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BLCK (09-0586)61625 Living Stone Dr 09-0586 Application Number: f0'9`00000586' Owner: Property Address: r, 61625 LIVING STONE DR SHEA LA QUINTA APN: 764-280-999-19 -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: 2625 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/04/09 Contractor: //— _U Applicant: Architect or Engineer: SHEA HOMES, INC. (� f) C/ 60800 TRILOGY PARKIN,Ju 01 LA QUINTA, CA 92253 (760) 777-6005 clay",i /Y Lic. No. . 672285 ----------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines and Professionals Code, and my License is in full force and effect. License Qlassi B ice se No.: 672285 ate: ' V omractor: 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 155001.: (_) 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 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: vkr LQPERMIT 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. 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compgrlsation provisions of Section ate: I 3700 of the Labor Cod I shall fo 1tw� th comply it those r ins. ate: 1 plicant: �L/ WARNING: FAILURE TO SECURE WO RS' 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'SFEES. 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 tq comply with all city and c u �y r ances and state laws relating to building construction, and hereby auth ri bpresentatives o/f/t����p►p•�u y t enter upon the above-mentioned property form ection urposes. atU e: Si lure (Applicant or Agent): LQPERMIT Application Number 09-00000586 Permit WALL/FENCE PERMIT Additional desc .. Permit Fee 54.00 Plan Check Fee 00 y Issue Date Valuation . . . . 2625 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 105 L.F. 61 -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 # • Permit # City a of LaQuinta Building & Safety Division P.O: Box 1504, 78495 Calle TAmpico La Quinta, CA 92253 - (760) 777-7012 ()C Building Permit Application and Tracking Sheet Project Address: �_rs 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 Address: 60-800 Trilogy Parkway . Project Descri tot Description: City, ST, zip: La Quinta, CA 92253 om & D Wall- �'60 77�7603�2� Telephone: 760-777-6032 Ofto Garden. Wall - Aos'If x 6'. State.Lic. #: 640934 City Lic. #: 01 CU Retaining Wa Arch., Engr. Designer: 4 Address: City, ST, Zip:. Telephone: Constiuction.Type': Occupancy: State Li6. #: Project type (circle one): -New 'Add'n -Alter Repair Dem - 0 Name of Contact Person Gabbie Nieto Sq. Ft.' # Stories: # Units: Telephone # of Contact Person: 760 -777 -*6032 Estimated Value of Project: AFFUCUT. 10 NOT WE NELOW THIS UNIE PERMIT FEES Item Amount # - Submittal Req'd Rec1d TRACKING ` Mechanical Mechanical Plan Sets Electrical Plan Check submitted S.M.I. Structural Calcs. Developer Impact Fee Reviewed, ready . for corrections A.I.P.P. -Truss Calcs. Called Contact Person Energy Cates. Plans picked 6p Flood plain plan Plans resubmitted-' Grading plan 2"d Review, ready for corrections/i' ssue. ,7- Subcontactor' List Called Contact Person, Grant Deed Plans picked up H.O.A. Approval Plans resubmitted IN HOUSE: - 3rd Review, ready, for corrections/issue 7 Planning Approval Called Contact Person Pub: Wks. Appr •Date of permit issue School Fees PERMIT FEES Item Amount Plan Check Deposit Plan Check Baladce Construction onstruciion- ` Mechanical Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fies