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09-0740 (BLCK).. �qw P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:09-00000740--) Property Address: 81297 CANTOR CT APN: 764-280-999-184 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2125 Applicant: T4ht 4 4a Q" Architect or Engineer: PIA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: Date: 7/28/09 0 SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 V SCOTTSDALE, AZ 85258 Ch Contractor: SHEA HOMES LIMITED PARTNERSHIP 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 855368 ------------------------------------------------------------------------------------------------— LICENSED CONTRACTOR'S DECLARATION S WORKER'S COMPENSATION DECLARATION I h reby affirm nder penalty of perjur t at I am licens d under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Se ion 7000) f Div' ion 3 of the us, sand Pro ss, nals C. an y License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided %e CQ5: Licens�o . 55368 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Lissued. ontractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy numberare: 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 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 its issuance, also requires the applicant for the person in any manner so as to becom ubject to te workers' compensation 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 become su e t to thew orkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 8700 of the Labor Code hal forth i comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by /u�►l any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: ,cant: 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 WORKER 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 CRIMINAL 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.). (_ I 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: 11 fir LQPEPNIIT 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 ce f th I he dad this application and state that.the above info ation is correct. I agree to comply with all cit an c y ,"41H'Y,,lii ances and state laws relating to building const r ion, and hereby authorize representatives of the t e1 rd -n the above-mentioned prop f inspe urposes. Date: Sig ure (Applicant or Agent): LQPERMIT - Application Number . . . . . 09-00000740 Permit . . . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation 2125 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 85 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 - Bin# City of Lal 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\10 Iv' 0 Project Address: Cp," r,_�� Co� 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 Address: 60-800 Trilogy Parkway Project Description: Lot City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - If x 6' & 3' Telephone: 760-777-6032 Oreo Garden Wall 4''.. If'X 6' State Lic. # : 640934 City Lic. #: Orco Retaining Wall - If x 3' Arch., Engr., Designer: Oreo 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: APPLICANT: 16 NOT WARE 1ELYW TNIS LINE # Submittal Req'd Rec'd TRACHING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. 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 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 1. School Fees Total Permit Fees 5