07-1146 (BLCK)P.,O-BOX 1504
?8=495 CALLE TAMPICO
LA QUINTA;•CALIFORNIA 92253
Application Number:
Property., Address:
APN:
Application description
Property Zoning:
Application valuation:.
07-00001146
61635 TULARE LN
764-280,-999-'92 -300237-
WALL/FENCE
MEDIUM.HIGH DENSITY RES
10250
4,.�Qur«tw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350 '
SCOTTSDALE, AZ -85258
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/18/07
Applicant: Architect or Engineer: SHEA ,'HOMES, INC.
6080'0,TRILOGY PARKWAY
LA; QUINTA, CA 92253. ' ppn®
(760)777.-6005 ^I'+R 90
LiC. No..: 672285 Ciiry ®�
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 ttie following, declarations:
Section 7000) of Division 3, of .the . i ass 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
.'L GeriAla6�13: _ License No::.�672285 - for by Sectiom3700�oYthe'Lalior Code, for the performance of the`work for which this,perrnit is: ,f, < issued;- Date. C ractoc _ ^ `ti." -,):have and'wdl mamtairi workers'_compensatiommsurance as required bySeciion 3700!of the.Labor . -
- Code for the performance of the worR'for.which this permit is'issuerl. My workers'.compensation .
' OWNER -BUILDER DECLARATION, - msuranoe carrje`rand policy -number are: ' ` ' - . t.. ,S
hereby affirm under penalty of:peijury that) am exempiirom'ttie contractods.State License Law'for'the_ Carrier AMERICAN -»HOME Policy;Number 12 47619 ,
following reason. i§ec'7031 5;Business'and Professions Code:.,Any cityor county thai4equires a, permit to - I. ceitify'ihat; in:the performance of the work for which this'perrnitis issued I:shall: not employ any,+- ,
corisiruct, alter, improve; demolish or repair any; structure prior iti�its issuance, also requires the appticant.for the , - person in°any manner -so as to become subjecito the workers' compensation laws'of California, .
permirrofile asigned storeman{'thatheorshe islicensedpura[ianL.to3he provisions of the Contractor s.State - -and agree that, if I hould become suE'-- the.wdrkers' compensation-provisionsof Section-
• LicenseLaw (Chaptei-9 lcommencing, with; Section,,7000)-of Division3 ofthe Business=and Profe`ssions.Code) or - _ =.3700 ofIhe Lab:I sh II-fo lywjth,those provisions.
.•�. y.
she is exempt therefrom and basis for the alleged ezempbon. Any vwlatwn of Section 7031.5 by
y pp
..�
Ghat a e or
for a permitsubjects the applicant.to a civil penalty of not;more than hve hundred dollars (S5001.: at phcan n
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(_
)'I, as owner of: the propertRyior my employees' with.wages as ;their sole compensation, will do thework, and
the structure is not intended or -offered for salel(Sec. 7044, Business and Professions Code The • WARNING: FAILt E ECURE;WORKERS' COMPENSATION COVERAGE•IS UNLAWFUL, AND SHALL
'Contractors -State License.Law does not apply to an°owner of property who builds or improves•ttiereon, . SUBJECT AN EMPLOYER TOZRIMINAL PENALTIES AND CIVIL FINES !UP TO,ONE HUNDRED THOUSAND'
-,and , tK 'does the work himself'oi heiselfithrough his.or her own employees, provided-that.the :•DOLLARS (S 1!00,000). IN ADDITIOMTO THE'COST,OF•COMPENSATION; DAMAGES AS PROVIDED FOR IN
improvements are:notintended oroffered`for•sale If, however„the bNding,or improvement is sold Within „ SECTION,37 06 OF.THE LABOR CODE, INTEREST ANDiATTORNEYJSFEES. ,
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 4of sale;). ' ' - 5 - 'y .'r. , - - - -,•4 -APPLICANT. ACKNOWLEDGEMENT ..
(_ 1 I; as owner 6f proper{y,'amexclusively contracting with licensed contractors.to construe[ -the project (Sec. IMPORTANT. Application is -hereby made to the Director of Building"and Safety fora permit subject to the
7044,:Business-and'Professions,Code: The ContractorsjS[ate License Law;,does not apply to an.owner of cdnditions.and restrictions set forth on this application.-
. -
propertywho,buildsbcimproves thereon; andwho.contracts=for the* projectrwith a contractors) licensed, ' 1.. Each person upon whose betialf`this�apptication is made, each person at whoserequestand,for
pursuant to the Contractors' State license Law.). whose benefit work is performed under or pursuant to any permit issued as a result'of this application,
(_) 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
- of La •duinta,;its officers, agents and employees for any act or omission related to the work being
-. performed under or'following issuance of this permit.
Date: Owner: 2. Any permit issued as a result of this application becomes nulland void if -work is not commenced
within 180days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation. -
I hereby affirm under penalty of perjury that there is`a construction lending agency for the performance of the I certify [hall have read this application and s[ate,t t the above informatioh js orrect. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.1. city and co n���111''' ordinances and state laws relating:'t ildi co str ion, an ereby authorize representatives
` - of hi ni�{o�pter upon the above-mentioned o arty r in act pu
Lender's Name: `' 1 •`.'
ti ate: nature (Applicant or Ag
Lender s Address:
LQPERMIT
LQPERMIT
Permit WALL/FENCE PERMIT
Additional desc
„
Permit .Fee . . . . 126.00 Plan Check Fee
.00
'
Issue::Date . . . . Valuation. .
10250
Expiration Date 10/15/07
Qty Unit Charge Per
Extension
BASE FEE
45.00.
9:00 9.0000 THOU BLDG 2,001-25,000
81.00
---------------------------------------------
Special.No,tes and Comments
2751 `L . F.. '4 COMBO•' WALL (1? RETAINING, 6f
GARDEN:) &.13S L.F. 6 '' GARDEN .:WALL , BOTH
ORCO. SYSTEM .
Fee summary'. Charged Paid Credited,
Due
'
---------- ----------
Permit.Fee•Total 126.00 .00 00
12.6.00
Plan .Check Total' .00 00' .00
.00
Grand Total 126.00. .00 00
126.00 r
.-
LQPERMIT