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10-1187 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001187 Property Address: 81183 CASPIAN CT APN: 764-280-004-29 -35996 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2375 Applicant: T4ht aF44u&& Architect or Engineer: aim BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 Contractor: SHEA HOMES; INC. 60860 TRILOGY PAR LA QUINTA, CA 922 (760)777-6032 Lic. No,: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Nov 1.9 2010 Date: 11/04/10 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby.affirm under penahY'of.perjury that I am licensed under provisions of Chapter9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:. Section 7000) of Division 3 of the Business and Professionals. Code; and my License is in full force and effect. Lice Cls: B License No.: 672285 DIN6, 45=-11issued. � ontract • _ _ _ _ I have and will maintain acertificate.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 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 OWNEWSUILDER DECLARATION insurance carrier and policy -number are: I hereby affirm under penalty�of perjury that I em exempt from the Contractor's State,License Law for the Carrier LIBERTY MUTUAL Policy Number WA266DO66115030 following reason (Sec, 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 itsissuance, also requires the applicant for the person in any manner so as to become' subject to the workers' compensation laws'of California, permit to file.a signed statement.that he.or she is licensed pursuantto theprovisions of the Contractor's State andagree that, if I should become subject to the,workers' compensation 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 e, I sit I f'rthwjth comply those visions. that he or she is exempt therefrom and the basis,forthe alleged exemption. Any violation -of Section. 7031.5 by any applicant for a,permit subjects the appiicantto a civil penalty of not more than five: hundred dollars ($500).:, t . 1 pLr plicant: (_ 1 1, as owner ofthe property, or my employees. with wages asaheir sole compensation, will.do the work, and the structure isnot intended'or offered for sale (Sec. 7044, Business and Professions:Code: The WARNING: FAILURE TO SECUREW ERS' COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECTANEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDRED THOUSAND and who does thework 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 improvementsare 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 notbuild or improve for the purpose of sale.). (_ 1 t, as owner of the property, am exclusively contracting with -licensed contractors to construct the project (Sec. 7044, Business, and Professions Code: The Contractors' State L(cense.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., , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty ofperjury that there is,a construction lending agency for the perforrnance,of the work for which this permit is.issued (Sec: 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application isherebymade to. the Director of Buildin%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,shell defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to thework, 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 to comply with all city and county ordinances and state laws relating to building constructMn,.anderebyorrze r��pppresentatives of this �ounty to enter u the above-mentioned property for inspe io Ye✓teX� nature (Applicant or Agent): 1 !l Application Number . . . . . 10--0000.1187 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2375 Expiration Date . . 5/03/11 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 --- --- 95 L.F. COMBO WALL, 4' RETAINING, 61 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 .0.0 .00 Other Fee Total 1.00 .00 .00, 1.00 Grand Total 55.00 LQPER . .00 .00 55.00 Bin # City of La Quinta Building & Safety Division P.O. Box 1504,78-495 Calle Tampico La Quints, CA 82253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ^ I Project Address: 81183 Caspian Court Owner's Name: Shea Homes, Inc. A. P. Number: Address: 60918 Desert Rose Drive Legal Description: Trilogy @ La Quinta Annex City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 -T Address: 60918 Desert Rose Drive Project Description: Lot 29 City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - 95 if x 6' & 4' Telephone: 760-777-6032 Reviewed, ready for corrections State Lic. # : 640934 City Lic. #: Arch., Engr., Designer: Truss Calcs. 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: AFFUCANT: 10 BOT WRITE BELOW TOO LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2 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:- 31d 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 Total Permit Fees 55