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BLCK (09-0585)61605 Living Stone Dr 09-0585 Application Number: 09-.00000585`? Property Address: 61605 LIVING STONE DR APN: 764-280-999-18 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1 2375 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 Contractor: Applicant: Architect or Engineer: 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 Date: 6/04/09 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION v I .hereby ffirm 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 Ifssionals 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 ass: – License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: antractor: - - 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 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).: (_) 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, 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.l. (_ 1 1 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 insurance carrier and policy number are: Carrier NTL UNION INS 1 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 become subject to the workers' compensation laws of California, and agree that, if I should becomeL ubject to the workers' com ration provisions of Section III 3700 of the Labor Code, I shat fort with com ly�wit()\hose visions. 7. 4�1( 1 — a�b te:pplicant: WARNINAFALUREo SECURE WO KERS' 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 that 1 have read this application and state that the above information is correct. I agree to com ly with all city itcou.1y ordinances and state laws relating to building construction, and hereby authorize repo ntatives tnterupon a above-mentioned prope / r i ectiOjy purposesate Si ature (Applicant or Agent) Application Number 09-00000585 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee .00 Issue Date Valuation 2375 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 95 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 LQPERMTT Bin # Submittal Cit of La Quinta Building 8: Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 0 Project Address: I V S l�t 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: 760-777-6032 Structural Calcs. Address: 60-800 Trilogy Parkway Project Description: Lot LU City, ST, Zip: La Quinta, CA 92253 Ore - 6' & 3' Telephone: 760-777-6032=6 � . Orco Garden Wall - CTS lf.x 6'. State Lic. #: 640934 City Lic. #: Arch., Engr., Designer: - X 4' Construction Type: Occupancy: Address: City, ST, Zip: Plans picked up Telephone: State Lic.: Construction Project type (circle one): New- Add'n Alter Repair Demo Name of Contact Person: Gabble Nieto Sq. Ft.: # Stories: # Units: Estimated Value of Project: Telephone # of Contact Person: 760-777-6032 APPLICAIiT- 00 NOT WERE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person 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 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 ::4--- _. School Fees — Total Permit Fees Amount