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07-1145 (BLCK)4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O.JEFF'MCQUEEN 8800 N,GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: Applicant: Architect or, Engineer: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777=6005 Lic. No.: 672285 -----------------------------------------------------------------------------(Q. LICENSED.CONTRACTOR'S DECLARATION - WORKER'S COMPE AT[ 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 foil o.w eclarat Section 7000) of 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 - = i Licen Class B License No : 672285 .for by Sea�on3700 of the Labor Code, for the perfo - .n issued at 'Co ctor: ��4.`9 ..-I have -and wdl maintain workere':compensation msuran, _.. - • ,. Code for the,performance of work for which.thi: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/07 _ RATIO ATI O - ; . ODi sur '01 r ' ensation,- , .ed w thi' perm wis- e as r, uired b 3 O0 of:th abor permit is issued: My.w ' cam nsation, OWNER BUILDER DECLARATION e P.O. BOX" 1504 I hereby" affirm under.penalty of perjury that I am exempt from [h6-•Contractor'sState License Law4orthe 78-495 CALLE TAMPICO �. - following -reason .(Seci 7031":5,- Business and Professions Code: Any city or county that requires a permit to LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001145 Property Address: 616-01 TULARE LN APN: 764-280-999-91 -300237- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 14125 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O.JEFF'MCQUEEN 8800 N,GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: Applicant: Architect or, Engineer: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777=6005 Lic. No.: 672285 -----------------------------------------------------------------------------(Q. LICENSED.CONTRACTOR'S DECLARATION - WORKER'S COMPE AT[ 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 foil o.w eclarat Section 7000) of 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 - = i Licen Class B License No : 672285 .for by Sea�on3700 of the Labor Code, for the perfo - .n issued at 'Co ctor: ��4.`9 ..-I have -and wdl maintain workere':compensation msuran, _.. - • ,. Code for the,performance of work for which.thi: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/07 _ RATIO ATI O - ; . ODi sur '01 r ' ensation,- , .ed w thi' perm wis- e as r, uired b 3 O0 of:th abor permit is issued: My.w ' cam nsation, OWNER BUILDER DECLARATION e insurance,cerrier and "policy numberare:/- I hereby" affirm under.penalty of perjury that I am exempt from [h6-•Contractor'sState License Law4orthe Carrier AMERICAN -HOME' - Policy Number . 1247619. . - following -reason .(Seci 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 ariy structure; prior its issuance; also require§the applicant for the person inany manner sc es.to become subject to'the;workers"compensation liws.of California, permit to,M6 agned'statemenf;that he or she is.licensed pursuant to the provisions; of the Contractor's S{ate _ • 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.tne'allege&exemption' Any violation of S6ction7031.5 by, ` for and agree that; if I s Id become, subject tot workers :compensation provisions of Section' 3700 of the.Labor C shall fort ithcp withahose,"provisions. - ''`':", 4b 1'' .. any applicant a permit subjects'Ve applicant to'a civil penalty of not:more than five hundred dollars ($500).: .. :. , .. (_ 1''I, as owner:'of�theproperty, or.my,employees;with.wajtes.as theirsole compensation,willdothework, and ate:•� .. - ,'t - - - ' the structure is:no untended oroffere'd for., saleisecr 7044 °Business and:Professions'Code: The `. • 'WARNING: FAILURE TO'SECURE WORK ERS'.COMPENSATION COVERAGEfS,UNLAWFUL, AND SHALL " Contractors" .State .License "Law does not apply, to arc owner o..'property_who.budds:or improves -thereon, and who does'the work himself-or,Fierselethrough%his or her own employees, provided that the y improvements are not intended or,offered=for sale. If, however, tfie.building or improvement•issold within mpl one. year of coetion;"the owner -builder will have the burden.ofproving :that he or she did not build or improve for the purpose of sale.). - 1 _ 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 6r improves thereon, and who contracts for the pprojects with a contcactor(s).licensed Pursuant to the Contractors' State License Law.). ' (_) I am exempt under Sec. , 8.&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 SUBJECT:ANEMPL•DYER TO CRIMINAL _PENALTIES AND CIVIL FINES UP TO. ONE HUNDRED;THOUSAND. xDOLLARS IS100,0001:,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 Applicationis hereby. made to the Director of Building. and Safely for a permit subject to the conditions and'restncticns set.forth on this application. _ 1. - Each :person•upon,'whose behalf this application is made, each person of whose requestandfor' whose benefit work is performed under or pursuant to any permit issuedas 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 forany 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 certify that I have read this application and state that ve inforotion'orrect. I e to comply with all Aat count ordinances and state -laws relating to nstrucereby auize representatives ountyy` enterun the above-mentioned ope, y fo ' specties. v ignature (Applicant or A e h Application Number . . . . . 07-00001145 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date . . . .Valuation . . . . 4125 - Expiration Date . . 10/15/07 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 --------------------------------------------------- Special Notes and Comments ------------------------- 30 L.F. COMBO WALL (3' RETAINING, 6 - GARDEN) & 135 L.F. 6- GARDEN WALL, BOTH ORCO SYSTEM Fee summary ----------------- Charged Paid ---------- Credited Due Permit Fee Total ---------- 72.00 ---------- .00 ---------- .00 72.00 Plan Check Total .00 .00 .00 .00 Grand Total 72.00 .00 .00 72.00 LQPERMIT