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BLCK (09-0589)61685 Living Stone Dr 09-0589 Application Number: 09=00000589 Property Address:61685 LIVING STONE DR APN: 764-280-999-22 -300236- Application description: WALL/FENCE - Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2500 Applicant: Td!t 4 4 Q" Architect or, Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/04/09 At ----__ iUL 01.2099 LA QUINTA, CA 92253 (760)777-600S CiiYf?;` `.oicr,lifVj,[� Lic. No.. 672285 �s.�',�, --------------------------------- 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 708�0) o Division 3 of the B �sand Professi�", 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 License -ass: 672285 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / �I / - 'issued. ate: tractor: �I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor. /111 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 or county that requires a permit to _ I certify that, in the performar�'ce of the work for which this erma 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 becom subject to the wo rs' m ensation 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 beco 'e s ject to the workers'\ m ns 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 o shall o with `mply th thos pr vi ons` 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).: ate:plicant: (_ 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 WO - K 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 CRIMINA 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.). (_) 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: T' 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 W'o o cancellation. ad this application and state thWtr co r ct. I re e t �omply with all ances a state laws relating to he by aut oriz resentatives r upothe above-mentioned pres ignature (Applicant or Agent): Application Number . . . . . 09-00000589 Permit . . . WALL/FENCE PERMIT Additional desc . -Permit Fee . . . . 54.00 Plan.Check Fee .00 Issue Date . . . . Valuation 2500 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 100 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 I FBin#.City Submittal of La Quintamit Rec'd # PERMIT FEES, . ' Build_ing,& Safety Division Plan Sets P.O. Box 1504,78-4.95 Calle Tampico ' Plan Check submitted r z La Quinta, CA 92253 - 760 777-7012 Amount Building'Permit-Application and Tracking Sheet r Project Address: �� '� ` �1-, _ - 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 � Project Description: - Oreo Garden Wall - %6'if x 6', Address: 60-800 Trilogy Parkway .'Lot ' City, ST, zip: La Quinta, CA 92253 Telephone: 760-777-6032 ;� Energy Cates. Orco R 31 ; State Lic: # : 640934 Construction '-- . City Lic. #: Arch., Engr., Designer: . Orco Knee Wall - I x 4' Plans resubmitted Address' , City, ST, Zip: = 2nd Review, ready for corrections/issue Telephone: Construction Type:' ' yp Occupancy: , State Lic. #: Project type (circle one): New • Add'n ' Alter Repair Demo " Called Contact Person--.' Sq. Ft.: - #Stories: #Units: , 4 Estimated Value of Project: Name of Contact Persona Gabbie Nieto Telephone # of Contact Person: ,760-777-6032 GrMAal APPLICANT: 00 NOT WRITE BELOW THIS LIME r # Submittal yReq'd Rec'd _TRACIQNG PERMIT FEES, Plan Sets Plan Check submitted r z 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 3 GrMAal Plans picked up ' S.M.L' - H. Plans resubmitted - Grading IN 3r0 Review, ready for corrections/issue Developer Impact Fee .r ' Pla Called Contact Person Pub Date of permit issueSch y Total Permit Fees' -