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10-1224 (BLCK)1 P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -_10-00001224 - Property Address: 61230 TALEA DR APN: 764-280-004-33 -35996 - Application description: WALL/FENCE . Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . Owner: . SHEA LA QUINTA' 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 Contractor: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/09/10 I Applicant: Architect or Engineer: SHEA HOMES, INC. +I �sv^ 1 0 213".1060800 TRILOGY. PARK AII, "' j LA QUINTA, CA 9225 --1 I (760)777-6032 C!TYOFLAi.;U'LWA 4 I Lic. No.. 672285�� ----------------------- _ _ _ _ _ _ _ _ _ _ _ _ _ _ • LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION m under penalty of perjur that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: f Division 3 of the usin and Professions 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 : B icense No.: 672285 ' for bySection 3700 of the Labor Code, for the performance of the work for which this permit is A)o C tractor. issued.L, - _KI 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: - hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL- ' Policy Number WA266D066115030 - following reason ISec.-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 r and agree 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) or 0 of the Labor Code, I shall forthwith com ly 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 cant:I, kFL as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The -WARNINE TO SECURE W RK RS' COMPENSATION 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 CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself throughhis or her own employees, provided that the .DOLLARS ($100,000). IN ADDITION TorTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or offered for sale. If, however, the building or improvement is sold within -_ - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.- - one year of completion, the owner -builder will have the bt rden 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 fora 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 contractors) 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 Date: Owner: _ CONSTRUCTION LENDING AGENCY I hereby affirm under. penalty of perjury that there isa construction lending agency forthe performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: /��" - Lender's Address: /- ' 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. _ certify that I have read this application and state that the aboveinformationis correct. I agree to comply with all city an county ordinances and state laws relating to building construction, and hereby authorize representatives of unt� to enter uponthe above-mentioned property for inspection purposes. - ature (Applicant or Agent): V� Application Number, 10-00001224 Permit WALL;/FENCE.PERMIT Additional desc . .Permit Fee 54'.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2500 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 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 - E` • Bi" # C ity' of La Quinta Req'd Permit # - . Building & Safety Division. Z41c -P.O. Box 1504, 78-495 Calle Tampico - Plan Sets La Quinta, CA 92253 (760) 777-7012 '. Building Permit Application and Tracking Sheet Project Address: 61230 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 HomesTelephone: 760-777-6032 Address: 60918 Desert Rose Drive j Project Description: Lot 33 ' City, ST, zip: La Quinta, CA 92253 Truss Cates. Telephone: 760-777-6032 , a`i ' '� .W Orco Garden all - 100 If x 6' '. s*�-,;,�..�$ r��., 3�Y State Lic. # : 640934 City Lic. #: L • Arch., Engr., Designer: ' Plans picked upr. Address: Construction City, ST, Zip: Telephone: {°r' k r t �r<� Construction Type:. Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Mechanical ' Name of Contact Person: Gabbie Nieto Sq. Ft.:. # Stories: # Units: ;F 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 Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. t Called Contact Person '. Plan Check Balance' Energy Calcs., Plans picked upr. Construction Flood plain plan Plans resubmitted Mechanical ' Grading plan god Review, ready for corrections/issue - Electrical Subcontactor List {; Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval 4 Plans resubmitted Grading IN HOUSE:- d`d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees • Total Permit Fees