07-1147 (BLCK):S.
P.O: BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: 4/18/07
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC.
6080Q TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005 -
Lic. No.: 672285 ^
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury.that I am licensed under provisions of'Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) f Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of. consent to self -insure for workers' compensation, as provided
Li ens ss: :License No.i 672285 - for byrSection 3700 of the. Labor Code, for the performance of the work for which this permit is
- _ issued •,z _ ,
ate. ntracior- _ I have and will maintain;workers' coin_ pensation insurance, as regwred by Section 3700 of; the Labor
Code` for the performance ofthe work for which this permitis'issued. My workers' compensation
OWNER -BUILDER DECLARATION - insurance carnterar d policy numbe( are: --
hereby affirm under penalty;of'perjury, that I am exempt from the Contractors State License Law for the Carrier AMERICAN HOME Policy"Number 1247619 �.
following reason, (Sec. -7031.5, Business and Professions Code: Any city oG county that requires a permitto _ _ I certify'that, in the performance of the.work for which this permit is issued, I shall not'employ.any
.construct; alter, improver demolish, or,repair an'y structure, prior to; its issuarice, also requires the applicant for the - • person in any manner so 'as to be me subject to the workers'• compensation laws, of California,
permit to file a signedstatement-that lie'or she islicensed pursuant to the provisions of.the.Contractor's State - and agree.that,ifl's uldstiecom_ subjecfto tli- orkers. compensation provisions of Section
License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business,and Professions Code) or 37 O of the Labor e I shalb T 'th'co those provisions. -
that he or she is exempt therefrom and the basis for the -alleged exemption.' Any violation of. Section 7031-.5. by b�� .
any applicant for a'permil subjects the applicant to a.civil penalty, of knot more'than five hundred dollars IS.5001.: te. 11•• • phcant =^
(_ 1 1, as owner of.tFe property, or, my employeewit
s. h wages as their sole compensation will do the work, and
thestructi 4r is not intended�or offered for sale (Sec-7044;Business and' Professions, Code: The WARNING: 'FAILURE,TOSECIJ E WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contra tors' State n w n - I - ri. -
c ate ce seta does of app y to a owner. of property who builds or improves �tliereon, SUBJECT 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, that' -the - - DOLLARS{IS1o0 om ,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 pr6ving that he'or 'she did not build or
,,,y _,improve. for Qthe purpose of sale.1. :. .APPLICANT ACKNOWLEDGEMENT
I _ 11, as:owner'of the py
ropertyam exclusively"contracting with licensed'contractors to construct the project (Sec. IMPORTANT. Application is hereby made to the. Director of Building and Safety for a permit subject to the .
7044, Business'anAPProfessions Code: The Contractors' State License Law does not apply to an owner of conditions and,restrictions set forth on this, application. -
'property who builds or improves thereon, and who contracts for the. projects with a contractor(s) licensed 1. Each person upoh.whose behalf this. application is made, each person at whose request and for
pursuant to the Contractors' State License Law). ^ - whose be'nefit'Work is performed'under or pursuant to any permit issued is a result of this•application,
(_ I I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
of La Quinta, its officers, agents and employees for any actor omission related to the work being
performed under or following issuanceof 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 andhat the above information is correct. I agree to comply with all
city a c�dinances andstate la-buildin co trucUon, h�reby authorize representatives
th' court to enter upon the above-ro rty f mstrio. ses. gnature (Applical:
Application Number:
'070-0-0-0.1.17
Property Address:
61550 TULARELN
APN:
764-280-999-117 -300237-
Application description:
WALL/FENCE
PropertyZoning:
MEDIUM HIGH DENSITY RES.
Application valuation:
2125
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: 4/18/07
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC.
6080Q TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005 -
Lic. No.: 672285 ^
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury.that I am licensed under provisions of'Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) f Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of. consent to self -insure for workers' compensation, as provided
Li ens ss: :License No.i 672285 - for byrSection 3700 of the. Labor Code, for the performance of the work for which this permit is
- _ issued •,z _ ,
ate. ntracior- _ I have and will maintain;workers' coin_ pensation insurance, as regwred by Section 3700 of; the Labor
Code` for the performance ofthe work for which this permitis'issued. My workers' compensation
OWNER -BUILDER DECLARATION - insurance carnterar d policy numbe( are: --
hereby affirm under penalty;of'perjury, that I am exempt from the Contractors State License Law for the Carrier AMERICAN HOME Policy"Number 1247619 �.
following reason, (Sec. -7031.5, Business and Professions Code: Any city oG county that requires a permitto _ _ I certify'that, in the performance of the.work for which this permit is issued, I shall not'employ.any
.construct; alter, improver demolish, or,repair an'y structure, prior to; its issuarice, also requires the applicant for the - • person in any manner so 'as to be me subject to the workers'• compensation laws, of California,
permit to file a signedstatement-that lie'or she islicensed pursuant to the provisions of.the.Contractor's State - and agree.that,ifl's uldstiecom_ subjecfto tli- orkers. compensation provisions of Section
License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business,and Professions Code) or 37 O of the Labor e I shalb T 'th'co those provisions. -
that he or she is exempt therefrom and the basis for the -alleged exemption.' Any violation of. Section 7031-.5. by b�� .
any applicant for a'permil subjects the applicant to a.civil penalty, of knot more'than five hundred dollars IS.5001.: te. 11•• • phcant =^
(_ 1 1, as owner of.tFe property, or, my employeewit
s. h wages as their sole compensation will do the work, and
thestructi 4r is not intended�or offered for sale (Sec-7044;Business and' Professions, Code: The WARNING: 'FAILURE,TOSECIJ E WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contra tors' State n w n - I - ri. -
c ate ce seta does of app y to a owner. of property who builds or improves �tliereon, SUBJECT 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, that' -the - - DOLLARS{IS1o0 om ,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 pr6ving that he'or 'she did not build or
,,,y _,improve. for Qthe purpose of sale.1. :. .APPLICANT ACKNOWLEDGEMENT
I _ 11, as:owner'of the py
ropertyam exclusively"contracting with licensed'contractors to construct the project (Sec. IMPORTANT. Application is hereby made to the. Director of Building and Safety for a permit subject to the .
7044, Business'anAPProfessions Code: The Contractors' State License Law does not apply to an owner of conditions and,restrictions set forth on this, application. -
'property who builds or improves thereon, and who contracts for the. projects with a contractor(s) licensed 1. Each person upoh.whose behalf this. application is made, each person at whose request and for
pursuant to the Contractors' State License Law). ^ - whose be'nefit'Work is performed'under or pursuant to any permit issued is a result of this•application,
(_ I I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
of La Quinta, its officers, agents and employees for any actor omission related to the work being
performed under or following issuanceof 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 andhat the above information is correct. I agree to comply with all
city a c�dinances andstate la-buildin co trucUon, h�reby authorize representatives
th' court to enter upon the above-ro rty f mstrio. ses. gnature (Applical:
Application Number . . 07-000.01147
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee 54.00 Plan Check Fee
..00
Issue Date. Valuation . . .
2125
Expiration Date 10/15/07
Qty Unit Charge Per
Extension
a 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
Fee,summar'y Charged' Paid -Credited
-----.-----
Due
------------------------------------------.------
Permit-.Fee Total 54.00 .00.. :00
54.00"
Plan Check -Total 00 Ao .00'
Oo..
Grand Total 54.00 .00 .00
54..00•.
.. _LQPERMIT
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