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10-1218 (BLCK)Titlt 4 4 4". * I . P.O.. BOX 1504 VOICE (760) 777-7012. 78-495 CALLE TAMPICOFAX (760) 777-7011 LA QUINTA, CALIFORNIA .92253 BUILDING &-SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 'Date: 11/09/10 Application Number: L 10-00001218 Owner: Property Address:' 61120 TALEA DR SHEA LA QUINTA APN: 764-280-004-1 -359.96 - 60800 TRILOGY.PARKWAY Application tion: WALL FENCE t- LA QUINTA, CA 92253 ! prl tl PP P / Ei r 1 Appl pPro*pelication ylaluation: LOW DENSITY RESIDENTIAL itt ijJ1 �^ i n 2�1 Contractor. Ct7ti' : �? LA,' d �k Applicant: Architect or Engineer: SHEA 'HOMES, , INC. 60800 TRILOGY PARKWAY " LA QUINTA, CA 92253 (760) 777-6032 Lic. Nick.: 672285 - ---------------- - - - - - - -- - -- - LIC ED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . hire b affirm. nder penalty of perjury the a Ii ensed oder provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ' • S. ion 000) Div'sion 3 of the Busih' s r fes o s Code, a d License is in full force -and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licens 7" ss: I icense No : 72285 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ntrac. r: - +" ) 1 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 WA266DO66115030 ` following reason'( Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ 1 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 ,pe son 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 an I agree that, if I should become subject to the workers' mpensation provisions of Section - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37 DO of the Labor Code, I s all forthwith comply with tho provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by.. I}t any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: V pplicant: (_) 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: AILURE TO SECURE WORKERS' MPENSATION 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however,'thebuilding orimproyement is sold within- " - -SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. 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 - (_ 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. , 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 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. - - ' I hereby affirm under penalty of perjury that there is a construction lending agency *for the performance of the .I certify t t 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 c ty dinances and state laws relating to building construction, and hereby authorize representatives of h o n to to upon the above-mentioned property for inspection purposes. Lender's Name: "( - ` D 'nature (Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . 10-00001.218 Permit WALL/FENCE PERMIT Additional desc Permit Fee 54.00 PlanCheck Fee .00 Issue Date Valuation 212.5 Expiration Date." 5/08/.11 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. 2007 CODES. _-- ---------------------------------------------- - - - - -- - Other Fees BLDG STDS ADMIN (SB147.3) - - - - -- 1.100• 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# Submittal City of La Quinta Ree'd Permit # Building & Safety Division , �1- Plan Ch k submitted P:O. Box 1504, 78-495 Calle Tampico. Item 10 La Quinta, CA 92253'- (760) 777-7012 Reviewed, ready for corrections „ Building Permit. Application and Tracking Sheet Plan Check Deposit Project Address: 61120 Talea Drive `. Owner's Name: Shea Homes, Inc. A. P. Number: Called Contact Person Address: 60918 Desert Rose Drive Plan Check Balance Legal Description: Trilogy @ La Quinta Annex City, ST, zip: La Quinta, CA 92253- 2253-Contractor: Energy Calcs. Plans picked up Contractor:Shea Homes Telephone: 76077,77-6032, Flood plain plan Plans resubmitted Mechanical Grading plan Address: 60918 Desert Rose Drive, 2nd Review, ready for corrections/issue Project Description: Lot 1 Electrical _ 55.00 + City, ST, zip: La Quinta, CA 92253`55.00 Oreo Garden Wall - 851f x 6' �~ + -55.00 + 55.00 + Telephone: 760-777=6032 Grant Deed , 55.00 + S.M.1. State. Lic. # : 640934 City Lic. #: • , i, ,.. ' 55.00 +, 55.00 � + Arch., Engr., Designer: Plans resubmitted —46-00 + + 008• ...... Address: IN HOUSE:- I 431.00 '`d Review, ready for corrections/issue City, ST, Zip:L Developer. Impact Fee - Telephone: + �, ;c''' « A Construction Type: Occupancy: Called Contact Person ( ra4��*'c - State Lic. #: Project type (circle one): New Add'n Alter Repair Demo , Name of Contact Person: Gabbie Nieto r p + . Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760-777-603' j ^`fk` 3. Estimated Value of Project: ., �w ' r APPLICANT: 00 NOT WHITE BELOW THIS LINE # Submittal Req'd Ree'd PERMIT FEES Plan Sets Plan Ch k submitted Item Amount Structural Cates. Reviewed, ready for corrections „ Plan Check Deposit Truss Calcs. - Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed + Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for corrections/issue Developer. Impact Fee i Planning Approval Called Contact Person ( A. 1. P. P. Pub. Wks. Appr 1 Date of -permit issue. School Fees`" r 1 "Total Permit Fees . 6,5 I