08-0210 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C08-00000210
Property Address: 61336 SAPPHIRE LN
APN: 764-280-999-89 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2685
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
t SCOTTSDALE, AZ 85258
Contractor:
Applicant: Architect or Engineer: O SHEA HOMES, INC.
60800 TRILOGY PARKWAY
v 0 LA QUINTA, CA 92253
^^�` (760)777-6005
�6 c. No.: 672285
ceyy ZpO� .
AF�e _
---------------------------------------------
LICENS CONTRACTOR'S DECLARATION
I hereby firm u der penalty off
ry that I am i nsed under provisions of Chapter 9 (commencing with
Secti 7 00) of v ion 3 oft Sl
ness and essionals Code, and my License is in full force and effect.
Lice se I s : B License No.: 672285
a ( ontractar
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 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 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. , 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: -
LQPEPAIIT
VOICE (760) 777 -7012 -
FAX (760) 777=7011
INSPECTIONS (760) 777-7153
Date: 1/30/08
---------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby firm under penalty of perjury one of the following declarations:
r 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.
K 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 AMERICAN HOME Policy N,, ber CA 1593364
I c tify that, in the performance of the wor or which this permit is issued, I shall not employ any
erson in any manner so as to becomes ect to the workers' compensation laws of California,
nd gree that, if I sho become subje o t e he
compensation provisions of Section
0 of the Labor C de, haArthVly with those provisions.
te: A scant:
WARNING: FAIL RE TO SECURE WO&OHE
'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRIMINALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION 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
p rmit to cancellation.
I certif that k ave read this application and state that the above infor tion is correct. I agree to comply with all
Ke:
oup ordinances and state laws relating to building construc on, and hereby authorize representatives
nty t � enter upon the above-mentioned per r ins rposes.
gnature (Applicant or Agen
. Application Number . . . . 08-00000210,
- Permit . . WALL/FENCE
PERMIT
Additional desc
j Permit Fee 54.00
Plan Check
Fee•.
_
Issue Date
Valuation
. . .
.00
. 2685
Expiration Date ., 7/28/08
Qty Unit Charge Per
Extension
BASE
FEE_
45.00
1.00 '9.0000 THOU BLDG
2,001-25,000
9.00
------------- I ----------------------------------------------
'Special Notes and Comments
85 L.F. 6' GARDEN WALL, 35 L.F.
4' KNEE '
WALL, BOTH ORCO SYSTEM
Fee summary Charged
Paid Credited
Due
- ---------- ----------
Permit Fee Total 54.00
----------
.00
----------
.00.
54.00
Plan Check Total x.00
.00
.00
.00
Grand Total 54.00
.00
:00
54.00
LQPERAIIT