entatives his oun to enter u on the above-mentioned propert for i�ns�ec/tido/nip rp sesT 0� ignature (Applicant or Agent): <��\/ �✓ Y LJ Application Number . . 09-00000584 ' Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 2250 Expiration Date 12/01/09 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 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# Citi/ ®f1 La Quinta Permit # 1 • - , .'Building & Safety Division- , [t 1 P.O. Box 1504, 781495 Calle Tampico La Quinta, CA 922537 (760) 777-7012 Building Permit Application and Tracking Sheet r Project Address: �' c ��j �► �[ IL Owner's Name: Shea Homes A. P. Number: + , Address: 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta Ciry, ST, Zip: �La Quinta, CA 92253 - Contractor: - Shea Homes' ' • Telephone:. 760-77.7-6032 - • �,� xt Address: 60-800 Trilogy Parkway A Project Description: Lot City, sT, zip: La Quinta, CA 92253 Telephone: 760-777-6032 Orco Garden Wall 791S If X 6' State Lic. # : 640934 City Lic. #: - X 3' Arch., Engr., Designer: Qr If X 4' ' Address: City, ST, Zip: w Telephone 'Construction Type:. Occu anc P Y State Lic. #:. ' Project type (circle one): New. Add'n Alter Repair • Demo Name of Contact Person `GBbbie Nieto Sq. Ft.: _ E#�S ories: # Units: ' Telephone # of Contact Person: 760-777-6032 �E�tated Value of Project: ' ti APPUCANT: 10 NOT WERE OELOW THIS UNE r # Submittal Req'd ' Rec'd' TRACKING - PERMIT FEES Plan Sets Plan Check submitted Item r Amount Structural Cates. Reviewed; ready for corrections Plan Check Deposit •r Plan Check Balance' , Truss Calcs' , Called Contact Person Energy Calcs. Plans picked up Constriction` Flood plain plan ' Plans resubmitted r Mechanical S _ Grading plan ' 2nd Review, ready for corrections/issue Electrical Subcontactor Listf Called Contact Person Plumbing S.M.I. Grant Deed L - Plans picked up . `• • H.O.A. Approval Plans resubmitted Grading - Developer Impact Fee, A.I.P.P. _ , IN HOUSE:- . 3rd ,Review, ready for corrections/issue' Planning Approval Called Contact Person + EPub.Wks. Appr Date of permit issue- ol Fees 14 ` .. , Total Permit Fees