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08-1010 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C� 08.-00001010 _ Property Address: "81428 JACARANDA CT APN: 764-280-999-150 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1750 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I herebyaf of irm underIpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 001 ivision 3 of the Busin ss and Pro s onals Code, and my License is in full force and effect. Licen Cl B License No.: 672285 e. factor 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. 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.). ( 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 Name: Lender's Address: LQPERMIT Owner:' SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/13/08 Contractor: 'r SHEA HOMES, INC. u �� p 60800 TRILOGY PARKWAY 9 1006 LA QUINTA, CA 92253 ' (760) 777-6005 CpNANLAQU1NTq Lic. No.: 672285 CEpon . --------------- - - - 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 1, 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 AMERICAN HOME Policy Number CA 1593364 _ 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 become subject to the workers' compensation laws of California, and agree that, if I should becom ubject to the workers' compensation provisions of Section 700 of the Labor shall f with comply with those provisions. plicant: WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 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 160 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify at I hav read this application and state that the above infoNation is correct. I agree to comply with all city and ounty ord ances and state laws relating to building constr on, and hereby authorize representatives of thi c ty e�rupon the above-mentioned property for ins c ' n rp ses. ate: re (Applicant or Agent): Application Number . . . . . 08-00001010 Permit . . WALL/FENCE PERMIT Additional desc• . Permit Fee . . . . 41.00 Plan"Check Fee .00 Issue Date . . . . Valuation 1750 Expiration Date 12/10/08 Qty Unit, Charge Per Extension BASE FEE 15.00 - 13.00 2.0000 HIND BLDG 501-2,000 26.00 ------------------------- --------------------------------------------------- Special Notes and Comments 70 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged - ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 41.00 .00 .00 41.00 Plan Check Total .00 .00- .00 .00 Grand Total 41.00 .00 .00 41.00 LQPERMIT { Bit, # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1La Project Address: 81428 Jacaranda Court Owner's Name: Shea Homes A. P. Number: Address: 60946 Desert Rose Drive Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 Address: 60946 Desert Rose Drive Project Description: Lot 150 City, ST, zip: La Quinta, CA 92253 Structural Calcs. Telephone: 760-777-6032 Orco Garden Wall - 701f x 6' 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 WBITE BELOW THIS 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"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:- 1rd 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 l