07-1151 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number:
e0.7T20000_.1Lf- 5'
Property Address:
6_1606 UI' J E LN
APN:
764-280-999-113 -300237-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2125
• u�h;IGv
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
Date: Owner:
CONSTRUCTION LENDING AGENCY
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: V ' r
LQPERMIT
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 certify that I have read this ap I. ation and state that t e bove information is c rr a. I agree to comply with all
city an ountYen,`er
rdiances a state laws relating t ui con rue 'on, and re authorize representatives
of. h' oynty upo the above-mentioned ape fo i .s trio urposanature (Applicant or Agent .
Contractor:
Applicant: Architect or Engineer:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY ' • ( E� Ull�j� -
LA QUINTA, CA 92253 F%
.1)
(760)777-6005
'►I '
LiC. No.: 672285
' LICENSED:CONTRACTOR'S DECLARATION
WORKER'SCOMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with
I hereby affirm under penalty of perjury one of,the following declarations:
Section 000) &1 Division 3 of the Business and my License is in full force and effect.
1 have and will maintaina certificate of consent to self -insure for workers' compensation;as provided'Lic
s 1 s - se No.i 672285' '.
for by Section 3700. of the Labor Code, .for the performance of;[he work for which this permit is
�fes'�ionals,de,
ate•ontractor: '
issued.r
lRl'have and.will maintaiq workers compensationmsurance, as requiredby,Section 3700 of the,Labor
_=. r .
• .f -•� •-
T Code, for the performance of the work forfwhich this permit is issued: My viorkers''compensation
` • " - ' »., WNER-BUILDER DECLAOAT16N —
insurance:carne_rand;policy number are, 'e�-s,•,.a• --. t ,. '
I hereby affirm under penalty of perjury that I am exempt"oin .frthe Contractors State License Law ,for the '
"Carrier. AMERICAN' HOME 'PohcY Nu -ber 1247619:
following reason (Sec. 7031.5,.Business and Professions Code: Any city or county -that requires a permit to -
' - _ l:certdy that,dn the performance of the work for which this permit is issued,-1shallnotemploy any
construct, alter; improve,. demolish, or repair any, structure, prior to, its issuance alsorequires the applicant for the
permit tofile a signed statement that he or she is licensed pursuant to the provisions of the Contractor's,State
person in any manner so as to'become subject "the workers' compensation laws of California,` .
- and agreethan_sho'uld become s jeer to th - rkers�.cortiperisation provisions of.Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of thiiBusiness and Professions Code) or
3700 of theI shalt orth th co t se provisions. -
that he or she is exempt therefrom and'thebasis for the alleged exemption Any violation ofSection 7031*.5 by
�•`.
any applicant for a permrcsublects the applicant to a civil penalty ofnotmore than hve hundred dollars i$560).:
te: - ' �� A - 1
(_ 1 1, as owner oftheproperty, or my employees with wagds'as'their sole compensation; wilfdo the work, and
-
x`h..r ae . -tu r• T17.,.. 4 - •° « . {_ .
the structure is n6i intenaed'or offered for sale (Sec. X7044, Business and-Professions.Cobe The' • `
WARNING: FAILU E TO SECURE WORKERS; COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
r-•. ;
of property Contractors' State License Law does not. apply io,an.owner who builds'or{improves�&reon,
SUBJECT -AN EMPLOYER TO CRIMINAL PENALTIES°AND CIVIL •FINES'UP?O ONE`HUNDRED THOUSAND ,
and who does the work himself or herself tfiroughahis or her own employees, provided thaYthe
DOLLARS (S100,000). IN ADDITIONJO•THE COST., OF COMPENSATION; DAMAGES AS PROVIDED FOR -IN
improvements are not i.mended or offered for(sale r IC; fi6vvever, the building or improvement is sold within
- SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S*EES. '
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.).
APPLICANT ACKNOWLEDGEMENT
(_ I I, as owner of the property, am 6kclusively contras ting with licensed contractors to construct the project (Sec.
IMPORTANT Application, is Hereby made to the Directoi of Building and Safety for a permit subject-tothe
704¢, Business"and Professions Code( The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.•+ .c„ ;
property who builds or:improves thereon, and who contracts for the projects with a contractorlsl licensed .
«n 1, -..:Each person upon whose behalf this:app iication.is made, each:person�at whose,recues 't and for
pursuant to the Contractors' State License Law.):
• ' :� 4-.whose.benefit work is performedunderor pursuant to an'y permit issuedasa result'of this application,
I _ 1 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
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: V ' r
LQPERMIT
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 certify that I have read this ap I. ation and state that t e bove information is c rr a. I agree to comply with all
city an ountYen,`er
rdiances a state laws relating t ui con rue 'on, and re authorize representatives
of. h' oynty upo the above-mentioned ape fo i .s trio urposanature (Applicant or Agent .
Application Number . . . . . 07-00001151
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
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 summary
-----------------
Charged Paid
--------------------
Credited
----------
----------
Due
Permit Fee.Total
54.00
.00
.00
54.00
Plan Check Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.00
LQPERMIT