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BLCK (09-0587)61645 Living Stone Dr 09-0587 .Application Number: 09-00000587 ' Property Address: 61645 LIVING STONE DR APN: 764-280-999-20 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2625 Tit!t44Q" BUILDING '& SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA.QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date: 6/04/09 Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC fl 60800 TRILOGY P AY [/fn'u\ ; LA QUINTA, CA 9 1 �� (760)777-600S 605 J L Ol 20,39 Lic- No.: 67228 l% JJ GT'l C: °..A G). i6�IM ——-------———————————————————————— LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby irm under penalty of perjury th am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7 001 f Division 3 of the B a ` s d Professio als Code, and my,License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Li C ss: Lic se No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 1issued. a r C tractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor tq— 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 ISec. 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 ashh me subject to the workers' compen ion 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 s Id bsubject to the worke ' compensati ovisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or `.iZ00 of the Labor od , 1 stjyuith cGply with t se provisio . that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by U ll[ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - at pplicant: ( 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 WARN( G: FAIL RE TO SECURE WO 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 CRIMIN ENALTIES 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 1$100,0001. 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 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.). ( 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.1. 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 at have read this application and state that the above i ormation is correct. I agree.to comply with all city d bt nances nd state laws relating to b ing con tructi ,and hereby authorize representatives otic ter u n theabove-mentioned pr or i ti urposes.Date:ignature (Applicant or Agent LQPERMIT Application Number . . . 09-00000587 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2625 Expiration Date 12/01/0.9 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 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 Project Address: (,e i LoLiS L,; A. P. Number: Legal Description: Trilogy @ La Quinta Contractor: Shea Homes Address: 60-800 Trilogy Parkway City, ST, zip: La Quinta, CA 92253 Telephone: 760-777-6032 FState Lic. #: 640934 City Lie. #: Arch., Engr., Designer: Owner's Name: Shea Homes Address: 60-800 Trilogy Parkway City, ST, zip: La Quinta, CA 92253 Telephone: 760-777-6032 Project Description: Lot Orc - Ifx6'&3' Orco Garden Wall -105 if x 6' O g a - Ifx3' O a - x 4' Address: City, ST, Zip: Telephone: � � �t � ` " Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Gabbie Nieto Sq. Ft.: # Stories: T# Units: Telephone # of Contact Person: 760-777-6032 Estimated value of Project: APPLICANT: 10 NOT WRM BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT F Plan Sets Plan Check submitted Item Structural Calcs. 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 20° 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 Impact Fee Planning Approval Called Contact Person tDevveloper Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees EES Amount