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09-0722 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ._09-00000722 Property Address: 81334 RUSTIC CANYON DR APN: 764-28"0-999-176 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2250 Applicant: Tihf 4 4 Q" Architect or Engineer: 0< ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING &SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjur hat I am licensed under provisions of Chapter 9 (commencing with Section 7 9 00) of Division 3 of the Bu ins and Profess' n Is Code, and my License is in full force and effect. License C ss: i nse No.: 672285 ate ' V i omractor: OWNER -BUILDER DECLARATION .1 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, wifl 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.). (_ 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.I. Lender's Name - Lender 's ame -Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/08/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350. O 9 SCOTTSDALE, AZ 85258 OCT I y 2009' Contractor: SHEA HOMES, INC ­ 60800 E BiN�q 60800 TRILOGY PARKWAY tsaw,'_4 e, LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 ----------------------------------------------- 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. 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 insurance carrier and policy number are: Carrier NTL UNION INS Policy Number WC6987825 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 bec a subject to the workers' compensation laws of California, an agree that, if I should become s bject to the workers' compensation provisions of Section 3 ////10 of the Labor C� e, I hall f r with comply with those provisions. te: V�pplicam: WARNING: FAILURE TO SECURE W RK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 I have read this application and state that the above inform 'on is correct. I agree to comply with all city and unty or inances and state laws relating to building con tructi , and hereby authorize representatives of tthhis co t to upon the above-mentioned proper or ins echo rposes. Date: /� �. ature (Applicant or Agent): Application Number . . . . . 09-00000722 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 54.00• Plan Check Fee .00 Issue Date 7/28/09 Valuation . . . . 2250 Expiration Date .). 1/24/10 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU -BLDG 2,001-25,0.00 9.00 --------------------------------------------------------------- Special Notes and Comments ------------ 90 L.F. COMBO WALL, 3' RETAINING, 6' GARDEN, ORCO SYSTEM. 2007 CODES. CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR OF RECORD. ------------------------------------------------------------------=--------- Other Fees . . . . . ! . . . BLDG STDS ADMIN (SB1473) 1.00 CHANGE OF CONTRACTOR 4.50 Fee summary ChargedPaid Credited Due Permit Fee Total 5.4.00 54.00 .00 .00 Plan Check Total .00 .00" .00 .0.0 Other Fee Total 5.50 1.00 .00. 4.50 Grand Total 59.50 55.00 .00 4.50 LQPERMIT - - P.O. BOX 1504 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09=0.0000722' Property Address: 81334 RUSTIC CANYON DR APN: 764-280-999-176 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES_ I'lpplicotion 'Veil untio l: 2250 Applicant: Architect or Engineer: r�~ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 Business and Professionals Code, and my License is in full,force and effect. Lice�Bs: A L 855368 /��0/ tractor: 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).: 1 _ 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 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.). (_) 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 3 SCOTTSDALE, AZ 8.5258 �, C �✓ jA Contractor: .,1111 ti t-1 SHEA HOMES LIMITED PARTNERS'I--�e_ 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 LiC. No.: 855368 j ------------------ 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 Laboi 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 bec a subject to the workers' compensation provisions of Section q_A 700of the Labor, sthwith comply with those provisions. atelicant: WARNING: FAILURE TO SECURE WORKERS' 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 Ouinta, 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 hav read this application and state that the above information is correct. I agree to comply with all city d ty in nces and s to laws relating to building construction, and hereby authorize representatives of u t t t ' pon t above-mentioned property for inspect' n purposes. ate: Sig ture (Applicant or Agent): Application Number 09-00000722 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . 54.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 2250 Expiration Date 1/24/10 . 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. COMBO WALL, 3' RETAINING, 6- ' GARDEN, '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# City of La Quanta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # } oa ' Project Address:" Cc j -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: Lot CUP Address: 60-800 Trilogy Parkway City, ST, Zip: La Quinta, CA 92253 Orco Combo W411 -q b if x 6'& j' Telephone: 760-777-6032 Structural Calcs. Oreo Garden Wall � . " � � if "z' 6' � - State Lic. #: 640934 city Lic. #: Orco Retaining Wall - if x 3' Arch., Engr., Designer: Oreo Knee Wall - if x 4' Address: Truss Calcs. City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Gabbie Nieto Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: APPLICANT: 00 NOT WRITE NELOW THIS UNE # Submittal Req'd Recd TRACIQNG 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- onstructionFlood Floodplain plan Plans resubmitted Mechanical Grading plan 2nd 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:- "d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Amount Total Permit Fees . - 1 _65