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10-1222 (BLCK)P.O. BOX 1504 �. VOICE (760) 777-7012 .78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA; CALIFORNIA 92253 BUILDING 8c SAFETY DEPARTMENT. INSPn 60) 777-7153 r BUILDING "PERMIT L� D11/09/10 4 • Application Number. �•C10�000:0,1222-7 Owner: (111111 i . Property Address: 61100 TALEA DR SHEA LA QUINTA• �(• , 1 �� V APN: 764-280-004-2 35996 60800, TRILOGY PARKW= Application description: WALL/FENCE LA QUINTA, .CA 92253 T�OLa�;aii;9P� Property Zoning: LOW DENSITY RESIDENTIAL r Gl• iyr�' ;• • f °Vi'`'i•;''-,ate Application valuation: 2500 . Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC. 60800 TRILOGY PARKWAY . LA QUINTA, CA 92253 (760)77776032 Li c. No.: 672285 ------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affir under penaltyof perjury that I am icensed under provisions of Chapter 9.(commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 700 1 of Div ion 3 of the Busines d ofessionais C e,� nd 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 Lice �n_ Licen e N .: 672285 .. for by Section 3700 of the Labor Code, for the performance of the work for which this permit is i issued. atC ractor: / - 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 • OWNER-BUILDER DECLARATION - insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number MA266DO6611503 0 • following reason (Sec. 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 any structure, prior to its issuance, also requires the applicant for the - person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State andtagree that, if I should become subject to the workers' compensation provisions of Section _ License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code)or37 0 of the Labor Code, I'shall forthwith comply with those provisions. 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).: - ' a licant: _ _ - - (_ 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. WARNING: FAILU ETO,SECURE WORKER ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, • ' SUBJECT AN'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, provided that the . DOLLARS (s100,600). IN ADDITION-TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - - - - -improvements arenotintended or offered for'sale.- If, however; thebuildingor improvement: is sold withim SECTION3706OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES.— one EES.one year ofcompletion, 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 - (_ 1 I,_as owner of the property, am 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 and Professions 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 upon whose behalf this application is made, each person at whose request and 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, (_ 1 I am exempt under Sec. , 8.&P.C. for this reason - 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. Date: Owner: ' 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 CONSTRUCTION LENDING AGENCY permit to cancellation. - hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I h�e read this application and state that the above information is correct. I agree to comply with all work for, which this permit is issued (Sec. 3097, Civ. C.). - city and county dinan es and state laws relating to building construction, and hereby authorize representatives of this c Uri, t nter port the above-mentioned property for inspection purposes. Lender's Name: -\ e: g at a (Applicant or Agent): Lender's Address: N LQPERMIT Application Number 10-00001222 Permit . . . WALL/FENCE PERMIT ' Additional desc ,Permit Fee 54.00 PlanCheckFee .00 Issue Date . . Valuation 2500 Expiration Date ." 5/08/11 Qty Unit.Charge Per Extension BASEFEE 45.00 1.-00 9.0000 THOU BLDG 2,001-25,000'. 9.00 ----- Special Notes and Comments 100 L.F. 6' GARDEN WALL, ORCO SYSTEM.. .2007 CODES. -------------------.--- Other Fees --------------------------------•------- BLDG STDS ADMIN (SB1473)- ----- 1.00 Fee summary Charged .Paid Credited ---------- Due ----------------- Permit Fee Total ---------- .54.00 .00 .00 54.00 Plan Check Total -.00 :00 .00- .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 55.00 .00 .00 55.00 LQPERMIT .. .. . Bin #a # . '� • City of La_Quinta ' Req'd Permit # a' Building & Safety Division ti. PERMIT FEES P.O. Box 1504, 78-495 Calle Tampico �La Quinta, CA 92253 - (760) 777-7012 Plan Sets Building Permit Application and Tracking Sheet • r Project Address: 61100 Talea Drive Owner's Name: Shea Homes , Inc. A: P. Number: Address: 60918 Desert Rose Drive Legal Description: Trilogy @ La Quinta Annex City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 Plan Check Deposit Address: 60918 Desert Rose Drive; Project Description:, Lot 2 City, ST, zip: La Quinta, CA 92253 r. t Telephone: 760-777-6032 h°� t',r� ��;. ��, Orco Garden Wall -, 100 If x 6' Energy Cates. State Lic. # : 640934. City Lic. #: - Arch., Engr., Designer: K - Address: Flood plain plan City, ST, zip: Telephone: utv'_,`� Construction Type: Occupancy: State Lic. #: ; 4 Et x, s` �x 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 WHITE BELOW THIS LINE Submittal",- Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections . ' Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up , F Construction Flood plain plan Plans resubmitted Mechanical Grading plan P2nd 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:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A. 1. P. P. Pub. Wks. Appr Date of permit issue School Fees �' i '• Total Permit Fees