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10-1181 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-000.0118.1 Property Address: 81164 CASPIAN CT APN: 764-280-004-25 -35996 - Application -description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 At Tiht °F 4QaWL Architect or Engineer: PJA- ------------------ LICENSEDCONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. License Cla B Li nse No:: 672285 ate: � ontractor OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjurythatI 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,4so.requires the.applicant for the permit to file 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 of the Business and Professions Code) or that he or she is exempt therefrom and thebasis 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, as owner of the property, or my employees with wades as their sole compensation, will do the .work, and 1.0 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 thacthe improvements are not intendedor offered for safe. 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 ISec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who bullds or improves thereon; and, who contracts for the.projects with,a contractor(s) licensed pursuant to the Contractors' State License Law.). l _) 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 tending agency for the performance of the work for which this permit is -issued (Sec. 3097, Civ. C.). Lender's Name: n Lender's Address: !7 LQPE RMIT Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 VOICE .(760) 777=7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 11/04/10. Contractor:. SHED; HOMES, INC. D 60800 TRILOGY PARKWAY d LA QUINTA, CA 92253 (760)777-6032 LiC . No.: 672285 NOV 19 2Q10 kaffOFr r'•`t.�t .� WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the followingAeclaratlons:. I have and will maintain a certificate oYconsent t6self-insure for workers' compensation, as provided for by Section 37GOof the Labor Code, for the performance.ofthe work for which this permit is issued. 1 have and will maimain 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 LIBERTY MUTUAL Policy Number WA266DO66115030 I certify that; in the performance of the work for which'this permit isIssued; I shall not employ any person in any manner sot as to become subject tothe workers' compensation laws of California, and agree that, if I,should become subject to the workers' co ensatiort ovisions of Section �w1-. 118 3700 of the Labor Code; I shall fo with comply wit those pr visions. -Aa ` ` Applicam: 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 16100,000). 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 andrestrictions 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 anypermitissued as --a result of this application, the owner;-andLthe applicant, each -agrees -to, and shall defend, indemnify and hold harmless the City' of La Quint., its officers, agents and employees for any act or omission related tothe 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,l have read this application and state that the above information incorrect: Lagree to comply with all city and countyordinances and state laws relating to building construction; and here author' a representatives of t t dun to enter'u on the above-mentioned property forinsp ion purpq�ses. :� ig ature (Applicant or Agent): Application Number . . . . . 10-00001181 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation 3000 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 Special -- -- ------------ 120 L.F. COMBO WALL, 4' RETAINING & 6' GARDEN, OACO SYSTEM. 2`007 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 .0.0 .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 # �� �1\ Project Address: 81164 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 Address: 60918 Desert Rose Drive Project Description: Lot 25 City, ST, zip: La Quinta, CA 92253 Oreo Combo Wall -1201f 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: APPLICANT: 00 NOT WRITE BELOW TRIO LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. 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°d'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 Total Permit Fees 5�