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09-0737 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- --------------------------------- LICENSED CONTRACT R'S DECLARATION I hereby of irm and penalty of perjury t I am licensed and pvisions of Chapter 9 (commencing with Sectiggqqn 70 1 1 3 of the Busin s a ' Professionals od , and my License is in full force and effect. License I - 'ens 672285 ata:111`y Con actor: 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 contractors) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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:—PA LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (160) 777-7153 Date: 10/07/09 Owner: SHEA LA QUINTA Dn C/O JEFF MCQUEEN (i1� 8800-N GAINEY CENTE 0 SCOTTSDALE, AZ 8525` 20 5 9 I Contractor: V (1,p A (°wftd A SHEA HOMES, INC. 60800 TRILOGY PARKWAY 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 be subject to the workers' compensation laws of California, agree that, if I should become s ject to the workers' compensation provisions of Section 4K, 0 of the Labor , shall fort ' h c mply with those provisions. WARNING: FAILURE TO SECURE ORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI 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 behalfthis 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 th t I -have r ad this application and state that the above information i correct. I agree to comply withal) city and c my ordi antes and state laws relating to building construction, a hereby authorize representatives of t 's cou t LCAn r n the above-mentioned grope or in ection pu oses. Dat //v-14 Si toe (Applicant or Agent): Application Number: �_ 09-00000737__; Property Address: 81337 RUSTIC CANYON DR APN: 764-280-999-38 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2880 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- --------------------------------- LICENSED CONTRACT R'S DECLARATION I hereby of irm and penalty of perjury t I am licensed and pvisions of Chapter 9 (commencing with Sectiggqqn 70 1 1 3 of the Busin s a ' Professionals od , and my License is in full force and effect. License I - 'ens 672285 ata:111`y Con actor: 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 contractors) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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:—PA LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (160) 777-7153 Date: 10/07/09 Owner: SHEA LA QUINTA Dn C/O JEFF MCQUEEN (i1� 8800-N GAINEY CENTE 0 SCOTTSDALE, AZ 8525` 20 5 9 I Contractor: V (1,p A (°wftd A SHEA HOMES, INC. 60800 TRILOGY PARKWAY 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 be subject to the workers' compensation laws of California, agree that, if I should become s ject to the workers' compensation provisions of Section 4K, 0 of the Labor , shall fort ' h c mply with those provisions. WARNING: FAILURE TO SECURE ORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI 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 behalfthis 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 th t I -have r ad this application and state that the above information i correct. I agree to comply withal) city and c my ordi antes and state laws relating to building construction, a hereby authorize representatives of t 's cou t LCAn r n the above-mentioned grope or in ection pu oses. Dat //v-14 Si toe (Applicant or Agent): Application Number 09-00000737 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . 7/29/09 Valuation 2880 Expiration Date 1/25/10 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. 180 L.F. 3' RETAINING WALL, 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 Charged Paid Credited Due Permit.Fee Total, 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.50 1.00 .00 4.50 Grand Total 59.50 55.00 .00 4.50 r LQPERMIT 'P-.0. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �09=0.0000737 Property Address: 81337 RUSTIC CANYON DR APN: 764-280-999-38 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES. Application valuation: • 2000 Tdlvl..4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner. SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTE SCOTTSDALE, AZ 8525 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/09 Contractor: 1 f Applicant:' Architect or Engineer: SHEA HOMES LIMITED ARTNE$,P ? 60800 TRILOGY PKWY LA QUINTA, CA 92253 r 't/frY f. 11 n (760) 777-6032r�'N�.4. Lic. No.: 855368/ ---------------------------------------------------------------------------------------------- J LICENSED CONTRACTOR'S DECLARATION I ereby ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with coon 00) of Division 3 of, the Business and Prof ssi nals Code, and my License is in full force and effect. i e A, B icense No.: 855.368 e: 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 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.17044, 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 .). Lender's Name: Lender's Address: LQPERAIIT 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 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 be me subject to the workers' compensation laws of California, and agree that, if 2hould beco ubject to the workers' cpmpensation provisions of Section ,10ofthe Labode, I shall or hwith comply with those provisions. 1. te: A 'cant: WARNING: FAIL RE TO SECURE WERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN 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 tothe 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 h e read this application and state that the above i f rmation is correct. I agree to comply with all n oun rdinances and state laws relating to building con tr ction, and hereby authorize representatives of t s u e r upon the above-mentioned pr erty for ins a tion purposes. D iggnat/urpppplicant or Agent) Application Number. . . . 09-00000737 Permit. . . . WALL/FENCE PERMIT" Additional desc . Permit.Fee: 54.00 Plan -Check Fee .00 Issue•Date Valuation . . . . 2880 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 J 180 L.F. 3' RETAINING 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 Bin# 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 Permit # -, \ :Project Address: ?1,3,;q V-itr CN ,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: 760-777-6032aim- M, Address: .60-800 Trilogy Parkway Project Description: Lot 3� City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - If x 6' & j' Telephone: 760-777-6032 p Oreo Garden Wall - . if z 6' - State Lic. #: 640934 City Lic. #: Orco Retaining Wall -1-01f x 3' Arch., Engr., Designer: Orco Knee Wall - if x 4' Address: 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: APPLICAMT: 00 NOT WRITE BELOW THIS LIME # Submittal Plan Sets Structural Calcs. Truss Caics. Energy Cates. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Req'd Rec'd TRACIQNG Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2nd Review, ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted '`d Review, ready for corrections/issue Called Contact Person Date of permit issue PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. .Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount 55 _-J _..